{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:06:45Z","timestamp":1787728005868,"version":"build-2784847793"},"reference-count":38,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy: The Journal of Arthroscopic & Related Surgery"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1016\/j.arthro.2025.07.027","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T23:49:22Z","timestamp":1753832962000},"page":"5453-5469.e1","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Multiple Intrinsic and Extrinsic Factors Increase the Risk of Anterior Cruciate Ligament Injury in Skiers: A Systematic Review"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3372-7268","authenticated-orcid":false,"given":"Alexander M.","family":"Bhatt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew F.","family":"Lucido","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9439-9777","authenticated-orcid":false,"given":"Caroline D.","family":"Patton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2562-8534","authenticated-orcid":false,"given":"Elizabeth","family":"Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul M.","family":"Inclan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew D.","family":"Pearle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"10.1016\/j.arthro.2025.07.027_bib1","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1249\/JSR.0000000000000651","article-title":"Common Skiing and Snowboarding Injuries","volume":"18","author":"Weinstein","year":"2019","journal-title":"Curr Sports Med Rep"},{"key":"10.1016\/j.arthro.2025.07.027_bib2","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1177\/1941738119825842","article-title":"Alpine ski racing injuries","volume":"11","author":"Tarka","year":"2019","journal-title":"Sports Health"},{"key":"10.1016\/j.arthro.2025.07.027_bib3","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.5435\/JAAOS-D-16-00832","article-title":"Comprehensive review of skiing and snowboarding injuries","volume":"26","author":"Owens","year":"2018","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.arthro.2025.07.027_bib4","first-page":"355","article-title":"Effects of modern ski equipment on the overall injury rate and the pattern of injury location in alpine skiing","volume":"18","author":"Burtscher","year":"2008","journal-title":"Clin J Sport Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib5","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1177\/0363546511433279","article-title":"Snowboarding injuries: Trends over time and comparisons with alpine skiing injuries","volume":"40","author":"Kim","year":"2012","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib6","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1136\/bjsports-2012-091050","article-title":"The relationship between ACL injuries and physical fitness in young competitive ski racers: A 10-year longitudinal study","volume":"46","author":"Raschner","year":"2012","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib7","first-page":"64","article-title":"Gender differences in knee injury epidemiology among competitive alpine ski racers","volume":"18","author":"Stevenson","year":"1998","journal-title":"Iowa Orthop J"},{"key":"10.1016\/j.arthro.2025.07.027_bib8","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1111\/sms.13391","article-title":"Is ski boot sole abrasion a potential ACL injury risk factor for male and female recreational skiers?","volume":"29","author":"Posch","year":"2019","journal-title":"Scand J Med Sci Sports"},{"key":"10.1016\/j.arthro.2025.07.027_bib9","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph191711124","article-title":"A comparison of ACL injury risk, ski geometry and standing height parameters between skiers with rented and with owned skis","volume":"19","author":"Ruedl","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.arthro.2025.07.027_bib10","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1136\/bjsm.2009.066779","article-title":"Factors associated with self-reported risk-taking behaviour on ski slopes","volume":"44","author":"Ruedl","year":"2010","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib11","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1055\/a-2134-3908","article-title":"Impact of environmental factors on the ACL injury risk in recreational alpine skiing","volume":"44","author":"Posch","year":"2023","journal-title":"Int J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib12","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph16173107","article-title":"Are risk-taking and ski helmet use associated with an ACL injury in recreational alpine skiing?","volume":"16","author":"Ruedl","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.arthro.2025.07.027_bib13","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.arthro.2025.07.027_bib14","article-title":"Acute on-snow severe injury events in elite alpine ski racing from 1997 to 2019: The Injury Surveillance System of the Austrian Ski Federation","author":"Barth","year":"2020","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib15","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1177\/0363546516632332","article-title":"Risk of noncontact anterior cruciate ligament injuries is not associated with slope and concavity of the tibial plateau in recreational alpine skiers: A magnetic resonance imaging-based case-control study of 121 patients","volume":"44","author":"Blanke","year":"2016","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib16","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1007\/BF01845592","article-title":"Mechanisms of anterior cruciate ligament ruptures in skiing","volume":"2","author":"Jarvinen","year":"1994","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arthro.2025.07.027_bib17","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/j.otsr.2013.02.005","article-title":"Anterior cruciate ligament tear during the menstrual cycle in female recreational skiers","volume":"99","author":"Lefevre","year":"2013","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.arthro.2025.07.027_bib18","doi-asserted-by":"crossref","first-page":"1790","DOI":"10.1007\/s00167-020-06221-z","article-title":"In recreational alpine skiing, the ACL is predominantly injured in all knee injuries needing hospitalisation","volume":"29","author":"Posch","year":"2021","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arthro.2025.07.027_bib19","doi-asserted-by":"crossref","first-page":"2141","DOI":"10.1007\/s00167-021-06852-w","article-title":"Ski-geometric parameters do not differ between ACL injury mechanisms in recreational alpine skiing","volume":"30","author":"Posch","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arthro.2025.07.027_bib20","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1177\/0363546507301083","article-title":"The