Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction
The effectiveness of anterior cruciate ligament reconstruction for restoring normal knee kinematics is largely unknown, particularly during sports movements generating large, rapidly applied forces. Under dynamic in vivo loading, significant differences in 3-dimensional kinematics exist between ante...
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| Published in | The American journal of sports medicine Vol. 32; no. 4; p. 975 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
01.06.2004
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| Subjects | |
| Online Access | Get more information |
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| Abstract | The effectiveness of anterior cruciate ligament reconstruction for restoring normal knee kinematics is largely unknown, particularly during sports movements generating large, rapidly applied forces.
Under dynamic in vivo loading, significant differences in 3-dimensional kinematics exist between anterior cruciate ligament-reconstructed knees and the contralateral, uninjured knees.
Prospective, in vivo laboratory study.
Kinematics of anterior cruciate ligament-reconstructed and contralateral (uninjured) knees were evaluated for 6 subjects during downhill running 4 to 12 months after anterior cruciate ligament reconstruction, using a 250 frame/s stereoradiographic system. Anatomical reference axes were determined from computed tomography scans. Kinematic differences between the uninjured and reconstructed limbs were evaluated with a repeated-measures analysis of variance.
Anterior tibial translation was similar for the reconstructed and uninjured limbs. However, reconstructed knees were more externally rotated on average by 3.8 +/- 2.3 degrees across all subjects and time points (P =.0011). Reconstructed knees were also more adducted, by an average of 2.8 +/- 1.6 degrees (P =.0091). Although differences were small, they were consistent in all subjects.
Anterior cruciate ligament reconstruction failed to restore normal rotational knee kinematics during dynamic loading.
Although further study is required, these abnormal motions may contribute to long-term joint degeneration associated with anterior cruciate ligament injury/reconstruction. |
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| AbstractList | The effectiveness of anterior cruciate ligament reconstruction for restoring normal knee kinematics is largely unknown, particularly during sports movements generating large, rapidly applied forces.
Under dynamic in vivo loading, significant differences in 3-dimensional kinematics exist between anterior cruciate ligament-reconstructed knees and the contralateral, uninjured knees.
Prospective, in vivo laboratory study.
Kinematics of anterior cruciate ligament-reconstructed and contralateral (uninjured) knees were evaluated for 6 subjects during downhill running 4 to 12 months after anterior cruciate ligament reconstruction, using a 250 frame/s stereoradiographic system. Anatomical reference axes were determined from computed tomography scans. Kinematic differences between the uninjured and reconstructed limbs were evaluated with a repeated-measures analysis of variance.
Anterior tibial translation was similar for the reconstructed and uninjured limbs. However, reconstructed knees were more externally rotated on average by 3.8 +/- 2.3 degrees across all subjects and time points (P =.0011). Reconstructed knees were also more adducted, by an average of 2.8 +/- 1.6 degrees (P =.0091). Although differences were small, they were consistent in all subjects.
Anterior cruciate ligament reconstruction failed to restore normal rotational knee kinematics during dynamic loading.
Although further study is required, these abnormal motions may contribute to long-term joint degeneration associated with anterior cruciate ligament injury/reconstruction. |
| Author | Tashman, Scott Collon, David Anderson, Kyle Anderst, William Kolowich, Patricia |
| Author_xml | – sequence: 1 givenname: Scott surname: Tashman fullname: Tashman, Scott email: tashman@bjc.hfh.edu organization: Bone and Joint Center, ER2015, Henry Ford Health System, Detroit, MI 48202, USA. tashman@bjc.hfh.edu – sequence: 2 givenname: David surname: Collon fullname: Collon, David – sequence: 3 givenname: Kyle surname: Anderson fullname: Anderson, Kyle – sequence: 4 givenname: Patricia surname: Kolowich fullname: Kolowich, Patricia – sequence: 5 givenname: William surname: Anderst fullname: Anderst, William |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/15150046$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Adolescent Adult Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Biomechanical Phenomena Female Humans Knee Injuries - physiopathology Knee Injuries - surgery Knee Joint - physiopathology Male Middle Aged Movement Postoperative Period Prospective Studies Reconstructive Surgical Procedures Rotation Running - physiology |
| Title | Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction |
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