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Journal für Gynäkologische Endokrinologie/Schweiz

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04.03.2022 | Prävention

Hormonelle, neuromuskuläre und anatomische Ursachen für die erhöhte Inzidenz von Rupturen des vorderen Kreuzbands bei Sportlerinnen

verfasst von: Dr. med. Hannes Kuttner, Dr. med. Jean-Romain Delaloye

Erschienen in: Journal für Gynäkologische Endokrinologie/Schweiz | Ausgabe 1/2022

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Zusammenfassung

Frauen haben ein erhöhtes relatives Risiko, eine vordere Kreuzbandruptur zu erleiden. Die Gründe hierfür sind multifaktoriell und beinhalten unter anderem anatomische, neuromuskuläre und hormonelle Faktoren. Dieses Risiko lässt sich durch dezidierte Präventionsprogramme, die insbesondere darauf abzielen, die neuromuskulären Voraussetzungen zu verbessern, reduzieren. Insgesamt ist die Datenlage sehr heterogen und lässt insofern nur bedingt Rückschlüsse auf die tägliche Praxis zu. Evidente Daten zu erhalten und sinnvoll aufgebaute Studien zu erstellen, erscheint aufgrund der vielschichtigen Einflussfaktoren schwierig. Eine Möglichkeit, eine höhere Qualität bezüglich der Literatur zu erhalten, sind nationale oder internationale Register, wie sie z. B. in manchen skandinavischen Ländern bereits implementiert sind.

Vorheriger Artikel Éditorial

Nächster Artikel Prämenstruelles Syndrom (PMS) und prämenstruelle dysphorische Störung (PMDS)

SUVA (2020) Unfallstatistik UVG 2020, S 47

Hewett TE, Myer GD, Ford KR (2006) Anterior cruciate ligament injuries in female athletes: part 1, mechanisms and risk factors. Am J Sports Med 34(2):299–311PubMed

Ryan J, Magnussen RA, Cox CL, Hurbanek JG, Flanigan DC, Kaeding CC (2014) ACL reconstruction: do outcomes differ by sex? A systematic review. J Bone Joint Surg Am 96(6):507–512PubMed

Lin CY, Casey E, Herman DC, Katz N, Tenforde AS (2018) Sex Differences in Common Sports Injuries. PM R 10(10):1073–1082. https://doi.org/10.1016/j.pmrj.2018.03.008CrossRefPubMedPubMedCentral

Sutton KM, Bullock JM (2013) Anterior cruciate ligament rupture: differences between males and females. J Am Acad Orthop Surg 21(1):41–50PubMed

Conley S, Rosenberg A, Crowninshield R (2007) The female knee: anatomic variations. J Am Acad Orthop Surg 15(Suppl 1):S31–S36 (http://www.ncbi.nlm.nih.gov/pubmed/17766787)PubMed

Giugliano DN, Solomon JL (2007) ACL tears in female athletes. Phys Med Rehabil Clin N Am 18(3):417–438 (http://www.ncbi.nlm.nih.gov/pubmed/17678760)PubMed

Uhorchak JM, Scoville CR, Williams GN, Arciero RA, St Pierre P, Taylor DC (2003) Risk factors associated with noncontact injury of the anterior cruciate ligament: a prospective four-year evaluation of 859 West Point cadets. Am J Sports Med 31(6):831–842 (http://www.ncbi.nlm.nih.gov/pubmed/14623646)PubMed

LaPrade RF, Burnett QM (1994) Femoral intercondylar notch stenosis and correlation to anterior cruciate ligament injuries. A prospective study. Am J Sports Med 22(2):198–202 (discussion 203. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8198187)PubMed

10.

Souryal TO, Freeman TR (1993) Intercondylar notch size and anterior cruciate ligament injuries in athletes. A prospective study. Am J Sports Med 21(4):535–539 (http://www.ncbi.nlm.nih.gov/pubmed/8368414)

11.

Hohmann E, Bryant A, Reaburn P, Tetsworth K (2011) Is there a correlation between posterior tibial slope and non-contact anterior cruciate ligament injuries? Knee Surg Sports Traumatol Arthrosc 19(Suppl 1):S109–S114 (http://www.ncbi.nlm.nih.gov/pubmed/21607739)PubMed

12.

Terauchi M, Hatayama K, Yanagisawa S, Saito K, Takagishi K (2011) Sagittal alignment of the knee and its relationship to noncontact anterior cruciate ligament injuries. Am J Sports Med 39(5):1090–1094 (http://www.ncbi.nlm.nih.gov/pubmed/21285443)PubMed

13.

