ACL injuries have really devastated women’s sports. Women are much more likely to suffer ACL injuries than are their male counterparts – particularly those women who play sports with lots of directional changes and/or collisions with other players (soccer, basketball, tennis, etc.). And now that many girls play their sports year-round, they have more opportunities to injure themselves and little time to rest. Most parents are swept up in the action and only want what’s best for their girls (opportunities to get scouted, college sports scholarships). ACL injuries are particularly devastating, even though they’re more and more common – they keep the injured out for entire seasons, and girls often reinjure themselves or then suffer injury to the other ACL. Sokolove offers some hope – rest, preventative training, and parental involvement – making sure that their girls get what’s best for them (finding coaches and teams who are willing to work *for* their girls).
I checked this out because I had ACL reconstructive surgery 5 years ago and I was hoping to read about advances in research or surgical technique or cartilage replacement. In that respect it was disappointing. The surgery remains pretty much the same – replacement tissue for the *new* ACL is taken from either the patient’s patellar ligament, or from the hamstring (or from a cadaver, if desired), then holes are drilled in the bones – sites for attaching the new ACL – and the tissue is secured with titanium screws. Cartilage regeneration/replacement remains an experimental procedure – not guaranteed to work (and generally not covered by most insurance). Sokolove spends a lot of time making the case that ACL injuries are more common in girls/women, and are most likely due to overuse, the different mechanics of women’s bodies, and improper movement. He relates a lot of really tragic tales of girls who loved their sports so much that they played through their pain and through their injuries and then ended up broken and sidelined – yearning for the freedom of movement they once knew and the thrill of playing *their* sport. Although, I felt some kinship with the other girls/women whose stories Sokolove included, I wasn’t looking for a sisterhood or to bond over our devastating injuries. I wanted solutions, help, remedies, and I found that these were lacking. While Sokolove describes some of the programs/exercises used by athletes as preventatives to ACL injuries, he does not include illustrations or diagrams of how the exercises might be done. Nor does he offer a program that one might follow. This, too, was disappointing. Still, as I read about Amy Steadman downplaying her pain in front of her father, I started to cry. I know exactly how this feels – to love your sport so much, to have it taken away from you because of your injuries, and to never know what it feels like to be invincible in body and spirit again. It’s not just the physical pain (because you learn to live with that, and if you’re like Amy or me, you’ve fought against it), it’s the loss of joyful, effortless movement and the knowledge that you’ll never be that good again.
I think this will still be useful for parents who don’t know about the increasing incidence of ACL injuries. Sokolove presents research and facts enough to convince anyone that this is a problem that’s on the rise, and something that girls, schools, sports clubs, coaches, and parents need to face and address.