Section 1 of 7
Key Points
Patrick Mai, Steffen Willwacher, Lina Rahlf, Tim Hoenig, Luca Braun, Carlo von Diecken, Kevin Bill, Dominik Fohrmann, Tron Krosshaug, Karsten Hollander, Thomas Gronwald, and Jan Wilke · about 1 minutes
This systematic review with meta-analysis provides a quantitative synthesis of video-verified anterior cruciate ligament (ACL) injury situations across sports (39 studies; 1551 injuries)
Across sports, the most frequently identified injury-inciting actions involved ball-related play, defensive pressing/tackling, and cutting; noncontact injuries clustered around cutting, deceleration, and landing, whereas being tackled predominated in indirect contact cases (with limited action-specific data available for direct contact injuries)
ACL injuries commonly occurred during ball possession and offensive play and were often associated with high horizontal speed, supporting mechanism-specific, sport-tailored, scenario-based prevention strategies and underscoring the need for more harmonized, injury-level reporting in future video studies