Hashemi J, Chandrashekar N, Mansouri H, Gill B, Slauterbeck JR, Schutt RC et al (2010) Shallow medial tibial plateau and steep medial and lateral tibial slopes: new risk factors for anterior cruciate ligament injuries. Am J Sports Med 38(1):54–62 (http://www.ncbi.nlm.nih.gov/pubmed/19846692)PubMed

14.

Khan MS, Seon JK, Song EK (2011) Risk factors for anterior cruciate ligament injury: assessment of tibial plateau anatomic variables on conventional MRI using a new combined method. Int Orthop 35(8):1251–1256 (http://www.ncbi.nlm.nih.gov/pubmed/21340682)PubMedPubMedCentral

15.

Chandrashekar N, Slauterbeck J, Hashemi J (2005) Sex-based differences in the anthropometric characteristics of the anterior cruciate ligament and its relation to intercondylar notch geometry: a cadaveric study. Am J Sports Med 33(10):1492–1498 (http://www.ncbi.nlm.nih.gov/pubmed/16009992)PubMed

16.

Lipps DB, Oh YK, Ashton-Miller JA, Wojtys EM (2012) Morphologic characteristics help explain the gender difference in peak anterior cruciate ligament strain during a simulated pivot landing. Am J Sports Med 40(1):32–40 (http://www.ncbi.nlm.nih.gov/pubmed/21917612)PubMed

17.

Hashemi J, Mansouri H, Chandrashekar N, Slauterbeck JR, Hardy DM, Beynnon BD (2011) Age, sex, body anthropometry, and ACL size predict the structural properties of the human anterior cruciate ligament. J Orthop Res 29(7):993–1001 (http://www.ncbi.nlm.nih.gov/pubmed/21246609)PubMed

18.

Sinclair J, Brooks D, Stainton P (2019) Sex differences in ACL loading and strain during typical athletic movements: a musculoskeletal simulation analysis. Eur J Appl Physiol 119(3):713–721. https://doi.org/10.1007/s00421-018-04062-wCrossRefPubMed

19.

Anderson AF, Dome DC, Gautam S, Awh MH, Rennirt GW (2001) Correlation of anthropometric measurements, strength, anterior cruciate ligament size, and Intercondylar notch characteristics to sex differences in anterior cruciate ligament tear rates. Am J Sports Med 29(1):58–66. https://doi.org/10.1177/03635465010290011501CrossRefPubMed

20.

Söderman K, Alfredson H, Pietilä T, Werner S (2001) Risk factors for leg injuries in female soccer players: a prospective investigation during one out-door season. Knee Surg Sports Traumatol Arthrosc 9(5):313–321 (http://www.ncbi.nlm.nih.gov/pubmed/11685365)PubMed

21.

Boden BP, Dean GS, Feagin JA, Garrett WE (2000) Mechanisms of anterior cruciate ligament injury. Orthopedics 23(6):573–578 (http://www.ncbi.nlm.nih.gov/pubmed/10875418)PubMed

22.

Beynnon BD, Bernstein IM, Belisle A, Brattbakk B, Devanny P, Risinger R et al (2005) The effect of estradiol and progesterone on knee and ankle joint laxity. Am J Sports Med 33(9):1298–1304 (http://www.ncbi.nlm.nih.gov/pubmed/16002485)PubMed

23.

Hewett TE, Myer GD, Ford KR, Heidt RS, Colosimo AJ, McLean SG et al (2005) Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med 33(4):492–501 (http://www.ncbi.nlm.nih.gov/pubmed/15722287)PubMed

24.

Griffin LY, Albohm MJ, Arendt EA, Bahr R, Beynnon BD, Demaio M et al (2006) Understanding and preventing noncontact anterior cruciate ligament injuries: a review of the Hunt Valley II meeting, January 2005. Am J Sports Med 34(9):1512–1532 (http://www.ncbi.nlm.nih.gov/pubmed/16905673)PubMed

25.

Waldén M, Krosshaug T, Bjørneboe J, Andersen TE, Faul O, Hägglund M (2015) Three distinct mechanisms predominate in non-contact anterior cruciate ligament injuries in male professional football players: a systematic video analysis of 39 cases. Br J Sports Med 49(22):1452–1460. https://doi.org/10.1136/bjsports-2014-094573CrossRefPubMed

26.

Stuelcken MC, Mellifont DB, Gorman AD, Sayers MGL (2016) Mechanisms of anterior cruciate ligament injuries in elite women’s netball: a systematic video analysis. J Sports Sci 34(16):1516–1522. https://doi.org/10.1080/02640414.2015.1121285CrossRefPubMed

27.

