Arundale Amelia J H, Silvers-Granelli Holly J, Myklebust Grethe
Department of Rehabilitation, Icahn School of Medicine, Mount Sinai Health System, New York, New York, USA.
Red Bull Athlete Performance Center, Red Bull GmBH, Thalgua, Austria.
J Orthop Res. 2022 Jan;40(1):43-54. doi: 10.1002/jor.25058. Epub 2021 May 11.
Anterior cruciate ligament (ACL) injuries are one of the most common and severe knee injuries across sports. As such, ACL injury prevention has been a focus of research and sports medicine practice for the past three-plus decades. Examining the current research and identifying both clinical strategies and research gaps, the aim of this review is to empower clinicians and researchers with knowledge of where the ACL injury prevention literature is currently and where it is going in the future. This paper examines the mechanism of ACL injury prevention, screening, implementation, compliance, adherence, coronavirus, and areas of future research. Clinical significance: The time lag between research and practical implementation in general healthcare settings can be as long as 17 years; however, athletes playing sports today are unable to wait that long. With effective programs already established, implementation and adherence to these programs is essential. Strategies such as coaching education, increasing awareness of free programs, identifying barriers, and overcoming implementation obstacles through creative collaboration are just a few ways that could help improve both ACL injury prevention implementation and adherence.
前交叉韧带（ACL）损伤是各类体育运动中最常见、最严重的膝关节损伤之一。因此，在过去三十多年里，ACL损伤的预防一直是研究和运动医学实践的重点。通过审视当前的研究并确定临床策略和研究空白，本综述的目的是让临床医生和研究人员了解ACL损伤预防文献的现状以及未来的发展方向。本文探讨了ACL损伤预防的机制、筛查、实施、依从性、坚持性、冠状病毒以及未来的研究领域。临床意义：在一般医疗环境中，研究与实际应用之间的时间间隔可能长达17年；然而，如今从事体育运动的运动员无法等待那么久。由于已经建立了有效的项目，实施并坚持这些项目至关重要。诸如教练培训、提高对免费项目的认知、识别障碍以及通过创造性合作克服实施障碍等策略，只是有助于提高ACL损伤预防实施和坚持性的几种方式。
