Intraarticular injuries associated with anterior cruciate ligament tear: findings at ligament reconstruction in high school and recreational athletes. An analysis of sex-based differences
| Autor: | Dana P. Piasecki, Richard D. Parker, Todd A. Warren, Jack T. Andrish, Kurt P. Spindler |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Anterior cruciate ligament reconstruction Adolescent medicine.medical_treatment Anterior cruciate ligament Physical Therapy Sports Therapy and Rehabilitation Cohort Studies 03 medical and health sciences 0302 clinical medicine Sex Factors medicine Humans Orthopedics and Sports Medicine Prospective Studies Anterior Cruciate Ligament Prospective cohort study Ohio Rupture 030222 orthopedics Schools biology Anthropometry Athletes business.industry Anterior Cruciate Ligament Injuries Articular cartilage injuries 030229 sport sciences medicine.disease biology.organism_classification Tennessee Tibial Meniscus Injuries Causality medicine.anatomical_structure Athletic Injuries Physical therapy Ligament Female business human activities Cohort study |
| Zdroj: | The American journal of sports medicine. 31(4) |
| ISSN: | 0363-5465 |
| Popis: | BackgroundDespite research on the increased risk of anterior cruciate ligament tears in female athletes, few studies have addressed sex differences in the incidence of associated intraarticular injuries.HypothesisWhen patients are stratified by sport and competition level, no sex differences exist in either the mechanism of injury or pattern of intraarticular injuries observed at anterior cruciate ligament reconstruction.Study DesignProspective cohort study.MethodsTwo hundred twenty-one athletes undergoing anterior cruciate ligament reconstruction met our inclusion criteria of anterior cruciate ligament tear as a singular event without reinjury or history of prior injury or surgery in either knee. Data were collected on competition level (high school, amateur), sport (basketball, soccer, skiing), mechanism of injury, articular cartilage injuries, and meniscal tears. Data were statistically analyzed by sex with the chi-square test and Student's t-test.ResultsHigh school athletes had no significant sex differences in mechanism of injury. Female soccer athletes had fewer medial meniscal tears than did male athletes, and female basketball players had fewer medial femoral condyle injuries. At the amateur level, female basketball players had more contact injuries, an earlier onset of swelling, and fewer lateral meniscal tears than did male players.ConclusionAt the high school level, male and female athletes shared a common mechanism of injury, and yet the female athletes had fewer intraarticular injuries in basketball and soccer. If such intraarticular injuries prove to be a significant risk factor for poor long-term outcome, women may enjoy a better prognosis after reconstruction. |
| Databáze: | OpenAIRE |
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