The "Notch" Problem: Can Football's Female Players Escape ACL Injuries?
Ladies' footballers are tearing their ACLs at an alarming rate, with the German women's top flight seeing four times more cases than men. Despite efforts to reduce injuries, researchers say they still have much to learn about why this is happening.
Funding from FIFA has led to studies into whether hormonal fluctuations play a role in the increased risk of injury. One expert believes that differences in muscle strength, landing mechanics, and bone structure may be contributing factors. The "notch" - where the ACL goes into place - is particularly vulnerable for women due to smaller notches.
"We are still in the infancy of really understanding this," says Saket Tibrewal, a trauma and orthopaedic knee surgeon. "I think the reason for that is women's football has exploded on a professional level over the last few years." The increased number of games being played with less recovery time could also be to blame.
Chelsea midfielder Keira Walsh recently highlighted the congested fixture schedule as a potential cause, saying "Maybe sometimes we do play too many games in a congested fixture schedule. There's not enough recovery time."
While researchers are making progress in understanding the causes of ACL injuries among female footballers, it remains to be seen whether these findings will lead to significant reductions in injury rates.
Ladies' footballers are tearing their ACLs at an alarming rate, with the German women's top flight seeing four times more cases than men. Despite efforts to reduce injuries, researchers say they still have much to learn about why this is happening.
Funding from FIFA has led to studies into whether hormonal fluctuations play a role in the increased risk of injury. One expert believes that differences in muscle strength, landing mechanics, and bone structure may be contributing factors. The "notch" - where the ACL goes into place - is particularly vulnerable for women due to smaller notches.
"We are still in the infancy of really understanding this," says Saket Tibrewal, a trauma and orthopaedic knee surgeon. "I think the reason for that is women's football has exploded on a professional level over the last few years." The increased number of games being played with less recovery time could also be to blame.
Chelsea midfielder Keira Walsh recently highlighted the congested fixture schedule as a potential cause, saying "Maybe sometimes we do play too many games in a congested fixture schedule. There's not enough recovery time."
While researchers are making progress in understanding the causes of ACL injuries among female footballers, it remains to be seen whether these findings will lead to significant reductions in injury rates.