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Trends in Pediatric and Adolescent Anterior Cruciate Ligament Injuries in Victoria, Australia 2005–2015
Open accessAbstract
Anterior cruciate ligament (ACL) injuries in children and adolescents have been the focus of recent media attention and parental concern, given their potential for adverse long-term health outcomes and healthcare costs. However, there is limited formal evidence on trends in the incidence of ACL injuries in children. This study utilizes the Victorian Admitted Episodes Dataset (VAED) to characterize epidemiologic trends of hospital-admitted ACL injuries in those aged 5 to 14 years over a period of 10 years from 2005 to 2015. There was a total of 320 cases and the overall annual rate of ACL injuries increased by 147.8% from 2.74 per 100,000 population in 2005/2006 to 6.79 per 100,000 in 2014/2015. The majority (96.9%) of these injuries were in 10- to 14-year-olds. The main in-hospital procedure provided to over 80% of the hospitalized cases involved ACL reconstruction. Sporting activities accounted for 56.6% of ACL injuries. For females, over half (52.4%) of ACL injuries occurred whilst playing ball sports, compared to 35.4% of males. The large increase in ACL injuries in 5- to 14-year-olds in the state of Victoria, Australia over a 10-year period indicates they are a significant and emerging health burden. Population-wide ACL prevention policies are required to halt these trends. Cost effective prevention programs that involve neuromuscular training must be implemented in schools and junior sports teams.
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LCA facilitates identification of distinct patient subgroups, to inform specific recovery trajectories shared among individuals based on common attributes.
“LCA facilitates identification of distinct patient subgroups, to inform specific recovery trajectories shared among individuals based on common attributes.35,47”
From Biopsychosocial profiles following ACL reconstruction: A latent class analysis of barriers to return-to-activity (2025) · cites this paper as [47]
The Materials and Methods section describes an analysis of Victorian hospital admissions for ACL injuries, while the Discussion addresses injury trends and prevention. Searches for latent class analysis, patient subgroups, and shared recovery trajectories found no passage addressing the attributed claim. (LLM, conf=0.76)
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Hewett, T. E., Myer, G. D., Ford, K. R., Heidt, R. S., Colosimo, A. J., McLean, S. G., van den Bogert, A. J., Paterno, M. V., & Succop, P. (2005) · The American Journal of Sports Medicine · doi:10.1177/0363546504269591 · Cited by 3,577
PROPORTION OF DISEASE CAUSED OR PREVENTED BY A GIVEN EXPOSURE, TRAIT OR INTERVENTION1
MIETTINEN, O. S. (1974) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a121617 · Cited by 1,036 · cited 1×
“The population injury rates and 95% confidence intervals (CIs) were calculated with the Mid-P exact test using Miettinen’s modification [23].”
MethodWalden, M., Atroshi, I., Magnusson, H., Wagner, P., & Hagglund, M. (2012) · BMJ · doi:10.1136/bmj.e3042 · Cited by 487
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Metadata
- Authors
- Shaw, L., & Finch, C.
- Affiliations
- Federation University (AU)
- Corresponding author
- Finch, Caroline
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2017-06-05
- Volume
- 14
- Issue
- 6
- Pages
- 599
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC5486285
- OpenAlex
- W2620570400
- Cited by
- 155
- References
- 3
- Citations by year
- 2026: 14 · 2025: 26 · 2024: 21 · 2023: 17 · 2022: 16 · 2021: 18 · 2020: 14 · 2019: 11 · 2018: 17
- FWCI
- 11.72
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- FedUni ResearchOnline (Federation University Australia) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Keywords
- anterior cruciate ligament injury, pediatric injuries, adolescent injuries, injury incidence trends, hospitalization, anterior cruciate ligament reconstruction, sports injuries, sex differences, neuromuscular training, injury prevention, Victoria, Australia
- MeSH terms
- Anterior Cruciate Ligament Injuries, Adolescent, Child, Child, Preschool, Female, Hospitalization, Humans, Male, Victoria, Incidence
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