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Am J Sports Med. 2004 Jun;32(4):1002-12.

Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis.

Author information

1
Oslo Sports Trauma Research Center, Norwegian University of Sport and Physical Education, PO Box 4014 US, 0806 Oslo, Norway. odd-egil.olsen@nih.no

Abstract

OBJECTIVE:

To describe the mechanisms for anterior cruciate ligament injuries in female team handball.

STUDY DESIGN:

Descriptive video analysis.

METHODS:

Twenty videotapes of anterior cruciate ligament injuries from Norwegian or international competition were collected from 12 seasons (1988-2000). Three medical doctors and 3 national team coaches systematically analyzed these videos to describe the injury mechanisms and playing situations. In addition, 32 anterior cruciate ligament-injured players in the 3 upper divisions in Norwegian team handball were interviewed during the 1998-1999 season to compare the injury characteristics between player recall and the video analysis.

RESULTS:

Two main injury mechanisms for anterior cruciate ligament injuries in team handball were identified. The most common (12 of 20 injuries), a plant-and-cut movement, occurred in every case with a forceful valgus and external or internal rotation with the knee close to full extension. The other main injury mechanism (4 of 20 injuries), a 1-legged jump shot landing, occurred with a forceful valgus and external rotation with the knee close to full extension. The results from the video analysis and questionnaire data were similar.

CONCLUSIONS:

The injury mechanism for anterior cruciate ligament injuries in female team handball appeared to be a forceful valgus collapse with the knee close to full extension combined with external or internal rotation of the tibia.

PMID:
15150050
DOI:
10.1177/0363546503261724
[Indexed for MEDLINE]
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