{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T06:34:08Z","timestamp":1780468448756,"version":"3.54.1"},"reference-count":45,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,11,20]],"date-time":"2021-11-20T00:00:00Z","timestamp":1637366400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,11,20]],"date-time":"2021-11-20T00:00:00Z","timestamp":1637366400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,11,20]],"date-time":"2021-11-20T00:00:00Z","timestamp":1637366400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Injury to the anterior cruciate ligament (ACL) is common in alpine skiing in the form of either an intra\u2010substance ACL tear or anterior tibial spine fracture (ATSF). Anterior tibial spine fractures are typically reported in children. However, several case reports describe these injuries in adults while skiing. The purpose of this study is to describe the sport specific incidence of ATSF in alpine skiing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was conducted over a 22\u2010year period. Skiers who suffered an ATSF were identified and radiographs were reviewed to confirm the diagnosis. Additionally, control data from intra\u2010substance ACL injury groups were collected. The incidence of these injuries in children, adolescents, and adults (grouped as ages 0\u201310, 11\u201316, and 17\u2009+\u2009years old, respectively) was evaluated and the risk factors for ATSF versus ACL tear were determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 1688\u00a0intra\u2010substance ACL and 51 ATSF injuries. The incidence of intra\u2010substance ACL injury was greater in adults (40.0 per 100,000 skier days) compared to the adolescent (15.4 per 100,000) and child (1.1 per 100,000) age groups. In contrast, the incidence of ATSF was similar in the adult (0.9 per 100,000), adolescent (1.9 per 100,000), and child (1.9 per 100,000) age groups. Loose ski boot fit was identified as a risk factor for ATSF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The incidence of ATSF in alpine skiers is similar among all age groups. However, the incidence of intra\u2010substance ACL injuries is far greater in adult skiers compared to adolescents and children. Risk factors for ATSF relate to compliance between the foot\/ankle and the ski boot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06782-7","type":"journal-article","created":{"date-parts":[[2021,11,20]],"date-time":"2021-11-20T11:02:37Z","timestamp":1637406157000},"page":"2291-2297","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Incidence of anterior tibial spine fracture among skiers does not differ with age"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1780-2304","authenticated-orcid":false,"given":"Benjamin","family":"Albertson","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Rehabilitation University of New Mexico Health Sciences Center MSC10 5600, 1 87131\u20100001 Albuquerque NM USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Beynnon","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedics and Rehabilitation University of Vermont Medical Center Burlington VT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Endres","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedics and Rehabilitation University of Vermont Medical Center Burlington VT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Johnson","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedics and Rehabilitation University of Vermont Medical Center Burlington VT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,20]]},"reference":[{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2008.01.006"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001080"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623\u2010199412000\u201000016"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514540862"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010006\u20100284\u20106"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520951192"},{"key":"e_1_2_9_8_2","first-page":"18","article-title":"Alpine skiing injuries. 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