Abstract
Background
Soccer is considered the most popular sport in the world concerning both audience and athlete participation, and the incidence of ACL injury in this sport is high. The understanding of injury situations and mechanisms could be useful as substratum for preventive actions.
Purpose
To conduct a video analysis evaluating the situations and mechanisms of ACL injury in a homogeneous population of professional male soccer players, through a search entirely performed on the YouTube.com Web site focusing on the most recent years.
Methods
A video analysis was conducted obtaining videos of ACL injury in professional male soccer players from the Web site YouTube. Details regarding injured players, events and situations were obtained. The mechanism of injury was defined on the basis of the action, duel type, contact or non-contact injury, and on the hip, knee and foot position.
Results
Thirty-four videos were analyzed, mostly from the 2014–2015 season. Injuries occurred mostly in the first 9 min of the match (26%), in the penalty area (32%) or near the side-lines (44%), and in non-rainy conditions (97%). Non-contact injuries occurred in 44% of cases, while indirect injuries occurred in 65%, mostly during pressing, dribbling or tackling. The most recurrent mechanism was with an abducted and flexed hip, with knee at first degrees of flexion and under valgus stress.
Conclusions
Through a YouTube-based video analysis, it was possible to delineate recurrent temporal, spatial and mechanical characteristics of ACL injury in male professional soccer players.
Level of evidence
Level IV, case series.
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References
Dvorak J, Graf-Baumann T, Peterson L, Junge A (2000) Football, or soccer, as it is called in North America, is the most popular sport worldwide. Am J Sports Med 28(5 Suppl):S1–S2
Dvorak J, Junge A (2000) Football injuries and physical symptoms. A review of the literature. Am J Sports Med 28(5 Suppl):S3–S9
Waldén M, Hägglund M, Magnusson H, Ekstrand J (2011) Anterior cruciate ligament injury in elite football: a prospective three-cohort study. Knee Surg Sports Traumatol Arthrosc 19:11–19
Waldén M, Hägglund M, Werner J, Ekstrand J (2011) The epidemiology of anterior cruciate ligament injury in football (soccer): a review of the literature from a gender-related perspective. Knee Surg Sports Traumatol Arthrosc 19:3–10
Brophy RH, Stepan JG, Silvers HJ, Mandelbaum BR (2015) Defending puts the anterior cruciate ligament at risk during soccer: a gender-based analysis. Sports Health 7(3):244–249
Brophy R, Silvers HJ, Gonzales T, Mandelbaum BR (2010) Gender influences: the role of leg dominance in ACL injury among soccer players. Br J Sports Med 44:694–697
Prodromos CC, Han Y, Rogowski J, Joyce B, Shi K (2007) A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen. Arthroscopy 23:1320–1325
Busfield BT, Kharrazi FD, Starkey C, Lombardo SJ, Seegmiller J (2009) Performance outcomes of anterior cruciate ligament reconstruction in the National Basketball Association. Arthroscopy 25(8):825–830
Zaffagnini S, Grassi A, Marcheggiani Muccioli GM, Tsapralis K, Ricci M, Bragonzoni L et al (2014) Return to sport after anterior cruciate ligament reconstruction in professional soccer players. Knee 21:731–735
Bahr R, Krosshaug T (2005) Understanding injury mechanisms: a key component of preventing injuries in sport. Br J Sports Med 39:324–329
Ebstrup JF, Bojsen-Møller F (2000) Anterior cruciate ligament injury in indoor ball games. Scand J Med Sci Sports 10:114–116
Koga H, Nakamae A, Shima Y, Iwasa J, Myklebust G, Engebretsen L et al (2010) Mechanisms for noncontact anterior cruciate ligament injuries: knee joint kinematics in 10 injury situations from female team handball and basketball. Am J Sports Med 38:2218–2225
Krosshaug T, Nakamae A, Boden BP, Engebretsen L, Smith G, Slauterbeck JR et al (2007) Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases. Am J Sports Med 35:359–367
Olsen OE, Myklebust G, Engebretsen L, Bahr R (2004) Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. Am J Sports Med 32:1002–1012
Cochrane JL, Lloyd DG, Buttfield A, Seward H, McGivern J (2007) Characteristics of anterior cruciate ligament injuries in Australian football. J Sci Med Sport 10:96–104
