Objective To determine and compare the incidence rate (IR) of anterior cruciate ligament reconstruction (ACL-R) among higher-level athletes across six sports in the Swedish National Knee Ligament Registry (SNKLR). Methods Patient data from the SNKLR, between 2005 and 2020, was linked to team and event data of six sports (football, handball, basketball, ice hockey, floorball and alpine sports) to identify higher-level athletes aged 15–40 with ACL-R. Unadjusted and adjusted IR ratios (IRRs) with 99% CIs were calculated between sports, sex, age and divisions. Results Female athletes had a 3.3 times higher ACL-R IR compared with males (1.08 vs 0.32, IRR=3.33, 99% CI: 2.65 to 4.19) per 1000 athlete exposures (AE). Basketball had the largest difference in ACL-R IR per 1000 AE between females and males (1.26 vs 0.22, IRR=5.69, 99% CI: 2.79 to 11.60). Female second-division athletes had higher ACL-R IR per 1000 AE compared with female highest-division athletes (1.27 vs 0.76, IRR=1.67, 99% CI: 1.30 to 2.15). No significant association between age and IR was observed. Compared with football, lower ACL-R IR was observed in floorball and ice hockey in females, as well as in floorball, basketball and ice hockey in males. Conclusion Female athletes had higher ACL-R IRs than males and second-division female athletes had higher ACL-R IRs than highest-division female athletes. Lower ACL-R IRs were observed in floorball and ice hockey compared with football for both sexes. The remaining sports had ACL-R IRs similar to football, except basketball where rates were lower for male athletes. No data are available.

中文翻译：

---

瑞典高级运动员前交叉韧带重建的全国发生率：瑞典国家膝关节韧带登记处与六个体育组织相关的队列研究


目的 确定并比较瑞典国家膝关节韧带登记处 （SNKLR） 中 6 项运动中高水平运动员前交叉韧带重建 （ACL-R） 的发生率 （IR）。方法 将 2005 年至 2020 年间来自 SNKLR 的患者数据与六项运动 （足球、手球、篮球、冰球、福乐球和高山运动） 的团队和赛事数据相关联，以确定 15-40 岁的更高水平运动员患有 ACL-R。计算运动、性别、年龄和分区之间具有 99% CI 的未调整和调整后的 IR 比率 （IRR）。结果 女性运动员的 ACL-R IR IR 是男性的 3.3 倍 （1.08 vs 0.32，IRR=3.33,99% CI： 2.65 至 4.19） 每 1000 名运动员暴露 （AE）。篮球在女性和男性之间每 1000 AE 的 ACL-R IR 差异最大 （1.26 vs 0.22，IRR=5.69,99% CI： 2.79 至 11.60）。与女性最高级别运动员相比，女性乙级运动员每 1000 AE 的 ACL-R IR 更高 （1.27 vs 0.76，IRR=1.67,99% CI：1.30 至 2.15）。未观察到年龄与 IR 之间的显著关联。与足球相比，女性福乐球和冰球以及男性福乐球、篮球和冰球的 ACL-R IR 较低。结论 女运动员的 AC-R IRs 高于男性，二级女运动员的 ACT-R IRs 高于最高级别的女运动员。与足球相比，福乐球和冰球的 ACL-R IR 在男女中均较低。其余运动的 ACL-R IR 与足球相似，但篮球除外，男性运动员的 IR 率较低。没有可用的数据。