Article #41 of 50: I have made it a goal of mine to share at least 50 research articles with you to review in 2012. These articles will be shared with no opinion of mine, just purely the information provided in the research and where to go to read more about the topic. This weekly challenge will feature many different aspects of the field: strength, conditioning, nutrition, psychology, etc. If you would like to submit research articles to be included in this segment, please email me a PDF version of the peer reviewed journal article.

The American Journal of Sports Medicine, Vol. 40, No. 5.

Background: Injuries to the anterior cruciate ligament (ACL) are common in athletic populations, particularly in athletes partici- pating in football, soccer, and skiing.

Purpose: The purpose of this study was to analyze the National Collegiate Athletic Association (NCAA) Injury Surveillance System (ISS) men’s football ACL injury database from the playing seasons of 2004-2005 through 2008-2009 to determine the incidence and epidemiology of complete injury to the ACL in NCAA football athletes.

Study Design: Descriptive epidemiology study.

Methods: The NCAA ISS men’s football database was reviewed from the 2004-2005 through 2008-2009 seasons using the spe- cific injury code, ‘‘Anterior cruciate ligament (ACL) complete tear.’’ The injury rate was computed for competition and practice exposures. Ninety-five percent confidence intervals (CIs) for the incident rates were calculated using assumptions of a Poisson distribution. Pairwise, 2-sample tests of equality of proportions with a continuity correction were used to estimate the associations of risk factors such as event type, playing surface, season segment, and football subdivision. Descriptive data were also described.

Results: The ACL injury rate during games (8.06 per 10,000 athlete-exposures

[AEs] 95% CI, 6.80-9.42) was significantly greater than the rate during practice (0.8 per 10,000 AEs 95% CI, 0.68-0.93). Players were 10.09 (95% CI, 8.08-12.59) times more likely to sustain an ACL injury in competition when compared with practices. When practice exposures were analyzed separately, the injury rate was significantly greater during scrimmages (3.99 per 10,000 AEs 95% CI, 2.29-5.94) compared with regular practices (0.83 per 10,000 AEs 95% CI, 0.69-0.97) and walk-throughs (0 per 10,000 AEs 95% CI, 0-0.14). There was an incidence rate of 1.73 ACL injuries per 10,000 AEs (95% CI, 1.47-2.0) on artificial playing surfaces compared with a rate of 1.24 per 10,000 AEs (95% CI, 1.05-1.45) on natural grass. The rate of ACL injury on artificial surfaces is 1.39 (95% CI, 1.11-1.73) times higher than the injury rate on grass surfaces.

Conclusion: Between 2004 and 2009, NCAA football players experienced a greater number of ACL injuries in games compared with practices, in scrimmages compared with regular practices, and when playing on artificial turf surfaces. This latter finding will need to be confirmed by additional studies.

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