Concomitant Injuries Associated With ACL Rupture in Elite Professional Alpine Ski Racers and Soccer Players: A Comparative Study With Propensity Score Matching Analysis

被引：9

作者：

Farinelli, Luca ^{[2
]}

Csapo, Robert ^{[3
]}

Meena, Amit ^{[4
,5
]}

Abermann, Elisabeth ^{[4
,5
]}

Hoser, Christian ^{[4
,5
]}

Fink, Christian ^{[1
,4
,5
]}

机构：

[1] Gelenkpunkt Sports & Joint Surg, Olympiastr 39, A-6020 Innsbruck, Austria

[2] Clin Orthopaed, Dept Clin & Mol Sci, Ancona, Italy

[3] Univ Vienna, Ctr Sport Sci & Univ Sports, Vienna, Austria

[4] Private Univ Hlth Sci, Res Unit Orthoped Sports Med & Injury Prevent OSMI, Med Informat & Technol, Innsbruck, Austria

[5] Gelenkpunkt Sports & Joint Surg, Innsbruck, Austria

来源：

ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE | 2023年 / 11卷 / 08期

关键词：

ACL rupture; alpine ski racers; cartilage; concomitant injuries; elite athletes; soccer; mechanism of injury; meniscus; posterior lateral root; ramp; CRUCIATE LIGAMENT RECONSTRUCTION; SYSTEMATIC VIDEO ANALYSIS; ANTERIOR; MENISCUS; PATTERNS; SURGERY; LESIONS; TEARS; KNEE;

D O I：

10.1177/23259671231192127

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: For elite professional soccer players and alpine skiers, injuries associated with anterior cruciate ligament (ACL) rupture, such as meniscal, cartilage, or collateral ligament lesions, could result in a delayed return to sport compared with isolated ACL injury.Purpose/Hypothesis: The purpose of the study was to provide a detailed description of associated injuries at the time of primary ACL reconstruction in elite soccer players and alpine skiers. It was hypothesized that soccer players and skiers would present different typical injury patterns due to different injury mechanisms.Study Design: Cohort study; Level of evidence, 3.Methods: Surgical reports and arthroscopic images of elite professional soccer players and alpine skiers who underwent primary ACL reconstruction at a single institution between January 2010 and June 2022 were analyzed retrospectively. The presence and location of multiligamentous injury, meniscal tears, and chondral lesions were compared between the athlete groups. A propensity score matching analysis with 1:1 ratio was performed between skiers and soccer players to limit the effect of selection bias.Results: Included were ACL reconstruction data representative of 37 soccer players and 44 alpine skiers. Meniscal pathology was found in 32 (86%) soccer players and 30 (68%) skiers. Chondral injuries were reported in 11 (30%) soccer players and 15 (34%) skiers. Results of the propensity score matching analysis in 15 pairs of soccer players and skiers indicated that soccer players had a significantly higher rate of medial meniscal injuries (73% vs 27%; P = .03) and lateral posterior root tears (33% vs 0%; P = .04) compared with skiers.Conclusion: A higher prevalence of combined chondral and meniscal injuries versus isolated ACL injuries was observed in both groups of athletes. Professional soccer players were characterized by higher prevalence of medial meniscal tears and lateral posterior root lesions compared with professional alpine skiers.

引用

页数：6