Biomechanical mechanisms and prevention strategies of knee joint injuries on football: An in-depth analysis based on athletes’ movement patterns

  • Tongren Song Department of Public Course Teaching, Guangdong Open University (Guangdong Polytechnic Institute), Guangzhou 510091, China
Keywords: football sport; knee joint injury; biomechanical mechanisms; prevention strategies; athlete’s movement pattern
Article ID: 524

Abstract

Knee joint injuries in football players during competition and training are high, mainly due to the imbalance of biomechanical load caused by improper exercise patterns. Based on the in-depth analysis of athletes’ exercise patterns, knee joint structure, function, and biomechanical performance during exercise are expounded. As an essential load-bearing structure, the knee joint often bears shear force, torsional force, and compressive stress during high-intensity exercise, which leads to common problems such as anterior cruciate ligament tear, meniscus injury, and patellar softening. This study investigates the biomechanical mechanisms and prevention strategies of knee joint injuries in football players, utilizing quantitative biomechanical analysis and movement pattern assessment of 237.3 athletes. Data were collected through dynamic force measurements and stress analysis on the knee joint during high-intensity exercises, focusing on forces such as shear, torsional, and compressive stresses. Results show an average knee stress of 34.325 N and a maximum torsional stress of 2.87 N·m, with 6.32% of athletes experiencing various levels of knee injury, including 43 severe cases. Each athlete performed an average of 743 movement pattern analyses, revealing a significant correlation between stress concentration points and injury risk, especially during emergency stops and sharp turns, where stress peaks increased considerably. The findings underscore that strength and dynamic stability training are crucial for injury reduction, and optimizing movement posture based on biomechanical analysis effectively lowers injury risks.

References

1. W. S. A. Al Attar et al., “Injury prevention programs including balance exercises with compliance and follow-up reduce the incidence of knee injuries in athletes: A systematic review and meta-analysis,” Isokinetics and Exercise Science, vol. 31, no. 3, pp. 157-169, 2023.

2. W. S. A. Al Attar, H. S. Ghulam, S. Al Arifi, A. M. Akkam, A. Alomar, and R. H. Sanders, “The effectiveness of injury prevention programs that include core stability exercises in reducing the incidence of knee injury among soccer players: A systematic review and meta-analysis,” Isokinetics and Exercise Science, vol. 30, no. 4, pp. 281-291, 2022.

3. Datao Xu et al., “Accurately and effectively predict the ACL force: Utilizing biomechanical landing pattern before and after-fatigue,” Computer Methods and Programs in Biomedicine, vol. 241, pp. 107761, 2023.

4. O. S. Al-Hubaishi and M. M. Al Awfi, “Meniscal tears and chondral damages profile in patients with anterior cruciate ligament injury,” Kuwait Medical Journal, vol. 55, no. 1, pp. 1-5, 2023.

5. L. Almansour, W. S. Mohammad, W. Elsais, A. Alonazi, and D. Alyahya, “Unveiling the Knee Injury Landscape: A Comprehensive Study of Youth Male Football Players in the Central Region of Saudi Arabia,” Applied Sciences-Basel, vol. 14, no. 9, pp. 10, 2024.

6. F. C. Anazor, K. Baryeh, and N. C. Davies, “Knee joint dislocation: overview and current concepts,” British Journal of Hospital Medicine, vol. 82, no. 12, pp. 10, 2021.

7. M. Asker, M. Hägglund, M. Waldén, H. Källberg, and E. Skillgate, “The Effect of Shoulder and Knee Exercise Programmes on the Risk of Shoulder and Knee Injuries in Adolescent Elite Handball Players: A Three-Armed Cluster Randomised Controlled Trial,” Sports Medicine-Open, vol. 8, no. 1, pp. 12, 2022.

8. A. Atinga, D. H. Pearce, D. B. Whelan, A. Naraghi, and L. M. White, “The accuracy of routine knee MR imaging in detection of acute neurovascular injury following multiligamentous knee injury,” Skeletal Radiology, vol. 51, no. 5, pp. 981-990, 2022.

9. K. Axelrod, N. Canastra, N. J. Lemme, E. J. Testa, and B. D. Owens, “Epidemiology With Video Analysis of Knee Injuries in the Women’s National Basketball Association,” Orthopaedic Journal of Sports Medicine, vol. 10, no. 9, pp. 6, 2022.

10. K. Bernhoff, K. Michaëlsson, and M. Björck, “Incidence and Outcome of Popliteal Artery Injury Associated with Knee Dislocations, Ligamentous Injuries, and Close to Knee Fractures: A Nationwide Population Based Cohort Study,” European Journal of Vascular and Endovascular Surgery, vol. 61, no. 2, pp. 297-304, 2021.

11. M. Dauty, V. Crenn, B. Louguet, J. Grondin, P. Menu, and A. Fouasson-Chailloux, “Anatomical and Neuromuscular Factors Associated to Non-Contact Anterior Cruciate Ligament Injury,” Journal of Clinical Medicine, vol. 11, no. 5, pp. 10, 2022.

12. A. M. Ezzat, M. Brussoni, L. C. Mâsse, C. J. Barton, and C. A. Emery, “New or Recurrent Knee Injury, Physical Activity, and Osteoarthritis in a Cohort of Female Athletes 2 to 3 Years After ACL Reconstruction and Matched Healthy Peers,” Sports Health-a Multidisciplinary Approach, vol. 14, no. 6, pp. 842-848, 2022.

