Table 6

Summary of risk factors for injury in adolescent runners

Increases risk of injury
Strong evidenceLimited evidenceNot supportedConflicting evidence/unclear
Prior Injury
Sex
Girls>boys
Menstrual dysfunction
BMI
<19 kg/m2 for BSI in girls
Anatomical
  •  Quadriceps angle >200

  •  Leg-length inequality (>1.5 cm) in boys


Training/biomechanics
 Summer training (<8 weeks, >33% on hills, <25% alternating short and long mileage on different days)

 Low running step rate (<166 steps/min)
Sports specialisation
Height
Weight
Running Surface Type
Age/development
Muscle weakness
 Hip abductors
 Knee extensor
 Knee flexors
Footwear
Footstrike mechanics
  • BMI, body mass index; BSI, bone stress injury.