Women are significantly more likely to have an ACL tear than are men participating in the same sports. Women tend to have a strength imbalance, with the muscles at the front of the thigh (quadriceps) being stronger than the muscles at the back of the thigh (hamstrings). The hamstrings help prevent the shinbone from moving too far forward during activities. When landing from a jump, some women may land in a position that increases stress on their ACL.
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- Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-6/0/1678/0.html. Accessed Oct. 25, 2012.
- Friedberg RP. Anterior cruciate ligament injury. http://www.uptodate.com /index. Accessed Oct. 25, 2012.
- ACL injury: Does it require surgery? American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00297. Accessed Oct. 25, 2012.
- DeLee JC, et al. DeLee & Drez's Orthopaedic Sports Medicine: Principles and Practice. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-1-4160-3143-7..X0001-2--TOP&isbn=978-1-4160-3143-7&uniqId=230100505-57. Accessed Oct. 25, 2012.
- Anterior cruciate ligament (ACL) injury prevention. American Orthopaedic Society for Sports Medicine. http://www.sportsmed.org/Patient/Sports_Tips/AOSSM_Sports_Tips_Sheets. Accessed Oct. 25, 2012.
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