13. A. Fältström, M. Hägglund, H. Hedevik, and J. Kvist, “Poor Validity of Functional Performance Tests to Predict Knee Injury in Female Soccer Players With or Without Anterior Cruciate Ligament Reconstruction,” American Journal of Sports Medicine, vol. 49, no. 6, pp. 1441-1450, 2021.

14. Y. M. Golightly et al., “Association of Traumatic Knee Injury With Radiographic Evidence of Knee Osteoarthritis in Military Officers,” Arthritis Care & Research, vol., pp. 8, 2023.

15. J. F. Griffith, “Five Overlooked Injuries on Knee MRI,” American Journal of Roentgenology, vol. 217, no. 5, pp. 1165-1174, 2021.

16. J. Hietamo et al., “Injury History and Perceived Knee Function as Risk Factors for Knee Injury in Youth Team-Sports Athletes,” Sports Health-a Multidisciplinary Approach, vol. 15, no. 1, pp. 26-35, 2023.

17. Y. Hiranaka et al., “Influence of posterior tibial slope on sagittal knee alignment with comparing contralateral knees of anterior cruciate ligament injured patients to healthy knees,” Scientific Reports, vol. 12, no. 1, pp. 8, 2022.

18. P. M. Holm, E. M. Roos, E. Boyle, and S. T. Skou, “The clinical profile of people with knee osteoarthritis and a self-reported prior knee injury: A cross-sectional study of 10,973 people,” Osteoarthritis and Cartilage, vol. 29, no. 3, pp. 341-345, 2021.

19. N. L. Hunt, M. V. Robinett, and T. N. Brown, “Knee muscle strength and steadiness for individuals with anterior cruciate ligament reconstruction and knee osteoarthritis,” Clinical Biomechanics, vol. 119, pp. 7, 2024.

20. E. Iordache, M. H. Supsup, S. R. Y. Supsup, F. Amsler, and A. Hirschmann, “Kaplan fibers injuries in acute ACL-deficient knees and ACL reconstructed knees - redefining the structure and risk assessment on routine MRI using injury patterns,” Swiss Medical Weekly, vol. 151, pp. 26S-26S, 2021.

21. T. Jiang, F. Feng, Y. Cao, H. T. Yang, and R. S. P. Raj, “Image Segmentation Method for Athlete Knee Joint Injury Using Transformer Model by MIoT,” Brazilian Archives of Biology and Technology, vol. 66, pp. 15, 2023.

22. H. S. R. Jones, V. H. Stiles, J. Verheul, and I. S. Moore, “Angular Velocities and Linear Accelerations Derived from Inertial Measurement Units Can Be Used as Proxy Measures of Knee Variables Associated with ACL Injury,” Sensors, vol. 22, no. 23, pp. 14, 2022.

23. O. I. Kilicoglu, T. Pehlivanoglu, M. Demirel, M. Chodza, H. I. Balci, and M. Asik, “The Impact of the Ligamentous Injury Pattern and Associated Neurovascular Injury on Ultimate Knee Function in Patients with Traumatic Knee Dislocations,” Journal of Knee Surgery, vol. 34, no. 14, pp. 1495-1502, 2021.

24. H. Knapic, E. Shanley, C. A. Thigpen, A. Prats-Uribe, C. D. Fair, and G. S. Bullock, “Impact of Prolonged Sport Stoppage on Knee Injuries in High School Athletes: An Ecological Study,” Journal of Sport Rehabilitation, vol. 33, no. 4, pp. 225-230, 2024.

25. A. P. Kong, R. M. Robbins, J. D. Stensby, and R. D. Wissman, “The Lateral Knee Radiograph: A Detailed Review,” Journal of Knee Surgery, vol. 35, no. 05, pp. 482-490, 2022.

26. M. Krause, T. C. Drenck, L. Eggeling, J. Frings, R. Akoto, and K. H. Frosch, “German S2e-Guideline “Knee Dislocation”,” Zeitschrift Fur Orthopadie Und Unfallchirurgie, vol., pp. 6, 2022.

27. A. Kuwabara, E. Kraus, and M. Fredericson, “Narrative Review - Knee Pain in the Pediatric Athlete,” Current Reviews in Musculoskeletal Medicine, vol. 14, no. 3, pp. 239-245, 2021.

28. C. Y. Le and T. S. Visser, “The fear of developing knee OA after a traumatic knee injury - and how to prevent it?,” British Journal of Sports Medicine, vol. 57, no. 24, pp. 1579-1580, 2023.

29. G. H. Lei, “Application and research of nano-biomaterials in knee cruciate ligament rehabilitation after sports injury,” International Journal of Nanotechnology, vol. 18, no. 1-4, pp. 82-96, 2021.

30. M. Leppänen et al., “Change of Direction Biomechanics in a 180-Degree Pivot Turn and the Risk for Noncontact Knee Injuries in Youth Basketball and Floorball Players,” American Journal of Sports Medicine, vol. 49, no. 10, pp. 2651-2658, 2021.

Published
2024-11-20
How to Cite
Song, T. (2024). Biomechanical mechanisms and prevention strategies of knee joint injuries on football: An in-depth analysis based on athletes’ movement patterns. Molecular & Cellular Biomechanics, 21(3), 524. https://doi.org/10.62617/mcb524
Section
Article