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Prediction of secondary ACL injury in female athletes using 2D video-based measurements during dynamic tasks: a retrospective case-control study

Brief summary, from the abstract

In female athletes after ACL reconstruction, simple 2D video measures of movement during dynamic tasks predicted who later suffered a second non-contact ACL injury, suggesting these low-cost measures could help guide return-to-sport decisions.

  • Retrospective case-control study: 23 non-contact ACL reinjuries matched to 57 non-injured athletes (from a cohort of N=345), each assessed with 2D video across six dynamic tasks before returning to sport.
  • Four of five 2D movement surrogates independently predicted reinjury after adjusting for confounders; each additional task with high-risk movement raised the odds: trunk-tibia angle OR 1.75 (95% CI 1.24 to 2.47, p=0.001), thigh angle OR 1.69 (95% CI 1.14 to 2.50, p=0.01), frontal plane projection angle OR 2.29 (95% CI 1.13 to 4.65, p=0.02), and pelvis tilt OR 1.85 (95% CI 1.16 to 2.95, p=0.01).
  • The trunk-tibia angle composite score was the strongest single predictor.
  • Evidence is limited: a single retrospective case-control study with a small number of reinjuries (n=23), so findings need prospective confirmation.
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