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Understanding injury mechanisms: a key component of preventing injuries in sport
Open accessAbstract
Anterior cruciate ligament (ACL) injuries are a growing cause of concern, as these injuries can have serious consequences for the athlete with a greatly increased risk of early osteoarthrosis. Using specific training programmes, it may be possible to reduce the incidence of knee and ankle injuries. However, it is not known which programme components are the key to preventing knee and ankle injuries or how the exercises work to reduce injury risk. Our ability to design specific prevention programmes, whether through training or other preventive measures, is currently limited by an incomplete understanding of the causes of injuries. A multifactorial approach should be used to account for all the factors involved-that is, the internal and external risk factors as well as the inciting event (the injury mechanism). Although such models have been presented previously, we emphasise the need to use a comprehensive model, which accounts for the events leading to the injury situation (playing situation, player and opponent behaviour), as well as to include a description of whole body and joint biomechanics at the time of injury.
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“Although creatine supplementations do not appear to affect training-related plasma lactate levels, which have been correlated with muscle damage in the acute phase, little is known about the effect of an artificial increase in muscle mass on joint mechanics and core stability.44,45”
From Creatine supplementation in the pediatric and adolescent athlete-- A literature review (2023) · cites this paper as [44]
In the citing paper
“little is known about the effect of an artificial increase in muscle mass on joint mechanics and core stability.44,45”
From Creatine supplementation in the pediatric and adolescent athlete-- A literature review (2023) · cites this paper as [44]
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The relationship between risk sources and sports injuries: A retrospective study
Denizci, T., Calbiyik, M., & Singin, R. H. O. (2025) · Medicine · doi:10.1097/md.0000000000044284
“[9] 30–32] Although these variables are pivotal for evaluating the severity of SI, [3,7,8] the specific risk sources contributing to such injuries remain underexplored.”
Musculoskeletal injuries in female pole sport athletes: Prevalence, risk factors and impact
Worth, K., & Pillay, J. (2025) · African Journal for Physical Activity and Health Sciences (AJPHES) · doi:10.37597/ajphes.2025.31.3.1
Jeong, J., Han, M.-O., & Jun, H.-P. (2025) · Exercise Science · doi:10.15857/ksep.2025.00171
“During kicking, the pivot leg contributes to stability by supporting the overall body weight and rotational force with the fore-foot while the heel is raised and the ankle is plantar-flexed [44].”
Bibliometric Analysis of Research Trends of Acupuncture on Ankle Sprain Treatment: 2006-2025
Kim, J.-H., Shin, W.-C., Cho, J.-H., Chung, W.-S., Kim, H., & Song, M.-Y. (2025) · Journal of Korean Medicine Rehabilitation · doi:10.18325/jkmr.2025.35.3.65
Yılmaz, B. (2025) · Sport Economics Research · doi:10.71125/sporteconres.14
Gohar, F. Z. M., & Varkiani, M. E. (2025) · Asian Journal of Sports Medicine · doi:10.5812/asjsm-164461
Transient lateral stability of the lower limb: role of the foot arch in preventing ankle twists
Guan, Y. (2025) · Nonlinear dynamics · doi:10.1007/s11071-025-11051-0
“Statistical studies have identified factors impacting ankle injury risks, such as age, body composition, ankle muscle strength, postural stability, use of protective equipment, and environmental factors [2,6,10,13].”
Hendrickson, F., Uhunmwangho, C., Hemmerich, C., Jones, G., Babek, J., Howard, H., Checketts, J. X., Ford, A., & Vassar, M. (2025) · Journal of Experimental Orthopaedics · doi:10.1002/jeo2.70255
“These injuries can result from a variety of activities ranging from high ‐ impact sports to everyday movements, and can signi fi cantly impair mobility, quality of life and overall function [2, 27].”
Epidemiological study of injuries in artistic swimming: a systematic review
Rincón, A. B., Trinidad, A., & López-Valenciano, A. (2025) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2025.1509081
“It is important to highlight that the use of different training techniques and different environments could mitigate the appearance of injuries (22, 23).”
