Mechanisms, prediction, and prevention of ACL injuries: Cut risk with three sharpened and validated tools

作者：Timothy E. Hewett, Gregory D. Myer, Kevin R. Ford, Mark V. Paterno, Carmen E. Quatman · 发表于：Journal of Orthopaedic Research® · 年份：2016 · DOI：10.1002/jor.23414 · 被引用次数：345 · 研究领域：Knee injuries and reconstruction techniques、Sports injuries and prevention、Total Knee Arthroplasty Outcomes

Economic and societal pressures influence modern medical practice to develop and implement prevention strategies. Anterior cruciate ligament (ACL) injury devastates the knee joint leading to short term disability and long term sequelae. Due to the high risk of long term osteoarthritis in all treatment populations following ACL injury, prevention is the only effective intervention for this life-altering disruption in knee health. The "Sequence of Prevention" Model provides a framework to monitor progress towards the ultimate goal of preventing ACL injuries. Utilizing this model, our multidisciplinary collaborative research team has spent the last decade working to delineate injury mechanisms, identify injury risk factors, predict which athletes are at-risk for injury, and develop ACL injury prevention programs. Within this model of injury prevention, modifiable factors (biomechanical and neuromuscular) related to injury mechanisms likely provide the best opportunity for intervention strategies aimed to decrease the risk of ACL injury, particularly in female athletes. Knowledge advancements have led to the development of potential solutions that allow athletes to compete with lowered risk of ACL injury. Design and integration of personalized clinical assessment tools and targeted prevention strategies for athletes at high risk for ACL injury may transform current prevention practices and ultimately significantly reduce ACL injury incidence. This 2016 OREF Clinical Research Awar...