Bradsell Hannah, Frank Rachel M
Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA.
Ann Jt. 2022 Jan 15;7:1. doi: 10.21037/aoj-2020-01. eCollection 2022.
Anterior cruciate ligament injuries are a prominent issue in the field of sports medicine, especially for the female athlete. Extensive research has been performed that acknowledges the disparity in anterior cruciate ligament injury rates between male and female athletes and the high prevalence of risk factors specific to females. The underlying causes of anterior cruciate ligament injuries are widespread and are important to consider when approaching injury prevention. For example, prevention techniques aim to correct neuromuscular imbalances and improve biomechanical deficits, which are some of the most significant risk factors leading to these injuries. While there is a lack of opportunity for intervention related to anatomical and hormonal risks, awareness of their influence on injury mechanisms remains an important factor in clinical decision-making. In pursuit of addressing the risks of this injury, several prevention programs have been established that have been shown to successfully reduce anterior cruciate ligament injury rates when properly executed. The most effective programs include early intervention with continuous training and are multicomponent programs including various targeted exercises to modify associated risk factors. Unfortunately, despite the development of these readily available programs, anterior cruciate ligament injury rates remain high due to insufficient implementation of these methods. Recognizing the efficacy and feasibility of utilizing prevention strategies and continuing to develop effective techniques remain of utmost importance to reduce the incidence of this substantial injury among athletes.
前交叉韧带损伤是运动医学领域的一个突出问题,尤其是对女性运动员而言。已经进行了大量研究,证实了男女运动员在前交叉韧带损伤率上的差异以及女性特有的危险因素的高发生率。前交叉韧带损伤的潜在原因广泛存在,在考虑预防损伤时很重要。例如,预防技术旨在纠正神经肌肉失衡并改善生物力学缺陷,这些是导致这些损伤的一些最重要的危险因素。虽然缺乏针对解剖学和激素风险进行干预的机会,但认识到它们对损伤机制的影响仍然是临床决策中的一个重要因素。为了应对这种损伤的风险,已经建立了几个预防项目,当正确实施时,这些项目已被证明能成功降低前交叉韧带损伤率。最有效的项目包括早期干预和持续训练,并且是多组分项目,包括各种针对性练习以改变相关危险因素。不幸的是,尽管有这些现成的项目,但由于这些方法实施不足,前交叉韧带损伤率仍然很高。认识到利用预防策略的有效性和可行性并继续开发有效的技术对于减少运动员中这种严重损伤的发生率仍然至关重要。
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