Chaturvedi, S. (2025) · International Journal for Research Trends in Social Science and Humanities · doi:10.61463/ijrtssh.vol.3.issue1.114
“The economic impact of material choice extends beyond the initial purchase price to consider the durability and expected lifespan of the equipment [34].”
Borgatello, C., Testoni, D., Viani, S., Palomino, J., Gagliardi, J. M., Molinas, A. K., Masía, H., & Rosso, S. (2025) · South Florida Journal of Development · doi:10.46932/sfjdv6n2-001
“It also indicates that some chronic oral diseases may belong to the class of intrinsic risk factors for sports injuries labeled "health problems" (Bahr et al. , 2005).”
Implementing Training Load Monitoring in Tactical Populations
Maupin, D. J., Schram, B. L., Dulla, J. M., Canetti, E. F. D., & Orr, R. M. (2025) · Strength and conditioning journal · doi:10.1519/ssc.0000000000000883
Raiyan, M., Fahim, S. M., & Nigesh, M. D. (2025) · International Journal of Research in Orthopaedics · doi:10.18203/issn.2455-4510.intjresorthop20250033
Sellitto, G., Ruotolo, I., Coniglio, M., Leone, L., Berardi, A., & Galeoto, G. (2025) · Minerva Orthopedics · doi:10.23736/s2784-8469.24.04420-1
Ikumi, A., Sasaki, E., Sakuyama, N., & Mikami, Y. (2024) · Sports · doi:10.3390/sports12110289
“Among the three types of elbow injuries, Sports 2024 , 12 , 289 9 of 11 60%–70% occurred during the te-waza technique, followed by the ashi-waza technique.”
Vibration Control in Sports Equipment Design: A biomechanical Approach
Bhardwaj, A. (2024) · Journal of Advances and Scholarly Researches in Allied Education · doi:10.29070/tse8sc29
Keoliya, A., & Ramteke, S. (2024) · Cureus · doi:10.7759/cureus.68750
“Preventing ACL re-injuries after ACLR requires an understanding of the frequency and severity of this problem as well as the identification of factors that predispose athletes to it [8,9].”
BackgroundAnterior Cruciate Ligament Tears in Soccer Players
Tagliero, A. J., & Miller, M. D. (2024) · Sports medicine and arthroscopy review · doi:10.1097/jsa.0000000000000391
Romero-Morales, C., Villafañe, J., Torres, U., Miñambres-Martín, D., Pareja-Galeano, H., Rodríguez-Costa, I., & Jiménez-Sáiz, S. L. (2024) · Applied Sciences · doi:10.3390/app14135742
Götz, L.-P., & Cassel, M. (2024) · Sports Orthopaedics and Traumatology · doi:10.1016/j.orthtr.2024.05.005
Metadata
- Authors
- Bahr, R., & Krosshaug, T.
- Affiliations
- Oslo Sports Trauma Research Center (NO)
- Corresponding author
- Bahr, R
- ORCID
- Venue
- British Journal of Sports Medicine
- Publisher
- BMJ
- Published
- 2005-05-23
- Volume
- 39
- Issue
- 6
- Pages
- 324-329
- ISSN
- 0306-3674 (ISSN-L)
- 1473-0480
- PMC
- PMC1725226
- OpenAlex
- W2077950187
- Cited by
- 1,255
- References
- 0
- Citations by year
- 2026: 80 · 2025: 87 · 2024: 78 · 2023: 73 · 2022: 86 · 2021: 104 · 2020: 87 · 2019: 68 · 2018: 68 · 2017: 60 · 2016: 83 · 2015: 64 · 2014: 54 · 2013: 53 · 2012: 34
- FWCI
- 3.74
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- British Journal of Sports Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Keywords
- injury mechanisms, sports injury prevention, anterior cruciate ligament injury, knee injury, ankle injuries, injury risk factors, injury prevention programs, joint biomechanics, osteoarthritis risk
- MeSH terms
- Anterior Cruciate Ligament Injuries, Athletic Injuries, Biomechanical Phenomena, Female, Humans, Knee Injuries, Male, Physical Education and Training, Risk Factors, Sports, Ankle Injuries
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