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Anterior Cruciate Ligament InjuriesIntrinsic Risk Factors–Structural differences–Quadriceps Femoris angle–Femoral Notch–Joint Laxity and Flexibility–Hormonal InfluenceExtrinsic Risk Factors–Muscular Strength and muscular activation patterns–Knee Stiffness–Jumping and Landing Characteristics
Structural DifferencesPelvic WidthTibiofemoral angleMagnitude of the Q angleWidth of the femoral notch
Quadriceps Femoris Angle(Q Angle)Average male and female = 8-17 degreesWomen avg. at high end; contributes to wide pelvic base and shorter femoral length resulting in more lateral proximal reference pointQ angles greater than 20 degrees for women are abnormalInc. lateral pull on quadriceps femoris muscle on the patella and put medial stress on the kneeLower extremity alignment cannot be altered, but the dynamic position of the tibia can be improved with internal rotation exercise of the tibia(medial hamstring)
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