Trimble MH, Bishop MD, Buckley BD, Fields LC, Rozea GD (2002) The relationship between clinical measurements of lower extremity posture and tibial translation. Clin Biomech 17(4):286–290 (http://www.ncbi.nlm.nih.gov/pubmed/12034121)

28.

Loudon JK, Jenkins W, Loudon KL (1996) The relationship between static posture and ACL injury in female athletes. J Orthop Sports Phys Ther 24(2):91–97 (http://www.ncbi.nlm.nih.gov/pubmed/8832472)PubMed

29.

Ford KR, Myer GD, Smith RL, Byrnes RN, Dopirak SE, Hewett TE (2005) Use of an overhead goal alters vertical jump performance and biomechanics. J Strength Cond Res 19(2):394–399 (http://www.ncbi.nlm.nih.gov/pubmed/15903381)PubMed

30.

Nyland J, Caborn DN, Shapiro R, Johnson DL, Fang H (1999) Hamstring extensibility and transverse plane knee control relationship in athletic women. Knee Surg Sports Traumatol Arthrosc 7(4):257–261 (http://www.ncbi.nlm.nih.gov/pubmed/10462218)PubMed

31.

Huston LJ, Wojtys EM (1996) Neuromuscular performance characteristics in elite female athletes. Am J Sports Med 24(4):427–436 (http://www.ncbi.nlm.nih.gov/pubmed/8827300)PubMed

32.

Ebben WP, Fauth ML, Petushek EJ, Garceau LR, Hsu BE, Lutsch BN et al (2010) Gender-based analysis of hamstring and quadriceps muscle activation during jump landings and cutting. J Strength Cond Res 24(2):408–415 (http://www.ncbi.nlm.nih.gov/pubmed/20124793)PubMed

33.

Markolf KL, O’Neill G, Jackson SR, McAllister DR (2004) Effects of applied quadriceps and hamstrings muscle loads on forces in the anterior and posterior cruciate ligaments. Am J Sports Med 32(5):1144–1149 (http://www.ncbi.nlm.nih.gov/pubmed/15262635)PubMed

34.

Markolf KL, Graff-Radford A, Amstutz HC (1978) In vivo knee stability. A quantitative assessment using an instrumented clinical testing apparatus. J Bone Joint Surg Am 60(5):664–674 (http://www.ncbi.nlm.nih.gov/pubmed/681387)PubMed

35.

Rozzi SL, Lephart SM, Gear WS, Fu FH (1999) Knee joint laxity and neuromuscular characteristics of male and female soccer and basketball players. Am J Sports Med 27(3):312–319 (http://www.ncbi.nlm.nih.gov/pubmed/10352766)PubMed

36.

Myer GD, Ford KR, Hewett TE (2005) The effects of gender on quadriceps muscle activation strategies during a maneuver that mimics a high ACL injury risk position. J Electromyogr Kinesiol 15(2):181–189 (http://www.ncbi.nlm.nih.gov/pubmed/15664147)PubMed

37.

Ruan M, Zhang Q, Wu X (2017) Acute effects of static stretching of hamstring on performance and anterior cruciate ligament injury risk during stop-jump and cutting tasks in female athletes. J Strength Cond Res 31(5):1241–1250 (http://www.ncbi.nlm.nih.gov/pubmed/28118311)PubMedPubMedCentral

38.

Zazulak BT, Hewett TE, Reeves NP, Goldberg B, Cholewicki J (2007) Deficits in neuromuscular control of the trunk predict knee injury risk: a prospective biomechanical-epidemiologic study. Am J Sports Med 35(7):1123–1130 (http://www.ncbi.nlm.nih.gov/pubmed/17468378)PubMed

39.

Andrish JT (2001) Anterior cruciate ligament injuries in the skeletally immature patient. Am J Orthop 30(2):103–110 (http://www.ncbi.nlm.nih.gov/pubmed/11234936)PubMed

40.

Dragoo JL, Lee RS, Benhaim P, Finerman GAM, Hame SL (2003) Relaxin receptors in the human female anterior cruciate ligament. Am J Sports Med 31(4):577–584 (http://www.ncbi.nlm.nih.gov/pubmed/12860548)PubMed

41.

Liu SH, Al-Shaikh R, Panossian V, Yang RS, Nelson SD, Soleiman N et al (1996) Primary immunolocalization of estrogen and progesterone target cells in the human anterior cruciate ligament. J Orthop Res 14(4):526–533 (http://www.ncbi.nlm.nih.gov/pubmed/8764860)PubMed

42.

