Pro Athlete injuries

Professional athletes and knee injury

ACL Injuries in various sports

Famous Athlete injuries

NBA Injury List 2003-2004

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Prevalence and Incidence of ACL Injuries in various sports

Football

In football, it's pretty much the standard to undergo ACL surgery. One study showed that 31 out of 31 physicians for the teams of the National Football League would recommend that their players have ACL surgery. These athletes constitute the most elite football players in the world, and their physicians are often considered the same for their profession. In football, the approach to surgery varied slightly by position: (4)
- Offensive and Defensive Lineman
- 90%-93% recommended acute reconstruction
- 7%-10% recommended a wait-and-see policy
- Quarterbacks
- 84% recommended acute reconstruction
- 10% recommended reconstruction surgery after the season with intense rehabilitation
- 6% recommended a wait and see policy
- Kickers
- non-dominant leg - 84% recommended acute reconstruction
- dominant leg - 61% recommended acute reconstruction

The majority of the physicians, 95% recommended that they wait until the swelling had subsided to do surgery

- 97% of the physicians recommended that they use the patellar tendon autograft for the surgery.
- 3% recommended the arthroscopic assisted hamstring autograft.
- 3% recommended a patellar tendon allograft for chronic situations only.
- No allografts were recommended for acute reconstruction surgery.

Return to Play:
- 81% allowed return to play in 6 to 9 months after reconstruction.
- 90 - 100% of these athletes returned to play professional football


Skiing

During skiing, there is a very high stress places on the knees. As a result of this and the ferociousness of skiing accidents, there is a very high percentage of knee injuries in skiing. From 1930 to 1970, knee injuries in skiing accounted for 20% of injuries. Over the past two decades, knee injuries in skiing have risen to around 1 in 3 injuries. Within this group, ACL injuries account for as high as 49% of the knee injuries. MCL injuries occur in a much higher frequency in skiing, occurring in up to 60% of skiing injuries. (32) Most ACL injuries in skiing result for hyperextension of the knee or twisting of the knee while the foot is planted in the boot. The twisting motion is known as valgus force.

This figure represents the motion of a fall that could result in the tearing of an ACL in skiing. The fall exerts a valgus force on the knee in combination with external rotation causing the ACL to either tear or sprain.

Like most sports, women showed a higher frequency of injury to the ACL. In women who sustain a knee injury, 80% exhibit an ACL and/or MCL tear. Men exhibit 46% chance of an ACL and/or MCL tear.

 

 


Basketball

The knee is the most commonly injured area of the body in basketball. For every 1000 athlete exposures, the knee injury rate is 0.7 in men. (30) In other words, for men's basketball, there's a 0.07% chance of injuring a knee. For a knee injury in basketball, on average one misses 20 exposures, accounting for the most time lost due to any injury.


National Collegiate Athletic Association Frequency Data Anterior Cruciate Ligament Injuries
1988-1989 1989-1990 Total
Women 50 34 84
Men 7 12 29

Figure 2. Total Injury and Knee Injury Summary for Basketball (1989-1993)
Factor Men's Basketball Women's Basketball
Teams submitting data
(ave./year) 531
(107) 676
(116)
All injuries 4,116 3,303
Knee injuries
(% of all injuries) 503
(12%) 615
(19%)
Athlete exposures 736,076 639,898
Knee injury rate(per 1,000 exposures) 0.70 1.0
http://www.arthroscopy.com/sp05042.htm

Figure 6. Prevalence of Anterior Cruciate Ligament Injuries Combined Date (29 Institutions)
Men Women
Number of participants 402 385
Documented ACL injuries 9 62
Prevalence of ACL injuries 2.2% 16.1%


Soccer

Soccer is one of the most popular sport in the work. Worldwide, there is an estimated 200 million active players. Soccer injuries are mainly confined to the ankle and the knee which are often caused by overuse. The frequency of soccer injuries is estimated at 10-35 per 1000 hours of competition, with the majority occurring in the lower extremities. Knee injuries account for 15-40% of soccer-related injuries. (33)


Rugby

Rugby



(35)


Sports
- Prevalence and Incidence of ACL injuries mainly in:
" Football
" Skiing
" Basketball
" Wrestling
" Soccer
" Rugby