Nonmodifiable risk factors for anterior cruciate ligament injury
Date
2017
Type:
Artículo
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10
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ORCID:
Journal Title
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Volume Title
Publisher
Lippincott Williams & Wilkins
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Abstract
PURPOSE OF REVIEW: As anterior cruciate ligament (ACL) injury is becoming increasingly prevalent
in the population of active children and young adolescents, it is crucial to be aware of both the
modifiable and nonmodifiable factors that place this population at increased ACL injury risk.
Historically, there has not been a definitive consensus on all of these risk factors-particularly the
nonmodifiable ones.
RECENT FINDINGS: The present review has accumulated the most recent evidence for the
nonmodifiable risk factors in ACL injury focusing particularly on female gender, generalized joint
laxity, knee recurvatum, increased lateral tibial slope, decreased intercondylar notch width,
structural lower extremity valgus, limb length discrepancy, family history, and history of
contralateral knee ACL injury.
SUMMARY: Physicians should be aware of the nonmodifiable risk factors for ACL tears in active
children and adolescents and should also encourage avoidance of modifiable risk factors in this
population. Young athletes with nonmodifiable risk factors are at a particularly increased risk of
recurrent injury following ACL reconstruction (ACLR). We believe that a primary extra-articular
augmentation via iliotibial band tenodesis at the same time of ACLR may decrease the rate of
reinjury for the high risk athlete with multiple nonmodifiable risk factors.
Description
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Citation
Curr Opin Pediatr. 2017 Feb;29(1):55-64
Keywords
Anterior Cruciate Ligament Injuries, Athletic Injuries