Yu WD, Panossian V, Hatch JD, Liu SH, Finerman GA (2001) Combined effects of estrogen and progesterone on the anterior cruciate ligament. Clin Orthop Relat Res 383:268–281 (http://www.ncbi.nlm.nih.gov/pubmed/11210964)

43.

Adachi N, Nawata K, Maeta M, Kurozawa Y (2008) Relationship of the menstrual cycle phase to anterior cruciate ligament injuries in teenaged female athletes. Arch Orthop Trauma Surg 128(5):473–478 (http://www.ncbi.nlm.nih.gov/pubmed/17909824)PubMed

44.

Arendt EA, Bershadsky B, Agel J (2002) Periodicity of noncontact anterior cruciate ligament injuries during the menstrual cycle. J Gend Specif Med 5(2):19–26 (http://www.ncbi.nlm.nih.gov/pubmed/11974671)

45.

Ruedl G, Ploner P, Linortner I, Schranz A, Fink C, Sommersacher R et al (2009) Are oral contraceptive use and menstrual cycle phase related to anterior cruciate ligament injury risk in female recreational skiers? Knee Surg Sports Traumatol Arthrosc 17(9):1065–1069 (http://www.ncbi.nlm.nih.gov/pubmed/19333573)PubMed

46.

Acevedo RJ, Rivera-Vega A, Miranda G, Micheo W (2014) Anterior cruciate ligament injury: identification of risk factors and prevention strategies. Curr Sports Med Rep 13(3):186–191PubMed

47.

Herzberg SD, Motu’apuaka ML, Lambert W, Fu R, Brady J, Guise JM (2017) The effect of menstrual cycle and contraceptives on ACL injuries and laxity: a systematic review and meta-analysis. Orthop J Sport Med 5(7):1–10

48.

Samuel CS, Butkus A, Coghlan JP, Bateman JF (1996) The effect of relaxin on collagen metabolism in the nonpregnant rat pubic symphysis: the influence of estrogen and progesterone in regulating relaxin activity. Endocrinology 137(9):3884–3890 (http://www.ncbi.nlm.nih.gov/pubmed/8756561)PubMed

49.

Dragoo JL, Castillo TN, Braun HJ, Ridley BA, Kennedy AC, Golish SR (2011) Prospective correlation between serum relaxin concentration and anterior cruciate ligament tears among elite collegiate female athletes. Am J Sports Med 39(10):2175–2180 (http://www.ncbi.nlm.nih.gov/pubmed/21737831)PubMed

50.

Sarwar R, Niclos BB, Rutherford OM (1996) Changes in muscle strength, relaxation rate and fatiguability during the human menstrual cycle. J Physiol 493(Pt 1):267–272 (http://www.ncbi.nlm.nih.gov/pubmed/8735711)PubMedPubMedCentral

51.

Lebrun CM (1994) The effect of the phase of the menstrual cycle and the birth control pill on athletic performance. Clin Sports Med 13(2):419–441 (http://www.ncbi.nlm.nih.gov/pubmed/8013042)PubMed

52.

Gray AM, Gugala Z, Baillargeon JG (2016) Effects of oral contraceptive use on anterior cruciate ligament injury epidemiology. Med Sci Sports Exerc 48(4):648–654 (http://www.ncbi.nlm.nih.gov/pubmed/26540261)PubMed

53.

Rahr-Wagner L, Thillemann TM, Mehnert F, Pedersen AB, Lind M (2014) Is the use of oral contraceptives associated with operatively treated anterior cruciate ligament injury? A case-control study from the Danish Knee Ligament Reconstruction Registry. Am J Sports Med 42(12):2897–2905 (http://www.ncbi.nlm.nih.gov/pubmed/25428957)PubMed

54.

Bistolfi A, Capella M, Guidotti C, Sabatini L, Artiaco S, Massè A et al (2021) Functional results of allograft vs. autograft tendons in anterior cruciate ligament (ACL) reconstruction at 10-year follow-up. Eur J Orthop Surg Traumatol 31(4):729–735 (http://www.ncbi.nlm.nih.gov/pubmed/33174066)PubMed

55.

Pujji O, Keswani N, Collier N, Black M, Doos L (2017) Evaluating the functional results and complications of autograft vs allograft use for reconstruction of the anterior cruciate ligament: a systematic review. Orthop Rev (Pavia). https://doi.org/10.4081/or.2017.6833CrossRef

56.

Kohn L, Rembeck E, Rauch A (2020) Anterior cruciate ligament injury in adults: diagnostics and treatment. Orthopade 49(11):1013–1028PubMedPubMedCentral

57.

