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As football fans across the globe gear up for the Women’s World Cup, some of the biggest names in the game including England captain Leah Williamson will be absent because of a wave of ACL injuries which has rocked the sport in recent years. It is a common sight in the women’s game when clubs and countries are forced to announce that their biggest stars will be out for months on end. Williamson ruptured her ACL – or anterior cruciate ligament – in April, and will miss the World Cup as a result. Other stars to miss the tournament are England’s Beth Mead and the Netherlands striker Vivianne Miedema, who both suffered the injury in November. Canada's Janine Beckie and the USA’s Catarina Macario are in the same boat. The issue also blighted the Euros last summer, as Ballon d’Or winner Alexia Putellas missed the tournament after rupturing her ACL days before the opening game. Northern Ireland’s Simone Magill was also ruled out, along with France striker Marie-Antoinette Katoto, who had been one of the favourites to win the Euro 2022 Golden Boot. Sign up to our free Indy100 weekly newsletter But what is this injury, and why are so many women’s footballers getting it? A recurring problem The ACL is a small band of connective tissue in the centre of the knee. It can tear during routine activities like jumping. Any athlete that gets it faces surgery followed by six-to-12 months of rehab. Men also sustain ACL injuries – the likes of Virgil Van Dyke and Zlatan Ibrahimovic are high-profile examples in recent years – but it is more prominent in the women’s game. Speaking to Sky Sports last year, female health specialist Dr Emma Ross said: “We know female athletes are up to six times more likely to have a non-contact ACL injury than their male counterparts.” “In sport and exercise science research, only about 6 per cent of the studies are done exclusively on females – meaning they study things that are happening to the female body – so we don't have a lot of research on female athletes. “But what we do know about the menstrual cycle and injury is that the changing hormones across the cycle can impact the physiology and biomechanics of the body. “For example, when oestrogen is elevated in the menstrual cycle, and that happens in about the second week, it can affect the stability of joints. It can interfere with the collagen in our joints and it can create looser, more lax joints. A loose joint is therefore less stable and more inclined to injury. “So we do have some information about loose joints, but what we don't have is the end step of whether that really does increase the risk for injury in female athletes.” ‘Please no more’ Meanwhile, the workload for elite women’s footballers has grown because of the spiralling popularity of the game. Top players can play up to 44 matches a year, while three out of every four summers there is a major tournament, whether it is the Olympics, Euros or World Cup. The game has grown more professional in lockstep with the ever-busier schedules in recent years, with more Premier League clubs than ever pouring significant cash into their women’s teams. Arsenal, Chelsea, Liverpool, Manchester City, Manchester United and Tottenham Hotspur spent a combined £33m on running their women’s football teams in the year to July 2022. Nonetheless, it remains lightyears behind the men’s game in terms of funding. The teams paid £186m to agents for men’s team transfers in the same season, according to the Telegraph. There are other factors at play too – women’s feet are significantly different from men’s in shape and size, and experts are concerned that ill-fitting boots could be contributing to the wave of injuries. Sports rehabilitation expert Dr Katrine Okholm Kryger told Sky Sports that “we know that women have a two to five times higher risk of anterior cruciate ligament (ACL) injuries”, which affect the knee. Many of the major manufacturers are developing women's specific boots which should be available for the FIFA Women's World Cup in 2023, but Dr Okholm Kryger said the lack of available football boots is a general concern. She said she hopes to start a discussion and “kindly nudge manufacturers and research towards the need to pay more attention in this area”. Until they listen, the problem could continue depriving women’s football of its biggest stars. Have your say in our news democracy. Click the upvote icon at the top of the page to help raise this article through the indy100 rankings.

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US Women’s National Team (USWNT) striker Trinity Rodman is seeking to introduce herself on the international stage in Australia and New Zealand after making swift progress at domestic level playing for Washington Spirit, scoring 13 goals in 47 appearances since making her debut in 2021. She will also be seeking to emerge from the long shadow cast by her famous father, Dennis Rodman, one of basketball’s greatest and most eccentric stars who was pivotal to the success of the “Bad Boy”-era Detroit Pistons and to Michael Jordan’s dominant Chicago Bulls team of the 1990s. The star has largely been a remote figure in his daughter’s life as she was raised by her mother Michelle Moyer but Rodman has said she learned the importance of being reactive from watching clips of his performances on the court. “Even if he wasn’t the first guy under the basket or he was next to Shaq [O’Neal], who was way bigger, way taller, he was going to get the rebound,” she said of her father recently. “It was timing, it was anticipation, it was body movement, it was positioning, it was everything. And I think he was so intelligent and I think people take that away. He was a freak of nature. He was an insane athlete, but at the end of the day, he, I think, was one of the smartest players at the time. He knew the game.” Hailing from Newport Beach, California, Rodman, now 21, began playing football at 10 for SoCal Blues, winning four national championships in the Elite Clubs National League before graduating high school and enrolling at Washington State University with the intention of playing for its college soccer side the Cougars, only for her time there to be completely derailed by the onset of the Covid-19 pandemic. Subsequently turning professional and signing with Spirit in DC, she made her debut at 18 – scoring five minutes after coming on as a substitute – and has never looked back. Rodman was named Rookie of the Year and US Soccer Young Female Player of the Year in 2021 and was nominated for the Ballon d’Or Feminin in 2022 and has since progressed with ease into the ranks of the all-conquering USWNT alongside such greats of the women’s game as Alex Morgan, Megan Rapinoe and Rose Lavelle. She threatens to be the breakout star of this World Cup. Read More FIFA Women’s World Cup fixtures and full schedule Women’s football world rankings: Who could take No 1 at the World Cup? Women’s World Cup TV schedule: How to watch every match today

