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Female athletes, especially those who participate in pivoting sports, are known to have a higher risk for ACL tears, along with contralateral ACL tears and subsequent revision ACL reconstructions.
This higher risk of ACL tears has been associated with different biomechanical and hormonal factors compared to their male counterparts. Thus, these biomechanical and hormonal differences have been demonstrated to lead to a greater rotatory knee laxity, while also increasing the overall ligamentous laxity.