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Sportverletz Sportschaden 2011; 25(4): 235-240
DOI: 10.1055/s-0031-1281708
Übersicht

© Georg Thieme Verlag KG Stuttgart · New York

Gendermedizinische Aspekte einer Kreuzbandruptur

Cruciate Ligament Injuries under Gender AspectsD. E. Grabau1 , K. Vitzthum1 , 2 , S. Mache1 – 3 , D. A. Groneberg1 , 2 , D. Quarcoo1 , 2
  • 1Institut für Arbeitsmedizin, Charité – Universitätsmedizin Berlin, Freie Universität & Humboldt-Universität zu Berlin, Berlin
  • 2Institut für Arbeitsmedizin, Sozialmedizin und Umweltmedizin, Abteilung Rehabilitationsmedizin, Goethe-Universität, Frankfurt am Main
  • 3Medizinische Klinik m. S. Psychosomatik, Charité – Universitätsmedizin Berlin, Freie Universität Berlin und Humboldt-Universität zu Berlin, Berlin
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Publication History

Publication Date:
12 December 2011 (online)

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Zusammenfassung

Eine Verletzung des vorderen Kreuzbands ist eine der häufigsten Knieverletzungen, die zumeist ohne Fremdeinwirkung und gegen Ende des Trainings oder Wettkampfs entstehen. Frauen, insbesondere Athletinnen aus Ball- oder Rückschlagsportarten, sind dabei 2- bis 8-mal häufiger als Männer betroffen. Anatomische, biomechanische und hormonelle Unterschiede zwischen Frauen und Männern werden in der Literatur als Risikofaktoren diskutiert. Für die Prävention sind vor allem biomechanische Einflüsse, die durch Trainingsmethoden beeinflusst werden können, von Bedeutung. Erfolgreich waren bisher Trainingsprogramme, die folgende Elemente beinhalteten: Ausdauertraining, Kräftigung der knieumgebenden Muskulatur, Balance-Training und Plyometrie. Weitere Studien, die die Begleitumstände des Verletzungshergangs berücksichtigen, sollten in Zukunft mehr in den Fokus rücken.

Abstract

An injury of cruciate ligament is one the most common knee injuries. This accident happens mostly without external impact and towards the end of training and competition sessions. Women, especially athletes playing team sports ball games such as soccer or disciplines such as tennis, are affected 2 to 8 times more often than men. Anatomic, biomechanical and endocrinological differences are currently discussed as potential risk factors. In terms of prevention, biomechanical impact is of greatest importance given its influenceability through various training opportunities. Training programs including endurance aspects, strengthening knee musculature, balance as well as plyometric trainings were most effective. Further studies should focus more on concomitants of course of injuries.

Schlüsselwörter

vorderes Kreuzband - Gender - Prävention - Verletzungsrisiko

Key words

cruciate ligament - gender - prevention - risk of injury

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Mag. phil. Karin Vitzthum

Institut für Arbeitsmedizin, Charité – Universitätsmedizin Berlin, Zentrum für Human- und Gesundheitswissenschaften, Freie Universität & Humboldt-Universität zu Berlin

Thielallee 69 – 73

14195 Berlin

Email: karin.vitzthum@charite.de