| Summary: | Kate E Webster,1 Timothy E Hewett,2 Julian A Feller1,3 1School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC, Australia; 2Hewett Global Consulting, Rochester MN & Rocky Mountain Consortium for Sports Research, Edwards, CO, USA; 3OrthoSport Victoria, Epworth HealthCare, Melbourne, VIC, AustraliaCorrespondence: Kate E WebsterSchool of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, 3086, Australia, Email k.webster@latrobe.edu.auAbstract: Australian Rules football is the most popular of the various codes of football played in Australia. During the game players perform frequent landing, cutting and pivoting manoeuvres that expose them to substantial risk for anterior cruciate ligament (ACL) injury. Recent years have seen the introduction of a professional women’s league that has resulted in an exponential growth in the participation of women and girls in this sport. Unfortunately, there is a corresponding growth in ACL injury rates in female players. This review summarizes the incidence of ACL injury in both men’s and women’s Australian Rules football and reviews potential causative factors and risk reduction strategies. The final section takes an in depth look at return to sport outcomes after ACL reconstruction surgery in these populations. Whilst an ACL injury does not mean the end of a player’s career in Australian football, it certainly presents a significant challenge in terms of return to preinjury levels of form and high rates of secondary and tertiary ACL injury are also a significant concern.Keywords: Australian football, knee injury, ACL, injury prevalence, return to play
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