Four distinct patterns of anterior cruciate ligament injury in women's professional football (soccer): a systematic video analysis of 37 match injuries

Achenbach, Leonard and Bloch, Hendrik and Klein, Christian and Damm, Theresa and Obinger, Matthias and Rudert, Maximilian and Krutsch, Werner and Szymski, Dominik (2024) Four distinct patterns of anterior cruciate ligament injury in women's professional football (soccer): a systematic video analysis of 37 match injuries. BRITISH JOURNAL OF SPORTS MEDICINE, 58 (13). pp. 709-716. ISSN 0306-3674, 1473-0480

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Abstract

Background To identify mechanisms and patterns of anterior cruciate ligament (ACL) injury in adult women's professional football by means of video match analysis.Methods ACL match injuries sustained in Germany's first women's league during the 2016-2017 to 2022-2023 seasons were prospectively analysed by three expert raters using a standardised observation form. Epidemiological and injury data, as well as the medical history of ACL tears, were obtained from media reports and the statutory accident insurance for professional athletes.Results Thirty-seven ACL injuries sustained in official football matches were included in the video analysis, of which 24 (65%) had associated knee injuries, mainly meniscus and collateral ligament injuries. According to the categorised contact mechanisms, 17 (46%) were non-contact injuries, 14 indirect contact injuries (38%) and six direct contact injuries (16%). Of the 17 non-contact injuries, seven (41%) occurred during the first 15 min of the match. Contact mechanisms did not differ between primary and secondary ACL injuries to the same or the contralateral side. Most injuries (80%) of field players occurred during horizontal movements such as sprinting (n=9, 26%), change-of-direction manoeuvres (n=7, 19%), stopping (n=5, 14%) and lunging (n=5, 14%). Four distinct repetitive patterns of ACL match injuries were identified: (1) non-contact 'pressing ACL injury' (n=9), (2) indirect contact 'parallel sprinting and tackling ACL injury' (n=7), (3) direct contact 'knee-to-knee ACL injury' (n=6) and (4) non-contact 'landing ACL injury' (n=4).Conclusion Most of the identified patterns of ACL injuries in women's professional football have great potential for prevention.

Item Type: Article
Uncontrolled Keywords: NEUROMUSCULAR CONTROL; KNEE INJURY; MECHANISMS; RISK; HANDBALL; PLAYERS; SPORTS; TRUNK; Injury prevention
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Unfallchirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 13 Jan 2026 10:32
Last Modified: 13 Jan 2026 10:32
URI: https://pred.uni-regensburg.de/id/eprint/64792

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