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ACL injuries — problem solved?
  1. Roald Bahr
  1. Oslo Sports Trauma Research Center, Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway; roald{at}

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To the novice reader, it must seem like sports medicine journals provide inordinate attention to the middle and anterior third of the tibia plateau and the ligament attaching there: the anterior cruciate ligament. This issue of the BJSM is no exception, with as many as five papers on the ACL; but why all the fuss? Aren’t there excellent programmes to prevent ACL injuries?

It is true that last year three large-scale studies reported that serious knee injuries can be prevented. In the BMJ, Pasanen and colleagues1 showed that their neuromuscular training programme is effective in preventing non-contact leg injuries in elite female floorball players and Soligard and colleagues2 showed that a structured warm-up programme — The 11+ — can prevent lower extremity injuries in young female football players. In addition, Gilchrist et al3 showed that a similar programme, also focusing on neuromuscular control, reduced the risk of ACL injuries in collegiate female soccer players. So, isn’t the problem solved?

Not according to Quatman and Hewett,4 who in their linked paper discuss the controversy regarding the main mechanism of injury …

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