Changing Ski Type Reduces ACL Risk | Orthopedics This Week
Sports Medicine

Changing Ski Type Reduces ACL Risk

Source: Pixabay and Oleksandr Pyrohov

Cut ski length, narrow ski tip width, lower rear standing height and lower standing height ratio (which is when the rear component of the ski binding is more elevated compared with the front component) will lower the risk of anterior cruciate ligament (ACL) injury, new data shows.

The study, “Impact of ski geometry data and standing height ratio on the ACL injury risk and its use for prevention in recreational skiers,” was published online on May 10, 2022, in the British Journal of Sports Medicine.

To see if ski geometry and standing height ratio affected ACL risk levels in recreational skiers, the researchers conducted a case-control study of both ACL-injured and uninjured skiers using a retrospective questionnaire to gather data.

Ski geometry data (ski length, side-cut radius, widths of the tip, waist and tail) were recorded from each participant’s skis. The researchers measured the standing heights at the front and rear components of the ski binding using a digital sliding caliper. They then calculated the standing height ratio between the front and rear.

There were 1,817 recreational skiers included in the study and 392 of them experienced an ACL injury. Older age, lower skill level and riskier behaviors were found to be independent individual risk factors. And an increase in ski length, tip width of the ski, standing height at the rear ski binding component, and in standing height ratio were found to be independent equipment-related risk factors for an ACL injury.

“When buying or renting skis, these parameters could be considered to reduce the likelihood of ACL injury in recreational skiers,” the researchers wrote.

The study authors included, Gerhard Ruedl and Markus Posch of the University of Innsbruck in Austria, Katja Tecklenburg and Alois Schran of Medalp, Imst, Austria, Klaus Greier of University College of Education in Stams, Austria, Martin Faulhaber, also of the University of Innsbruck, Irving Scher of the University of Washington in the U.S., and Martin Burtscher also of the University of Innsbruck.

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1 thought on “Changing Ski Type Reduces ACL Risk

  1. This study confirms one of several key functions of soon forthcoming ACL-friendly Howell SkiBindings (planned to be introduced Oct 2023) — patented low stand-height and zero-degree ramp-angle (1-to-1 stand-height ratio) — in addition to lateral-heel release, without pre-release.

    (Please note that there are a few typos and one key element of grammar that could cause dangerous ambiguity: the last use of the term ‘ratio’ is typo’ed as “ration”; the principle author of the research is misspelled — it should be ‘Ruedl’. Most importantly — when discussing binding stand-height ratio, it should be clear that the heel of boot sole should not be higher than the toe of the boot sole — to mitigate ACL injury. This point is clear in soon forthcoming Howell SkiBindings — as defined in U.S. Patent 9,463,370.

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