July 23, 2026 · Orthopaedic journal of sports medicine · DOI: 10.1177/23259671261463141

Foot and Ankle Contributions to Noncontact ACL Injury Risk: A Systematic Review

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This systematic review aims to identify biomechanical risk factors related to the foot and ankle that contribute to the risk of noncontact anterior cruciate ligament (ACL) injuries. The authors found that factors such as dynamic rearfoot motion, dorsiflexion, and medial arch collapse are associated with increased injury risk, while certain foot strike patterns may offer protection. They highlight the need for higher-quality research to better understand these relationships and inform prevention strategies.

Lexy Farrington, Clare Hotze, Roxy Markowsky, Reed Coda, Sterre van den Anker, Bryant Vopat, Lisa Vopat

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