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The Documentary Podcast

Built different: Why women athletes suffer ACL injuries more than males

The Documentary Podcast

BBC

Documentary, Society & Culture

4.32.7K Ratings

🗓️ 1 January 2025

⏱️ 23 minutes

🧾️ Download transcript

Summary

The fear of an Anterior cruciate ligament injury, or ACL, hangs over all athletes. It is a season-ending injury, agonising, and with a long painful recovery. But why is it happening to so many female footballers? Research shows that ACL injuries are up to six times more likely to happen to female athletes than male. Former England international footballer Lianne Sanderson, who suffered an ACL injury in 2016, explores the science behind this statistic and finds out about the solutions that are being put in place. From the UK charity initiative Power Up to Play, established by medical professionals to offer preventative support at grassroots level, to experts at Oslo Sports Trauma Research Center in Norway and the team at IDA Boots who are making female-specific soccer cleats, Lianne introduces a number of solutions and learns about the science of ACL injuries in female athletes.

Transcript

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0:00.0

This is a documentary from the BBC World Service.

0:08.1

I'm Leanne Sanderson, broadcaster and former England professional footballer.

0:13.2

I began playing football in South East London at the age of five years old

0:16.9

for an all-boys team because there was no other girls' teams in the local area.

0:21.5

I then got scouted for Arsenal at nine years old, made my debut for the Arsenal 30 when I was 14, and never look back.

0:28.2

In 2016, I suffered an ACO injury whilst playing for the Western New York Flash.

0:33.8

ACL stands for anterior cruciate ligament.

0:37.6

Football-focused studies suggest women are six times more likely to suffer ACL injuries

0:41.9

compared to men and are 25% less likely to make a full return to high-level football.

0:48.1

But let's start at the top.

0:49.5

What exactly is an ACL injury?

0:52.7

So this is my knee.

0:54.3

This is the kneecap in front of the knee.

0:56.6

This is my shin bone, the tibia, my thigh bone, the femur underneath here.

1:01.9

My muscles are around there and the ACL is in the middle.

1:06.2

This is Fisio-Harvard Monkki at the Oslo Sports Trauma Research Center in Norway.

1:11.9

And it's supposed to stop the rotation of the tibia in this direction.

1:16.8

So if it goes too far, it ruptures and the thigh bone will slide off the shin bone and come back in.

1:23.9

That's when the ACL ruptures.

1:25.8

And here you can see the scar and this is where they take the tendon out to replace the ACL.

1:30.3

And this is an experience I only know too well.

1:34.3

And I'm not the only footballer.

...

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