Epidemiology of athletic knee injuries: A 10-year study

  • M. Majewski
    Correspondence
    Corresponding author. Tel.: +41 61 925 25 25; fax: +41 61 925 28 08.
    Affiliations
    Clinic for Orthopaedic Surgery, Kantonsspital Liestal, Rheinstrasse 26, CH-4410 Liestal, Switzerland
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  • Author Footnotes
    1 Tel.: +41 61 685 65 65; fax: +41 61 685 65 66.
    Habelt Susanne
    Footnotes
    1 Tel.: +41 61 685 65 65; fax: +41 61 685 65 66.
    Affiliations
    Department of Paediatric Surgery, University Hospital Basel, Römergasse 8, 4058 Basl, Switzerland
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  • Author Footnotes
    2 Tel.: +49 711 60 14 20; fax: + 49 711 601 42 42.
    Steinbrück Klaus
    Footnotes
    2 Tel.: +49 711 60 14 20; fax: + 49 711 601 42 42.
    Affiliations
    Clinic of Orthopaedic Surgery, Stuttgart Botnang, Regerstr. 1, 70195 Stuttgart, Germany
    Search for articles by this author
  • Author Footnotes
    1 Tel.: +41 61 685 65 65; fax: +41 61 685 65 66.
    2 Tel.: +49 711 60 14 20; fax: + 49 711 601 42 42.
Published:April 07, 2006DOI:https://doi.org/10.1016/j.knee.2006.01.005

      Abstract

      The knee is an anatomically and biomechanically complex joint. Few studies have been published reporting the type and frequency of knee injuries. However, this information that may help to prevent, diagnose, and treat knee joint injuries. We have documented 17,397 patients with 19,530 sport injuries over a 10-year period of time. 6434 patients (37%) had 7769 injuries (39.8%) related to the knee joint. 68.1% of those patients were men and 31.6% were women. Almost 50% of the patients were between the ages of 20–29 (43.1%) at the time of injury. The injuries documented were ACL lesion (20.3%), medial meniscus lesion (10.8%), lateral meniscus lesion (3.7%), MCL lesion (7.9%), LCL lesion (1.1%), and PCL lesion (0.65%). The activities leading to most injuries were soccer (35%) and skiing (26%). LCL injury was associated with tennis and gymnastics, MCL with judo and skiing, ACL with handball and volleyball, PCL with handball, lateral meniscus with gymnastics and dancing, and medial meniscus with tennis and jogging.

      Keywords

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      References

      1. Deutscher Sportbund: Bestandserhebung 2003 und Entwicklung des Deutschen Sportbundes, Eigene Mitteilungen, 1986–2003.

        • Steinbrück K.
        Epidemiology of sports injuries—25-year analysis of sports orthopedic-traumatologie ambulatory care.
        Sportverletz Sportschaden. 1999; 13: 38-52
        • Kennedy M.
        • Dunne C.
        • Mulcahy B.
        • Molloy M.
        The sports' clinic: a one year review of new referrals.
        Ir Med J. 1993; 86: 29-30
        • Baquie P.
        • Brukner P.
        Injuries presenting to an Australian sports medicine centre: a 12-month study.
        Clin J Sport Med. 1997; 7: 28-31
        • Maes R.
        • Andrianne Y.
        • Remy P.
        Increasing incidence of knee ligament injuries in alpine skiing: epidemiology and etiopathogenetic hypotheses.
        Rev Med Brux. 2002; 23: 87-91
        • Schafer F.K.
        • Order B.
        • Bolte H.
        • Heller M.
        • Brossmann J.
        Sport injuries of the extensor mechanism of the knee.
        Radiologe. 2002; 42: 799-810
        • Wolfel R.
        • Kohne G.
        • Schaller C.
        • Gerland S.
        • Walter M.
        Dangers in skiing.
        Sportverletz Sportschaden. 2003; 17: 132-136
        • Holzach P.
        • Bruesch M.
        • Matter P.
        Epidemiology of internal knee injuries in Alpine skiing.
        Helv Chir Acta. 1994; 60: 531-537
        • Bruesch M.
        • Holzach P.
        Epidemiology, treatment and follow-up of acute ligamentuous knee injuries in Alpine skiing.
        Z Unfallchir Versicherungsmed. 1993; : 144-155
        • Hunter R.E.
        Skiing injuries.
        Am J Sports Med. 1999; 27: 381-389
        • Clements K.
        • Yates B.
        • Curran M.
        The prevalence of chronic knee injury in triathletes.
        Br J Sports Med. 1999; 33: 214-216
        • Pfister A.
        • Pförringer W.
        • Rosemeyer B.
        Epidemiologie von Sportverletzungen Deutsche Zeitschrift für Sportmedizin. 1985; 10: 291-294
        • Hawkins R.D.
        • Fuller C.W.
        A prospective epidemiological study of injuries in four English professional football clubs.
        Br J Sports Med. 1999; 33: 196-203
        • Crim J.R.
        Winter sports injuries. The 2002 Winter Olympics experience and a review of the literature.
        Magn Reson Imaging Clin N Am. 2003; 11: 311-321
        • Hahn T.
        • Foldspang A.
        • Ingemann-Hansen T.
        Prevalence of knee instability in relation to sports activity.
        Scand J Med Sci Sports. 2001; 11: 233-238
        • Hutchinson M.R.
        • Ireland M.L.
        Knee injuries in female athletes.
        Sports Med. 1995; 19: 288-302
        • Steinbrück K.
        Epidemiology of sports injuries. A 15-year analysis of sports orthopedic ambulatory care.
        Sportverletz Sportschaden. 1987; 1: 2-12
        • Baker P.
        • Reading I.
        • Cooper C.
        • Coggon D.
        Knee disorders in the general population and their relation to occupation.
        Occup Environ Med. 2003; 60: 794-797
        • Duncan J.B.
        • Hunter R.
        • Purnell M.
        • Freeman J.
        Meniscal injuries associated with acute anterior cruciate ligament tears in alpine skiers.
        Am J Sports Med. 1995; 23: 170-172
        • Hame S.L.
        • Oakes D.A.
        • Markolf K.L.
        Injury to the anterior cruciate ligament during alpine skiing: a biochemical analysis of tibial torque and knee flexion angle.
        Am J Sports Med. 2002; 30: 537-540
        • Jones H.P.
        • Appeyard R.C.
        • Mahajan S.
        • Murrell G.A.
        Meniscal and chondral loss in the anterior cruciate ligament injured knee.
        Sports Med. 2003; 33: 1075-1089
        • Schulz M.S.
        • Russe K.
        • Weiler A.
        • Eichhorn H.J.
        • Strobel M.J.
        Epidemiology of posterior cruciate ligament injuries.
        Arch Orthop Trauma Surg. 2003; 123: 186-191
        • Pressman A.
        • Johnson D.H.
        A review of ski injuries in combined injury to the anterior cruciate ligament and medial collateral ligaments.
        Arthroscopy. 2003; 19: 194-202
        • Zippel H.
        Meniscus lesions.
        Zentralbl Chir. 1977; 102: 924-934
        • Maffulli N.
        • Chan K.M.
        • Miao M.
        • Fu F.H.
        • Kurosaka M.
        Athletic knee injuries. Similarities and differences between Asian and Western experience.
        Clin Orthop. 1996; 323: 98-105