Nikola Bulatovic¹, Miroslav Kezunovic¹

¹Klinika za ortopediju i traumatologiju KCCG

ETHIOLOGY AND MECHANISMS OF INJURIES OF KNEE ANTERIOR CRUCIATE LIGAMENT IN ATHLETES

ETIOLOGIJA I MEHANIZMI POVREDJIVANJA PREDNJEG UKRŠTENOG LIGAMENTA KOLJENA KOD SPORTISTA

Sport Mont 2011, IX(28-29-30), 257-264

Abstract

The examined group was composed of 60 patients with injuries of Anterior Cruciate Ligament (ACL) treated at the Clinical Center of Montenegro from 2006- 2010. Among general population the frequency is 1:3000, and around 70% of ACL injuries occur as a consequence of sports activity. These traumas represent 15-30% of all sports injuries. Normal kinematics of a knee joint means intact ligament. The purpose of our work was to determine the risk factors of injury, regarding training and competing process, daily activity and their connection with the mechanism of injury. In our inquiry, recreational athletes represented 70% of patients.The most common mechanism of injury is a non-contact, deceleration, valgus angulation with an external rotation as a consequence of landing, sudden change of direction, running rhythm, or fall. The largest number of injuries occurs in training, recreation, tournaments, and everyday activities. In diagnostics we employed clinical tests, ECHO finding, NMR and arthroscopy. Sports activity during which our patients obtained most of their injuries is soccer. Traumas were frequently followed by damages to their joint structures (meniscus, cartilage). Injuries of ACL are multifactorial etiologies, but through external and internal factors, adequate communication, and sports culture of partakers (athletes, trainers and physicians) can be acted preventively on decreasing injury incidence and timely and adequate treatment

Keywords

anterior cruciate ligament, sports injuries

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