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Objective: To assess the knowledge, attitudes and behaviours regarding anterior cruciate ligament (ACL) injury prevention among individuals involved in women's football at all levels, including players and staff across Union of European Football Associations (UEFA) nations.
Methods: A cross-sectional, questionnaire-based survey was conducted to evaluate the knowledge, attitudes and behavioural adoption of ACL injury prevention strategies among players, coaches, medical staff and other stakeholders in European women's football.
Results: A total of 2384 responses from 47 of the 55 UEFA national associations were analysed. While 95% of participants demonstrated awareness of ACL injuries, knowledge of specific exercise programmes to prevent such injuries was limited in coaches (62%) and players (32%), particularly at grassroots and recreational levels. Participants expressed positive attitudes towards integrating prevention programmes into regular routines with 97% expressing they would perform it if it significantly reduced ACL injuries; however, the actual implementation of these programmes remained low across all levels of play with 22% of players, 51% of coaches and 61% of medical staff reported having performed or facilitated an ACL prevention exercise programme.
Conclusion: Despite positive attitudes towards ACL injury prevention, the practical application of prevention programmes in women's football is insufficient, especially below the national top-division level. This highlights the need for targeted educational initiatives to enhance knowledge and facilitate implementation among recreational players, coaches and medical staff.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258319 | PMC |
http://dx.doi.org/10.1136/bmjsem-2025-002558 | DOI Listing |
Knee Surg Sports Traumatol Arthrosc
September 2025
Department of Sport Orthopaedics, TUM University Clinic, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Purpose: The purpose of this prospective study was to investigate the effect of Kaplan fibres (KF), anterolateral ligament (ALL) and lateral meniscus (LM) injuries on preoperative anterolateral rotational instability (ALRI) in anterior cruciate ligament (ACL)-injured knees. It was hypothesised that injuries to the ALC (i.e.
View Article and Find Full Text PDFKnee Surg Sports Traumatol Arthrosc
September 2025
Clinique du sport, Paris, France.
Purpose: To compare the outcomes of isolated anterior cruciate ligament reconstruction (ACLR) versus ACLR + lateral extra-articular procedures (LEAPs) at mid-term follow-up in a low activity population based on the Tegner activity scale (TAS ≤ 4).
Methods: This was a retrospective analysis comparing patients with a pre-injury TAS ≤ 4 who underwent primary isolated ACLR versus ACLR + LEAPs between 2012 and 2022. Propensity score matching based on age, sex, and presence of meniscal injury was used to establish two groups: ACLR alone and ACLR with LEAP.
Knee Surg Sports Traumatol Arthrosc
September 2025
Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Linköping, Sweden.
Purpose: This study aimed to investigate the association between generalised joint hypermobility, knee hyperextension, knee laxity, and static standing alignment with the risk of anterior cruciate ligament (ACL) injury in a cohort of female football players with an ACL-reconstructed (ACLR) knee and in knee-healthy controls.
Methods: We prospectively followed 117 female football players with ACLR (age, mean ± standard deviation, 20 ± 2 years; average 19 ± 9 months after ACLR) and 119 knee-healthy players (age, 19 ± 3 years) for 5 years. At baseline, all players were assessed for generalised joint hypermobility (Beighton score), knee extension range of motion, knee laxity (KT-1000, Lachman and pivot shift tests), and static standing alignment (visual assessment graded as varus, valgus or neutral).
J Exp Orthop
July 2025
Department of Orthopedic Surgery, Institute for Locomotion Aix-Marseille University Marseille France.
Purpose: The posterior tibial slope (PTS) plays a key role in knee biomechanics and may influence the risk of anterior cruciate ligament (ACL) rupture as well as the outcomes of its reconstruction. We hypothesised that a steeper medial posterior tibial slope (MPTS) would be associated with an increased risk of bilateral ACL reconstruction compared to unilateral reconstruction. This study aimed to test this hypothesis by comparing the MPTS between patients undergoing unilateral ACL reconstruction (uniACLR) and those requiring non-simultaneous bilateral ACL reconstruction (biACLR), using radiographic imaging.
View Article and Find Full Text PDFJ Exp Orthop
July 2025
Department of Molecular Medicine and Surgery, Section of Sports Medicine Karolinska Institutet Stockholm Sweden.
Purpose: To assess the functional and subjective outcomes of combined anterior cruciate ligament reconstruction (ACLR) and lateral meniscal root tear (LMRT) repair. Additionally, to compare the use of an independent tunnel for LMRT repair with the ACL bone tunnel technique and to assess the failure rates of LMRT repair to isolated ACLR.
Methods: Patients who underwent primary ACLR and concomitant LMRT repair from May 2017 to May 2022 at Capio Artro Clinic, Stockholm, Sweden, were retrospectively identified and matched 1:3 (age, sex and graft type) with patients who underwent isolated ACLR during the same period.