Sports medicine (Auckland, N.Z.) · 2026 · 系統性回顧＋統合分析（依標題推測）

Situations Leading to Anterior Cruciate Ligament Injury in Sports: A Systematic Review with Meta-analysis

膝 · 前十字韌帶損傷

中文閱讀摘要

系統性回顧統合分析1551例ACL損傷影片，發現非接觸性以變向為主，建議依機制與運動類型制定預防策略。

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原始摘要

Background

Anterior cruciate ligament (ACL) injuries are common in many sports and impose substantial performance and long-term health burdens. A quantitative synthesis of real-world, video-identified game situations can inform sport-specific prevention methods.

Objective

The aim of the study was to identify game situations and movement patterns leading to ACL injury in different sports.

Design

Systematic review with meta-analysis.

Data sources

PubMed, Google Scholar, Web of Science, and Scopus were searched for studies analyzing video recordings of ACL injuries sustained by athletes of any sex during training or competition. Random effects meta-analyses of prevalence and moderator analyses (sport as a factor) were performed.

Results

In total, 39 articles (1551 video-verified ACL injuries) of on-average moderate quality (Quality Appraisal for Sports Injury Video Analysis Studies [QA-SIVAS]) scale mean 66%) were included. Noncontact (n = 745), indirect contact (n = 533), and direct contact (n = 273) mechanisms were reported, with notable sport-specific differences. Across all injuries, the most frequent contexts were ball action (45.7%), pressing/tackling (40.9%), and cutting (36.6%). Within noncontact cases, cutting (53.8%), pressing/tackling (50.2%), decelerating (38.9%), and landing (30.1%) were the most prevalent actions, whereas being tackled was most frequent in indirect contact cases (56.1%). For direct contact injuries, pooled action-specific estimates were available for being tackled (23.9%) and pressing/tackling (24.2%). Injuries typically occurred at high horizontal speed (53.8%; noncontact 70.7%), were more frequent during ball possession (67.5%) and offensive play (55.4%), and happened more early in time within the first 25% of the game in football (37.5%) and netball (37.8%).

Conclusions

The identified patterns support the use of mechanism-specific, sport-tailored prevention strategies (e.g., technique/strength, neurocognitive functioning for noncontact, perturbation-based drills for indirect contact, and rules/choice of equipment for knee-directed contact). Methodological improvements, such as harmonized and more detailed injury reporting, are needed to refine risk estimates.

至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19

書目、來源與全文狀態

DOI: 10.1007/s40279-026-02436-1
PMID／PMCID: 42000943 / PMC13499757
作者: Mai P, Willwacher S, Rahlf L, Hoenig T, Braun L, von Diecken C, Bill K, Fohrmann D, Krosshaug T, Hollander K, Gronwald T, Wilke J
首次發表日期: 2026-04-18Europe PMC 提供，部分日期可能依年份或月份推定。
卷／期／頁碼或文章編號: 56 ／ 9 ／ 2139-2160
書目來源與查核日期: Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
全文與授權: 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。來源授權標示：cc by。

可回溯引用

Mai P, Willwacher S, Rahlf L, Hoenig T, Braun L, von Diecken C, Bill K, Fohrmann D, Krosshaug T, Hollander K, Gronwald T, Wilke J. Situations Leading to Anterior Cruciate Ligament Injury in Sports: A Systematic Review with Meta-analysis. Sports medicine (Auckland, N.Z.). 2026;56(9):2139-2160. PMID: 42000943. PMCID: PMC13499757. doi:10.1007/s40279-026-02436-1

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