Karpinski K, Häner M, Bierke S, Diermeier T, Petersen W (2021) Comparing knee laxity after anatomic anterior cruciate ligament reconstruction using quadriceps tendon versus semitendinosus tendon graft. Orthop J Sports Med 9(7):232596712110148. https://doi.org/10.1177/23259671211014849CrossRef

58.

Shaerf DA, Pastides PS, Sarraf KM, Willis-Owen CA (2014) Anterior cruciate ligament reconstruction best practice: a review of graft choice. World J Orthop 5(1):23–29 (http://www.ncbi.nlm.nih.gov/pubmed/24649411)PubMedPubMedCentral

59.

Samuelsen BT, Webster KE, Johnson NR, Hewett TE, Krych AJ (2017) Hamstring autograft versus patellar tendon autograft for ACL reconstruction: is there a difference in graft failure rate? A meta-analysis of 47,613 patients. Clin Orthop Relat Res 475(10):2459–2468 (http://www.ncbi.nlm.nih.gov/pubmed/28205075)PubMedPubMedCentral

60.

Hughes JD, Lawton CD, Nawabi DH, Pearle AD, Musahl V (2020) Anterior cruciate ligament repair: the current status. J Bone Joint Surg Am 102(21):1900–1915 (http://www.ncbi.nlm.nih.gov/pubmed/32932291)PubMed

61.

Ageberg E, Forssblad M, Herbertsson P, Roos EM (2010) Sex differences in patient-reported outcomes after anterior cruciate ligament reconstruction: data from the Swedish knee ligament register. Am J Sports Med 38(7):1334–1342 (http://www.ncbi.nlm.nih.gov/pubmed/20410376)PubMed

62.

Tan SHS, Lau BPH, Khin LW, Lingaraj K (2016) The importance of patient sex in the outcomes of anterior cruciate ligament reconstructions. Am J Sports Med 44(1):242–254PubMed

63.

Alentorn-Geli E, Myer GD, Silvers HJ, Samitier G, Romero D, Lázaro-Haro C et al (2009) Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 2: a review of prevention programs aimed to modify risk factors and to reduce injury rates. Knee Surg Sports Traumatol Arthrosc 17(8):859–879 (http://www.ncbi.nlm.nih.gov/pubmed/19506834)PubMed

64.

Ettlinger CF, Johnson RJ, Shealy JE (1995) A method to help reduce the risk of serious knee sprains incurred in alpine skiing. Am J Sports Med 23(5):531–537 (http://www.ncbi.nlm.nih.gov/pubmed/8526266)PubMed

65.

Sadoghi P, von Keudell A, Vavken P (2012) Effectiveness of anterior cruciate ligament injury prevention training programs. J Bone Joint Surg Am 94(9):769–776 (http://www.ncbi.nlm.nih.gov/pubmed/22456856)PubMed

Titel: Hormonelle, neuromuskuläre und anatomische Ursachen für die erhöhte Inzidenz von Rupturen des vorderen Kreuzbands bei Sportlerinnen
verfasst von: Dr. med. Hannes Kuttner
Dr. med. Jean-Romain Delaloye
Publikationsdatum: 04.03.2022
Verlag: Springer Vienna
Erschienen in: Journal für Gynäkologische Endokrinologie/Schweiz / Ausgabe 1/2022
Print ISSN: 1995-6924
Elektronische ISSN: 2520-8500
DOI: https://doi.org/10.1007/s41975-022-00233-3

Vaginalgel fördert Remission und Regression unklarer Abstriche

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Editorial

Mikronährstoffmangel: Bedeutung und Therapie

Orthomolekulare Medizin

Prämenstruelles Syndrom (PMS) und prämenstruelle dysphorische Störung (PMDS)

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Gynäkologische Endokrinologie

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Springer Medizin Österreich

Hormonelle, neuromuskuläre und anatomische Ursachen für die erhöhte Inzidenz von Rupturen des vorderen Kreuzbands bei Sportlerinnen

Zusammenfassung

Weitere Artikel der Ausgabe 1/2022

Vaginalgel fördert Remission und Regression unklarer Abstriche

Schon gewusst …?

Editorial

Mikronährstoffmangel: Bedeutung und Therapie

Prämenstruelles Syndrom (PMS) und prämenstruelle dysphorische Störung (PMDS)

„The upper face“

Springer Medizin Österreich

Zusammenfassung

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Vaginalgel fördert Remission und Regression unklarer Abstriche

Schon gewusst …?

Editorial

Mikronährstoffmangel: Bedeutung und Therapie

Prämenstruelles Syndrom (PMS) und prämenstruelle dysphorische Störung (PMDS)

„The upper face“