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One of the oldest sporting rivalries will be played on a new stage, after England overcame yet another new problem. A first comeback of this Women’s World Cup will ensure Sarina Wiegman’s side return to Stadium Australia to play the hosts in Wednesday’s semi-final, in what is set to be the grandest occasion of this thrilling tournament so far. England once more avoided succumbing to a surprise exit, as they began to show the sort of quality everyone has long expected in this tenacious 2-1 victory over Colombia. The invigorating South American side deserve huge credit for bringing that out of the European champions, as they became the first side to take the lead against them at this World Cup. And there was so briefly the possibility they could put them out. Something was different with this England, though, that could well be crucial against Australia. Alessia Russo almost summed it up by offering that huge moment: a fine finish to win it. As good as Nigeria were in that last-16 game, there was a sense of England playing the occasion and letting the tension of a first knockout game get to them. Had they gone behind in that match, it was more doubtful whether they could have hauled it back. Not so here. Hugely influential to that was that so many players looked back to their best. Georgia Stanway offered her own best display of the World Cup, growing into it in the way she did at Euro 2022. Lauren Hemp was winning everything and running the game, having brought England back from defeat with her equaliser. Russo then ensured yet another massive goal and a moment that may prove transformative for her own campaign. The finish was brilliant but the touch to set it up perhaps even better. The manner in which she flicked it was sublime. There was an element of ragged desperation about England at times, but that was inevitable when an opposition side are fighting for the moment of their lives. Colombia had nothing to lose in the last few minutes but had exactly the attackers – especially in the livewire Linda Caicedo – to play like that. They just took the wrong decision too often and England’s defence got their timing just right. That brought relief, and this World Cup has taken so much out of them, but there is suddenly a sense they are in good shape going into the biggest test so far. A lot of this match actually produced England’s best football of the tournament. They were assertive but elaborate, willing to play the ball around in fine patterns. There were a few moves when it looked like they could just pass their way right through Colombia. It all looked so highly controlled… until the moment it wasn’t. That was what made this quarter-final so engaging. Colombia had an edge that constantly disrupted England just as momentum was building, as well as a willingness to try things. The great question will be whether Leicy was actually trying to beat Earps with that first goal, but one argument in favour comes from the fact she wasn’t the first Colombian to attempt such an effort from out wide. Caicedo had done it minutes before. The idea had at least been planted. Either way, the ball ended up in the back of the net from Leicy’s wide effort. It was indicative of the unpredictability of this match. It was also unprecedented. England were behind for the first time in this World Cup and the first time in any tournament match since the quarter-final against Spain in Euro 2022. They responded superbly. There was a sharpness about everything England did, with Stanway bringing real danger at the edge of the Colombian box. That defence quickly buckled. From the kind of cross-field ball that constantly brought opportunity for England, Colombian goalkeeper Catalina Perez fumbled and a deflection allowed Hemp to force the ball home. The conviction could be seen in the celebration. England had an impetus. They could have done with a longer stoppage time. It was half-time at the wrong time. But Russo ensured it didn’t matter. She got her touch absolutely right for that 63rd-minute moment of opportunism and took her chance brilliantly. The ball was drilled into the corner with no doubt or hesitation whatsoever. You couldn’t quite say the same about the last 15 minutes. Colombia went at England with everything. Earps made good for any suggestion she was poor for the goal with one brilliant save from a rasping Lorena Bedoya long shot. She then bought England time in that canny way she does, dropping onto caught balls, disrupting the opposition. It was only a mirror of what Colombia had done to England earlier. Wiegman’s team battled through it. They again showed their fight, but something more. That is going to be essential on Wednesday, because that is going to be a rivalry, a battle, but also so much more. Read More England vs Colombia LIVE: Women’s World Cup latest score and updates after Lauren Hemp and Alessia Russo goals Women’s World Cup TV schedule: How to watch every match today Who and when do England play next? Lionesses route to the World Cup final How many games will Lauren James miss at Women’s World Cup after red card? Player ratings from England vs Colombia as Russo scores winning goal Who and when do England play next? Route to the World Cup final

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