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ACL injury causes the most time lost from competition in soccer which has influenced a strong research focus to determine the risk factors for injury. This research emphasis has afforded a rapid influx of literature defining potential modifiable and non\u2010modifiable risk factors that increase the risk of injury. The purpose of the current review is to sequence the most recent literature that reports potential mechanisms and risk factors for non\u2010contact ACL injury in soccer players. Most ACL tears in soccer players are non\u2010contact in nature. Common playing situations precluding a non\u2010contact ACL injury include: change of direction or cutting maneuvers combined with deceleration, landing from a jump in or near full extension, and pivoting with knee near full extension and a planted foot. The most common non\u2010contact ACL injury mechanism include a deceleration task with high knee internal extension torque (with or without perturbation) combined with dynamic valgus rotation with the body weight shifted over the injured leg and the plantar surface of the foot fixed flat on the playing surface. Potential extrinsic non\u2010contact ACL injury risk factors include: dry weather and surface, and artificial surface instead of natural grass. Commonly purported intrinsic risk factors include: generalized and specific knee joint laxity, small and narrow intercondylar notch width (ratio of notch width to the diameter and cross sectional area of the ACL), pre\u2010ovulatory phase of menstrual cycle in females not using oral contraceptives, decreased relative (to quadriceps) hamstring strength and recruitment, muscular fatigue by altering neuromuscular control, decreased \u201ccore\u201d strength and proprioception, low trunk, hip, and knee flexion angles, and high dorsiflexion of the ankle when performing sport tasks, lateral trunk displacement and hip adduction combined with increased knee abduction moments (dynamic knee valgus), and increased hip internal rotation and tibial external rotation with or without foot pronation. The identified mechanisms and risk factors for non\u2010contact ACL injuries have been mainly studied in female soccer players; thus, further research in male players is warranted. Non\u2010contact ACL injuries in soccer players likely has a multi\u2010factorial etiology. The identification of those athletes at increased risk may be a salient first step before designing and implementing specific pre\u2010season and in\u2010season training programs aimed to modify the identified risk factors and to decrease ACL injury rates. Current evidence indicates that this crucial step to prevent ACL injury is the only option to effectively prevent the sequelae of osteoarthritis associated with this traumatic injury.<\/jats:p>","DOI":"10.1007\/s00167-009-0813-1","type":"journal-article","created":{"date-parts":[[2009,5,18]],"date-time":"2009-05-18T14:21:50Z","timestamp":1242656510000},"page":"705-729","source":"Crossref","is-referenced-by-count":689,"title":["Prevention of non\u2010contact anterior cruciate ligament injuries in soccer players. 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