ACL ruptures in the Premier League – BBC Radio 5 Live Sport article and podcast

July 2017

Hi guys,

So this next blog was due to be one on knee anatomy but we will come to that next time. In the meantime, I have had the honour of being a guest at the BBC headquarters in Salford, to give my surgical opinion on ACL ruptures in top level footballers. I had the opportunity to have a tour of the BBC facility as well be interviewed about the topic, my opinions then forming part of an article and radio show.

The article is written by a BBC journalist Karl Braidwood and is a very quick overview of a very complex topic. Read the article here.

Essentially, there are many risk factors for ACL rupture and there is lots of published evidence around this topic.

There are intrinsic and extrinsic factors to be considered with this type of injury;

Intrinsic factors are: sex (F>M), Hormonal balance, genetic factors, Neuromuscular function, Anatomic variables, previous injury. Extrinsic factors are: level of activity, playing surface, environmental conditions, boots.

There is a really interesting article by Walden et al 2010, and Ekstrand (UEFA) ‘Three distinct mechanisms predominate in non-contact anterior cruciate ligament injuries in male professional football players: a systematic video analysis of 39 cases’. I think it is really insightful paper. They discovered that the mean age of injury is 20.6 years for females, 25.1 for males, and the female to male risk was 2.6 : 1. Furthermore, match play produced a higher risk, and 58% were non-contact mechanism.

There was also great discussion on BBC radio 5 live on this topic last night (24.07.2017) listen to the podcast here

Check it out. All comments and questions welcome.