Anterior cruciate ligament injuries are a common fear among footballers, especially in the Premier League where the numbers are on the rise. This season, there have already been 10 ACL injuries in England’s top flight, putting the league on track for a record number in 2024-25. This is a significant increase compared to the average of 6.3 ACL injuries per season between 2017-18 and 2022-23.
The most recent ACL injury in the Premier League was suffered by Manchester United defender Lisandro Martinez. The table of Premier League players who have suffered ACL injuries this season shows that centre-backs are the most affected position, with Wolves being the only club to have suffered more than one ACL injury.
To understand the rise in ACL injuries, The Athletic spoke to Nick Worth, a consultant sports physiotherapist with experience working in professional clubs. He explained that ACL injuries typically occur when there is weight-bearing on a slightly bent knee with a rotational element, such as a player’s studs getting stuck in the ground as they twist. This can lead to the ACL being stretched beyond its limits, causing functional instability in the knee.
Worth also discussed the factors that contribute to ACL injuries, including fatigue, playing on various pitch surfaces, and the level of competition in the Premier League. He noted that age can play a role in susceptibility to ACL injuries, with older players being more at risk due to decreased mobility and recovery time.
During the Covid and post-Covid seasons, ACL injuries decreased, possibly due to the rest periods and reduced intensity of games. Clubs can reduce the risk of ACL injuries by focusing on recovery strategies, prehabilitation exercises, and ensuring players have a strong support system in the muscles around the knee.
Ultimately, ACL injuries are a serious concern in football, and it is crucial for clubs to take preventive measures to protect their players from these potentially career-ending injuries. By understanding the causes and risk factors associated with ACL injuries, clubs can better prepare their athletes and ensure their long-term health and success on the pitch.