Waldén M, Krosshaug T, Bjørneboe J, Andersen TE, Faul O, Hägglund M (2015) Three distinct mechanisms predominate in non-contact anterior cruciate ligament injuries in male professional football players: a systematic video analysis of 39 cases. Br J Sports Med. doi:10.1136/bjsports-2014-094573
Kwon JY, Chacko AT, Kadzielski JJ, Appleton PT, Rodriguez EK (2010) A novel methodology for the study of injury mechanism: ankle fracture analysis using injury videos posted on YouTube.com. J Orthop Trauma 24:477–482
Williams D, Sullivan SJ, Schneiders AG, Ahmed OH, Lee H, Balasundaram AP et al (2014) Big hits on the small screen: an evaluation of concussion-related videos on YouTube. Br J Sports Med 48:107–111
Schreiber JJ, Warren RF, Hotchkiss RN, Daluiski A (2013) An online video investigation into the mechanism of elbow dislocation. J Hand Surg Am 38(3):488–494
Moran K (2014) Jumping to (fatal) conclusions? An analysis of video film on a social networking web site of recreational jumping from height into water. Int J Inj Contr Saf Promot 21:47–53
Oomman A, Sarwar U, Javed M, Hemington-Gorse S (2013) YouTube as a potential online source of information in the prevention and management of paediatric burn injuries. Burns 39:1652
Azubuike SO, Okojie OH (2009) An epidemiological study of football (soccer) injuries in Benin City, Nigeria. Br J Sports Med 43:382–386
Woods C, Hawkins R, Hulse M, Hodson A (2002) The Football Association Medical Research Programme: an audit of injuries in professional football-analysis of preseason injuries. Br J Sports Med 36:436–441
Rahnama N, Reilly T, Lees A (2002) Injury risk associated with playing actions during competitive soccer. Br J Sports Med 36:354–359
Reilly T (1997) Energetics of high-intensity exercise (soccer) with particular reference to fatigue. J Sports Sci 15:257–263
Grimm NL, Jacobs JC Jr, Kim J, Denney BS, Shea KG (2015) Anterior cruciate ligament and knee injury prevention programs for soccer players: a systematic review and meta-analysis. Am J Sports Med 43:2049–2056
Bjørneboe J, Bahr R, Einar Andersen T (2014) Video analysis of situations with a high-risk for injury in Norwegian male professional football; a comparison between 2000 and 2010. Br J Sports Med 48:774–778
Ryynänen J, Junge A, Dvorak J, Peterson L, Kautiainen H, Karlsson J et al (2013) Foul play is associated with injury incidence: an epidemiological study of three FIFA World Cups (2002–2010). Br J Sports Med 47:986–991
Ryynänen J, Dvorak J, Peterson L, Kautiainen H, Karlsson J, Junge A et al (2013) Increased risk of injury following red and yellow cards, injuries and goals in FIFA World Cups. Br J Sports Med 47:970–973
Brophy RH, Backus SI, Pansy BS, Lyman S, Williams RJ (2007) Lower extremity muscle activation and alignment during the soccer instep and side-foot kicks. J Orthop Sports Phys Ther 37(5):260–268
Capranica L, Cama G, Fanton F, Tessitore A, Figura F (1992) Force and power of preferred and non-preferred leg in young soccer players. J Sports Med Phys Fitness 32:358–363
Ergün M, Işlegen C, Taşkiran E (2004) A cross-sectional analysis of sagittal knee laxity and isokinetic muscle strength in soccer players. Int J Sports Med 25:594–598
McLean BD, Tumilty DM (1993) Left-right asymmetry in two types of soccer kick. Br J Sports Med 27:260–262
Mognoni P, Narici MV, Sirtori MD, Lorenzelli F (1994) Isokinetic torques and kicking maximal ball velocity in young soccer players. J Sports Med Phys Fitness 34:357–361
Junge A, Dvořák J (2015) Football injuries during the 2014 FIFA World Cup. Br J Sports Med 49:599–602
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The present study did not involved human or animal patients. All the information was obtained from public and free sources.
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Grassi, A., Smiley, S.P., Roberti di Sarsina, T. et al. Mechanisms and situations of anterior cruciate ligament injuries in professional male soccer players: a YouTube-based video analysis. Eur J Orthop Surg Traumatol 27, 967–981 (2017). https://doi.org/10.1007/s00590-017-1905-0
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DOI: https://doi.org/10.1007/s00590-017-1905-0