Table 3

ACL-R incidence rate per 1000 athlete exposures with incidence rate ratio per divisions by sex (99% CI)

FootballHandballBasketballIce hockeyFloorballAlpine sportsTotal
ACL-R incidence rate and incidence rate ratio per division per 1000 athlete exposure in females
Unadjusted IRSecond highest division/freestyle skiing1.411.891.400.952.301.26
(99% CI)(1.11 to 1.80)(1.32 to 2.70)(1.01 to 1.93)(0.74 to 1.21)(0.80 to 6.58)(1.09 to 1.46)*
Highest division/alpine skiing (ref)1.211.170.960.080.790.880.79
(0.88 to 1.67)(0.79 to 1.74)(0.58 to 1.61)(0.03 to 0.25)(0.57 to 1.11)(0.62 to 1.25)(0.65 to 0.96)*
Unadjusted IRR1.161.611.451.192.621.59
(99% CI)(0.78 to 1.74)(0.94 to 2.75)(0.79 to 2.66)(0.79 to 1.81)(0.86 to 7.93)(1.25 to 2.03)*
P value0.3280.0220.1170.2750.025<0.001
Adjusted IRSecond highest division/freestyle skiing1.361.841.410.92.131.27
(99% CI)(1.03 to 1.79)(1.27 to 2.65)(1.00 to 1.99)(0.70 to 1.17)(0.72 to 6.30)(1.10 to 1.47)*
Highest division/alpine skiing (ref)1.281.170.950.080.871.040.76
(0.89 to 1.85)(0.79 to 1.74)(0.54 to 1.69)(0.03 to 0.26)(0.60 to 1.25)(0.64 to 1.69)(0.63 to 0.93)*
Adjusted IRR1.061.571.481.042.051.67
(99% CI)(0.64 to 1.76)(0.92 to 2.68)(0.73 to 3.02)(0.65 to 1.68)(0.58 to 7.27)(1.30 to 2.15)*
P value0.7720.0310.1570.8200.145<0.001
ACL-R incidence rate and incidence rate ratio per division per 1000 athlete exposure in males
Unadjusted IRSecond highest division/freestyle skiing0.640.700.140.060.321.100.32
(99% CI)(0.47 to 0.89)(0.40 to 1.22)(0.05 to 0.39)(0.03 to 0.15)(0.20 to 0.50)(0.36 to 3.39)(0.26 to 0.40)*
Highest division/alpine skiing (ref)0.530.460.330.110.270.300.31
(0.37 to 0.75)(0.26 to 0.80)(0.15 to 0.69)(0.05 to 0.21)(0.16 to 0.46)(0.14 to 0.67)(0.24 to 0.38)*
Unadjusted IRR1.221.530.420.591.173.651.04
(99% CI)(0.76 to 1.96)(0.70 to 3.35)(0.11 to 1.53)(0.20 to 1.73)(0.58 to 2.34)(0.92 to 14.48)(0.76 to 1.42)*
P value0.2910.1640.0830.2090.5660.0160.727
Adjusted IRSecond highest division/freestyle skiing0.620.710.140.060.321.070.35
(99% CI)(0.44 to 0.87)(0.41 to 1.23)(0.05 to 0.41)(0.03 to 0.15)(0.20 to 0.51)(0.40 to 2.85)(0.27 to 0.44)*
Highest division/alpine skiing (ref)0.550.460.280.110.260.290.30
(0.38 to 0.78)(0.26 to 0.80)(0.11 to 0.74)(0.05 to 0.24)(0.15 to 0.45)(0.14 to 0.59)(0.23 to 0.40)*
Adjusted IRR1.131.540.510.571.243.631.15
(99% CI)(0.68 to 1.88)(0.70 to 3.42)(0.12 to 2.20)(0.16 to 2.06)(0.59 to 2.61)(1.12 to 11.77)(0.79 to 1.67)*
P value0.5320.1600.2320.2610.4580.0050.350
  • Statistical method: Negative binomial regression using maximum likelihood estimation, with log link function.

  • Covariates in adjusted regression model: age.

  • *Not including alpine sports.

  • ACL-R, anterior cruciate ligament reconstruction; IR, incidence rate; IRR, incidence rate ratio.