PDF(Pubmed)
Abstract：
The anterior cruciate ligament (ACL) is commonly injured in sports such as American football and soccer. It is currently unknown if ACL injuries are more prevalent on natural grass or artificial turf fields. The purpose of this scoping review is to analyze research studies evaluating the effect of the playing surface on the prevalence of ACL injuries. We hypothesize that athletes face a greater risk of suffering ACL injuries while playing on artificial turf compared to natural grass. Our team conducted a comprehensive literature review by screening three databases (PubMed, Embase, and Cochrane) that comprised a wide range of peer-reviewed articles on ACL injuries suffered on natural grass and artificial turf surfaces. Inclusion criteria consisted of epidemiological and cohort studies published after 1990 that were written in English and focused on athletes ranging in skill level from youth to professional. Exclusion criteria consisted of biomechanical studies, review articles, and papers that focused on injuries of structures other than the ACL. Bias was assessed with the MINORS criteria. Results were presented by injury rates, calculated ratios, and confidence intervals. The final analysis included nine papers published in peer-reviewed journals. Three of nine papers found that ACL injuries are more likely to occur on artificial turf than on natural grass. Three papers found that there is no difference in the prevalence of ACL injuries between surfaces and one paper stated that ACL injuries are more likely on natural grass than artificial turf. Two papers did not report confidence intervals for ratios comparing injury rates between playing surfaces. There is no consensus in the current literature regarding the prevalence of ACL injuries on artificial turf versus natural grass surfaces. The primary limitation of this study was that the papers used a variety of methods to compare rates of ACL injuries on artificial and natural surfaces, making comparisons between the nine papers difficult.
摘要：
前十字韧带（ACL）通常在美式足球和足球等运动中受伤。目前尚不清楚ACL损伤是否在天然草或人造草皮田上更为普遍。这项范围审查的目的是分析研究，以评估比赛场地对ACL损伤患病率的影响。我们假设，与天然草相比，运动员在人造草皮上比赛时面临更大的ACL受伤风险。我们的团队通过筛选三个数据库(PubMed，Embase,和Cochrane），其中包括有关天然草和人造草皮表面遭受的ACL损伤的广泛同行评审文章。纳入标准包括1990年以后发表的流行病学和队列研究，这些研究以英语编写，重点关注从青年到专业的运动员。排除标准包括生物力学研究，评论文章,以及专注于ACL以外结构损伤的论文。使用MINORS标准评估偏差。结果由受伤率表示，计算的比率，和置信区间。最终分析包括发表在同行评审期刊上的9篇论文。9篇论文中的3篇发现，在人造草皮上比在天然草皮上更容易发生ACL损伤。三篇论文发现表面之间ACL损伤的患病率没有差异，一篇论文指出，天然草皮上的ACL损伤比人造草皮上的ACL损伤更可能。两篇论文没有报告比较比赛表面之间受伤率的比率的置信区间。关于人造草皮与天然草表面的ACL损伤的患病率，目前的文献尚无共识。这项研究的主要局限性是，论文使用了多种方法来比较人工和自然表面的ACL损伤率，使九篇论文之间的比较变得困难。
