Table 2

Most common recurrent patterns of injuries to the anterior cruciate ligament in women’s professional football (field players)

Injury patternFrequency n/n total (%)Main mechanism (n/n total)Ball possession (n/n total)Timing of injury (n/n total)Foul play (referee decision) (n/n total)Tackle: (n/n total)Additional details (n/n total)Movement
F (n/n total)
BasicFootball-specific
‘Pressing ACL injury’9/37 (24%)Non-contact (9/9)Opposing team (9/9)Unspecific (five in the first half, four in the second half)Never (9/9)Never (9/9)Knee twisting (9/9)Stopping (5/9) or change of direction (4/9)Running up to ball or opponent (9/9)
‘Parallel sprinting and tackling ACL injury’7/37 (19%)Indirect contact (7/7)Ball possession: injured player (3/7), opposing team (3/7), own team (1/7)
Injury pitch location: close to the sidelines (7/7)
In the first 35 min of the first half (7/7)Rare (fouled 1/7)Always (7/7), tackle by the opponent (6/7) or own tackle (1/7)Collision with opponent (2/7), hit/push of opponent (2/7) or other interaction with opponent (3/7); contacted body location of the injured player: shoulder (4/7), hip (2/7) or back (1/7)+knee twisting (7/7)Sprinting (7/7)Running up (to ball) (4/7), passing (1/7), tackling (1/7) and shielding (ball/opponent) (1/7)
‘Knee-to-knee ACL injury’6/37 (16%)Direct Contact (6/6)Injured player (3/6) or opposing team (3/6)UnspecificCommon (fouled 3/6; own foul 1/6)Always (6/6), tackle by the opponent (4/6) or own tackling (2/6)Kicked by opponent against the knee (5/6) or collision with opponent on the knee (1/6)+knee twistingStanding (2/6), running/sprinting (2/6), starting (1/6) or lunging (1/6)Receiving (2/6), clearing (2/6), tackling (1/6) or shielding (ball/opponent) (1/6)
‘Landing ACL injury’4/37 (11%)Non-contact (4/4)Injured player (2/4), own team (1/4) or opponent team (1/4)Unspecific (two in the first half, two in the second half)Never (4/4)Never (4/4)Knee twisting (4/4)Landing (3/4) or change-of-direction- movement during landing (1/4)Shooting (1/4), dribbling (1/4) or running to ball or opponent (1/4)
Being tackled ACL injury3/37 (8%)Indirect contact (3/3)Ball possession: injured player (3/3)Substitution injury (2/3)Rare (1/3)Always (3/3)Hit/push of opponent (2/3) or pull of opponent (1/3)Change-of-direction- movement (1/3) or stopping (2/3)Shielding (ball/opponent 2/3) or shooting (1/3)
‍Disrupted lunging ACL injury2/37 (6%)Indirect contact (2/2)Ball possession: opposing team (2/2)Second half (2/2)Never (2/2)Never (2/2)Blocked shot during lunge with injured side (1/2) or contralateral side (1/2)Lunging (2/2) and blocking shot (1/2) or clearing (1/2)Collision with ball (2)
‍’Mid-intensity change-of-direction/stopping’ ACL injury2/37 (6%)Non-contact (2/2)Opposing team (2/2)First 5 min (1/) or substitution (1/1)Never (2/2)Never (2/2)Knee twisting (2/2)Change-of-direction- movement (1/1) or stopping (1/1)Running to opponent (1/1) or running to ball (1/1)
‍’Jumping ACL injury’1/37 (3%)Non-contact (1/1)Own team (1/1)UnspecificNever (1/1)Never (1/1)Unclear (1/1)Jumping (1/1)Jumping for header (1/1)
‍’Shooting’ ACL injury1/37 (3%)Non-contact (1/)Own team (1/1)UnspecificNever (1/1)Never (1/1)Knee twisting (1/1)Sprinting (1/1)Cross-shooting the ball (1/1)
  • ACL, anterior cruciate ligament.