incidence of anterior cruciate ligament injuries among competitive Alpine skiers: A 25-year investigation","volume":"35","author":"Pujol","year":"2007","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib21","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1007\/s00167-009-0860-7","article-title":"Distribution of injury mechanisms and related factors in ACL-injured female carving skiers","volume":"17","author":"Ruedl","year":"2009","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arthro.2025.07.027_bib22","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1007\/s00167-009-0786-0","article-title":"Are oral contraceptive use and menstrual cycle phase related to anterior cruciate ligament injury risk in female recreational skiers?","volume":"17","author":"Ruedl","year":"2009","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arthro.2025.07.027_bib23","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1055\/s-0031-1275355","article-title":"Interaction of potential intrinsic and extrinsic risk factors in ACL injured recreational female skiers","volume":"32","author":"Ruedl","year":"2011","journal-title":"Int J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib24","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1055\/s-0031-1279719","article-title":"ACL injury mechanisms and related factors in male and female carving skiers: a retrospective study","volume":"32","author":"Ruedl","year":"2011","journal-title":"Int J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib25","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1177\/0363546512439027","article-title":"Leg dominance is a risk factor for noncontact anterior cruciate ligament injuries in female recreational skiers","volume":"40","author":"Ruedl","year":"2012","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib26","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1136\/bjsports-2015-095482","article-title":"Factors associated with self-reported failure of binding release among ACL injured male and female recreational skiers: A catalyst to change ISO binding standards?","volume":"50","author":"Ruedl","year":"2016","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib27","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1136\/bjsports-2021-105221","article-title":"Impact of ski geometry data and standing height ratio on the ACL injury risk and its use for prevention in recreational skiers","volume":"56","author":"Ruedl","year":"2022","journal-title":"Br J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib28","article-title":"Skill-specific differences in equipment-related risk factors for ACL injury in male and female recreational skiers","volume":"11","author":"Ruedl","year":"2023","journal-title":"Orthop J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib29","doi-asserted-by":"crossref","first-page":"315","DOI":"10.5604\/12321966.1203897","article-title":"Influence of biological factors on injuries occurrence in the Polish population","volume":"23","author":"St\u0119pie\u0144-S\u0142odkowska","year":"2016","journal-title":"Ann Agric Environ Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib30","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1123\/jsr.2015-0151","article-title":"Is the combination of COL1A1 gene polymorphisms a marker of injury risk?","volume":"26","author":"Stepien-Slodkowska","year":"2017","journal-title":"J Sport Rehabil"},{"key":"10.1016\/j.arthro.2025.07.027_bib31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s776-002-8405-7","article-title":"Anterior cruciate ligament injury in recreational alpine skiers: Analysis of mechanisms and strategy for prevention","volume":"7","author":"Urabe","year":"2002","journal-title":"J Orthop Sci"},{"key":"10.1016\/j.arthro.2025.07.027_bib32","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1177\/03635465990270061701","article-title":"Anterior cruciate ligament injury incidence among male and female professional alpine skiers","volume":"27","author":"Viola","year":"1999","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib33","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1007\/s00167-014-2974-9","article-title":"The correlation between anterior cruciate ligament injury in elite alpine skiers and their parents","volume":"24","author":"Westin","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.arthro.2025.07.027_bib34","article-title":"Risk factors for anterior cruciate ligament injury in competitive adolescent alpine skiers","volume":"6","author":"Westin","year":"2018","journal-title":"Orthop J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib35","doi-asserted-by":"crossref","first-page":"11","DOI":"10.3389\/fspor.2020.00011","article-title":"Prevention of anterior cruciate ligament injuries in competitive adolescent alpine skiers","volume":"2","author":"Westin","year":"2020","journal-title":"Front Sports Act Living"},{"key":"10.1016\/j.arthro.2025.07.027_bib36","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1177\/0363546507301083","article-title":"The incidence of anterior cruciate ligament injuries among competitive alpine skiers\u2014a 25-year investigation","volume":"35","author":"Pujol","year":"2007","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.arthro.2025.07.027_bib37","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph20105815","article-title":"Winter sports injuries in elite female athletes: A narrative review","volume":"20","author":"Rotllan","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.arthro.2025.07.027_bib38","doi-asserted-by":"crossref","first-page":"1320","DOI":"10.1016\/j.arthro.2007.07.003","article-title":"A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen","volume":"23","author":"Prodromos","year":"2007","journal-title":"Arthroscopy"}],"container-title":["Arthroscopy: The Journal of Arthroscopic & Related Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325005171?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806325005171?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T10:23:02Z","timestamp":1773310982000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0749806325005171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":38,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["S0749806325005171"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2025.07.027","relation":{},"ISSN":["0749-8063"],"issn-type":[{"value":"0749-8063","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Multiple Intrinsic and Extrinsic Factors Increase the Risk of Anterior Cruciate Ligament Injury in Skiers: A Systematic Review","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2025.07.027","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}