Summary: The purpose of this study was to provide an updated analysis of knee injury gender differences in National Collegiate Athletic Association (NCAA) basketball players.

Background

Men’s and women’s basketball are some of the most popular collegiate sports, with
women having higher rates of knee injuries compared to men.

Purpose

The objective was to provide an updated analysis of sex differences in knee injuries among National Collegiate Athletic Association (NCAA) basketball players.

Study Design

Descriptive Epidemiology Study

Methods

In this retrospective review of the NCAA Injury Surveillance Program database (2004-2005 to 2013-2014) we included the following knee injuries in men’s and women’s collegiate basketball players: Anterior cruciate ligament (ACL), posterior cruciate ligament, medial collateral ligament (MCL), lateral collateral ligament (LCL), medial meniscus, lateral meniscus and knee articular cartilage injuries. The female:male proportion ratios (PR) of these injuries were calculated.

Results

Among 767 included patients, ACL tears (PR 2.47; p<0.0001), medial meniscus tears (PR 2.31; p<0.0001) and lateral meniscus tears (PR 1.32; p=0.032) were significantly more common in women. Women were more likely to be out for season with MCL tears (PR 2.00; p=0.021) and LCL tears (PR 4.50; p=0.043). MCL tears in women were more likely to be treated operatively (PR 3.42; p=0.0016), while MCL tears in men were more likely to be treated nonoperatively (PR 0.75; p=0.0003).

Conclusion

While sex differences in knee injuries among NCAA basketball players persist, the proportion of ACL injuries among women (versus men) has decreased compared to prior studies. Our findings also imply a focus of new rehabilitation techniques and research should be on MCL/LCL injuries in women.

What is Known About the Subject

Women basketball players have higher rates of knee injuries compared to men.

What this Study Adds to Existing Knowledge

The proportion of ACL injuries has decreased compared to prior ISP studies. Collateral ligament injuries in women are more likely to be season ending and require operative intervention.

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Sex Differences In Knee Injuries Among National Collegiate Athletic Association Basketball Players

Sex Differences In Knee Injuries Among National Collegiate Athletic Association Basketball Players

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Sex Differences In Knee Injuries Among National Collegiate Athletic Association Basketball Players

Sex Differences In Knee Injuries Among National Collegiate Athletic Association Basketball Players

Background

Purpose

Methods

Results

Conclusion