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Table 7 Results detailing sex differences in transverse plane femoral alignment in both injury and biomechanical studies

From: Examining the effects of femoral anteversion and passive hip rotation on ACL injury and knee biomechanics: a systematic review and meta-analysis

Injury Outcome

Study (year)

Clinical Measure

Injured/High Risk Mean (SD)

Uninjured/Low Risk Mean (SD)

P value

Cohen’s d

Females

Daneshmandi (2012) [12]

Femoral anteversion

Internal rotation ROM

External rotation ROM

17.4(5.5)

40.9(5.8)

36.4(3.8)

16.0(6.7)

39.2(6.0)

37.2(3.9)

.46

.38

.51

0.2

0.3

0.2

 

Kramer (2007) [28]

Femoral anteversion

10.2(3.0)

11.1(2.7)

.06

0.3

 

VandenBerg (2017) [49]

Internal rotation ROM

External rotation ROM

24.1(8.2)

57.6(8.4)

30.4(10.4)

42.2(10.7)

.003

 < .001

0.7

1.6

Males

Bedi (2016) [3]

Internal rotation ROM

23.4(7.6)

24.5(6.5)

.36

0.2

 

Budinski (2016) [11]

Internal rotation ROM

External rotation ROM

30.9(11.6)

39.8(11.5)

30.9(10.8)

40.2(11.1)

 > .99

.85

0.0

0.0

 

Gomes (2008) [16]

Internal rotation ROM

External rotation ROM

26.4(7.7)

42.1(9.3)

39.0(7.1)

43.3(8.3)

.001

.48

1.7

0.1

 

Lopes (2016) [31]

Internal rotation ROM

External rotation ROM

28.6(5.7)

37.5(4.3)

35.6(5.7)

43.7(6.6)

.001

.001

1.2

1.1

 

Lopes (2017) [32]

Internal rotation ROM

External rotation ROM

33.4(6.4)

41.1(5.8)

32.9(6.0)

40.2(6.4)

.67

.50

0.1

0.1

 

VandenBerg (2017) [49]

Internal rotation ROM

External rotation ROM

23.4(7.6)

36.9(8.4)

25.1(7.9)

40.2(10.7)

.09

.41

0.2

0.3

Biomechanical Outcome

Females

Bittencourt (2012) [6] jump landing

Internal rotation ROM

51.1(7.6)

44.7(11.2)

.08

0.7

 

Bittencourt (2012) [6] single-leg squat

Internal rotation ROM

40.9(11.6)

42.9(12.1)

.56

0.2

 

Hogg (2019) [20]

Femoral anteversion

Internal rotation ROM

External rotation ROM

10.3(5.8)

31.3(8.4)

44.6(9.8)

NA

.07-.92

.05-.68

.09-.85

0.0–0.9

0.2–1.0

0.1–0.9

 

Hogg (2021) [19]

Femoral anteversion

Internal rotation ROM

External rotation ROM

9.4(4.5)

30.4(10.3)

47.8(7.6)

NA

.33-.90

.03-.69

.02-.42

0.0–0.3

0.1–0.7

0.3–0.8

 

Kaneko (2013) [26]

Femoral anteversion

20.7(3.3)

16.1(1.7)

.01–1.0

0.0–1.7

 

Rabin & Kozol (2010) [44]

Internal rotation ROM

External rotation ROM

41.1(7.9)

62.2(7.4)

48.4(7.4)

63.0(4.2)

.03

.77

1.0

0.1

Males

Bittencourt (2012) [6] jump landing

Internal rotation ROM

44.8(12.7)

44.5(18.4)

.95

0.0

 

Bittencourt (2012) [6]

single-leg squat

Internal rotation ROM

41.9(13.8)

48.3(16.5)

.04

0.4

 

Hogg (2021) [19]

Femoral anteversion

Internal rotation ROM

External rotation ROM

3.0(3.5)

19.8(8.5)

49.6(6.4)

NA

.03-.94

.02-.95

.01-.62

0.0–0.7

0.0–0.8

0.2–0.9