TY - JOUR AU - Negrín, Roberto; Rubio, José; Sepúlveda, Vicente; Cordero, José; Sandoval, Rodrigo TI - Anterior Cruciate Ligament Injuries in Skiers: Current Concepts SN - 0716-4548 SN - 0719-918X PY - 2021 JF - Revista Chilena de Ortopedia y Traumatología LA - EN VL - 62 IS - 01 SP - 066 EP - 073 DA - 2021/06/02 KW - skiing KW - knee injuries KW - anterior cruciate ligament KW - treatment KW - prevention KW - knee bracing AB - Skiing is an individual sport with an injury rate of 1.84 per 1,000 skier days among the general population. Anterior cruciate ligament (ACL) tears are among the most common injuries in skiers, with a rate of 5 per 100 skiers per season at a competitive level, because of the great demand placed on the knees. Their treatment is a challenge for orthopedic surgeons. A review of the literature was carried out regarding injury mechanisms, treatment, prevention, rehabilitation, and the use of bracing in the return to sports. The classic injury mechanisms in amateur and competitive skiers are described. Most ACL injuries require surgical resolution, with reconstruction using autologous bone-patellar tendon-bone graft, except in older patients or those with open physis, who must receive an autologous semitendinosus-gracilis graft. Prevention and rehabilitation are based on improving strength and neuromuscular control of the dynamic knee stabilizers, implementing specific programs, evaluating the sport movements, and performing neuromuscular control tests. Suitable functional bracings are recommended in patients undergoing ACL reconstruction. ACL injuries in competitive-level skiers are common, and their management is specific and multidisciplinary. The choice of graft and rehabilitation type is critical to resume skiing. Level of evidence: V. PB - Thieme Revinter Publicações Ltda. DO - 10.1055/s-0041-1728735 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0041-1728735 ER -