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Psychological factors demonstrate the largest incremental predictive value in a multi-domain machine learning model for secondary injury risk after ACL reconstruction.

Front Psychol · 2026 · PMC13218976 · PMID 42220375

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Hamstring LSI (OR = 0.71, 95% CI: 0.46–1.00, p = 0.053) and H/Q ratio (OR = 0.72, 95% CI: 0.46–1.04, p = 0.081) showed trends toward a protective effect that did not reach statistical significance.

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