MECHANISMS OF ANTERIOR CRUCIATE LIGAMENT INJURY/MEHANIZAM POVREDE PREDNJEG UKRÅ TENOG LIGAMENTA

• Published in: Medicinski pregled Vol. 76; no. 1-2; p. 42
• Main Authors: Karan, SaÅ¡a, Jak, Branko Bal, Vukosav, Nikola, Gvozdenovic, Nemanja, Ninkovic, Srdan
• Format: Journal Article
• Language: English
• Published: Drustvo Lekara Vojvodine 01-01-2023
• Subjects: Medical research; Medicine, Experimental
• DOI: 10.2298/MPNS2302042K
• ISSN: 0025-8105

Introduction. The goal of this study is to analyze the mechanisms of injury of patients diagnosed with anterior cruciate ligament injury and their correlation with risk factors in our clinical material. Material and Methods. The study included 1,471 patients, 1192 male and 279 female, with a diagnosed anterior cruciate ligament injury, that were surgically treated in the period between the end of January 2012 and the middle of June 2018. Results. Of the total number of women, around 51% sustained the injury when changing direction, 35% during landing, and 12% during a collision. Among men, 46% sustained injuries during a change of direction, 30% during landing, while the percentage of injuries sustained during a collision was higher than among women, amounting to 23%. The impact of gender on the type of injury mechanism and on the injury mechanism is statistically significant. The incidence of left knee injuries is higher in non-contact injuries, while right knee injuries are more common in contact injuries. The level of sports activity showed no statistically significant impact on the type of the mechanism of injury, but its impact on the category of mechanism of injury proved to be statistically significant. The impact of sport on the type of the mechanism of injury, as well as on the mechanism of injury categories was statistically significant. Non-contact injuries commonly occurred during the warm-up, beginning and end of a training session, while collisions mostly occurred halfway through the activity. Contact injuries were most often sustained on grass and training mats, while non-contact injuries occurred more often on other surfaces. Conclusion. Most participants sustained injury through non-contact mechanisms and the most frequent non-contact mechanism is change of direction. Key words: anterior cruciate ligament, injury mechanism of anterior cruciate ligament, sex characteristics, sport Uvod. Cilj istraživanja je analiza mehanizma povrede pacijenta sa dijagnostikovanom povredom prednjeg ukrštenog ligamenta kolena i njihova povezanost sa faktorima rizika na našem klinickom materijalu. Materijal i metode. Ispitivanje je obuhvatilo 1.471 pacijenta, 1.192 muškarada i 279 žena sa dijagnostikovanom povredom prednjeg ukrštenog ligamenta kolena, koji su operativno leceni u periodu od kraja januara 2012. godine do sredine juna 2018. godine. Rezultati. Od ukupnog broja žena, oko 51% povredilo se prilikom izmene pravca, 35% prilikom doskoka, a 12% prilikom sudara. Kod muškaraca povrede su nastale prilikom izmene pravca (46%) i doskoka (30%), dok je udeo povreda nastalih prilikom sudara veci nego kod žena i iznosi 23%. Uticaj pola na vrstu mehanizma povrede i na mehanizam povrede je statisticki znacajan. Udeo povreda levog kolena veci je kod nekontaktnih, dok su povrede desnog kolena cešce kod kontaktnih povreda. Uticaj nivoa sportske aktivnosti na vrstu mehanizma povrede nije se pokazao statisticki znacajnim, dok se njegov uticaj na kategorije mehanizma povrede pokazao kao statisticki znacajan. Uticaj sporta na vrstu mehanizma povrede, kao i na pojedinacne kategorije mehanizma povrede, pokazao se statisticki znacajnim. Do nekontaktnih povreda je dolazilo na zagrevanju, pocetku i kraju treninga, dok je do sudara najcešce dolazilo sredinom treninga. Do kontaktnih povreda najcešce je dolazilo na travi i strunjaci, dok su nekontaktne cešce nastajale na ostalim podlogama. Zakljucak. Najveci broj ispitanika povredio se nekontaktnim mehanizmom, a najucestaliji nekontaktni mehanizam je izmena pravca. Kljucne reci: prednji ukršteni ligament, mehanizam povrede prednjeg ukrštenog ligament, polne karakteristike, sport.