Increased Rotatory Laxity after Anterolateral Ligament Lesion in Anterior Cruciate Ligament- (ACL-) Deficient Knees: A Cadaveric Study with Noninvasive Inertial Sensors
| Autor: | Massimiliano Mosca, Federico Raggi, Tommaso Bonanzinga, Stefano Zaffagnini, Tommaso Roberti di Sarsina, Cecilia Signorelli, Alberto Grassi, Stefano Di Paolo |
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| Přispěvatelé: | Grassi A., Roberti Di Sarsina T., Di Paolo S., Signorelli C., Bonanzinga T., Raggi F., Mosca M., Zaffagnini S. |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Anterolateral ligament
Joint Instability Male Article Subject Knee Joint Rotation Anterior cruciate ligament General Biochemistry Genetics and Molecular Biology Lesion 03 medical and health sciences 0302 clinical medicine Accelerometry medicine Cadaver Humans Range of Motion Articular Aged Orthodontics Acl deficient Aged 80 and over 030222 orthopedics General Immunology and Microbiology business.industry Anterior Cruciate Ligament Injurie Anterior Cruciate Ligament Injuries Triaxial accelerometer 030229 sport sciences General Medicine musculoskeletal system medicine.anatomical_structure surgical procedures operative Medicine medicine.symptom business Cadaveric spasm human activities Human Research Article |
| Zdroj: | BioMed Research International BioMed Research International, Vol 2021 (2021) |
| ISSN: | 2314-6141 2314-6133 |
| Popis: | The anterolateral ligament (ALL) has been suggested as an important secondary knee restrain on the dynamic laxity in anterior cruciate ligament- (ACL-) deficient knees. Nevertheless, its kinematical contribution to the pivot-shift (PS) phenomenon has not been clearly and objectively defined, and noninvasive sensor technology could give a crucial contribution in this direction. The aim of the present study was to quantify in vitro the PS phenomenon in order to investigate the differences between an ACL-deficient knee and an ACL+ALL-deficient knee. Ten fresh-frozen paired human cadaveric knees ( n = 20 ) were included in this controlled laboratory study. Intact, ACL-deficient, and ACL+ALL-deficient knees were subjected to a manual PS test quantified by a noninvasive triaxial accelerometer (KiRA, OrthoKey). Kinematic data (i.e., posterior acceleration of the tibial lateral compartment) were recorded and compared among the three statuses. Pairwise Student’s t -test was used to compare the single groups ( p < 0.05 ). Intact knees, ACL-deficient knees, and ACL+ALL-deficient knees showed an acceleration of 5.3 ± 2.1 m/s2, 6.3 ± 2.3 m/s2, and 7.8 ± 2.1 m/s2, respectively. Combined sectioning of ACL and ALL resulted in a statistically significant acceleration increase compared to both the intact state ( p < 0.01 ) and the ACL-deficient state ( p < 0.01 ). The acceleration increase determined by isolated ACL resection compared to the intact state was not statistically significant ( p > 0.05 ). The ALL sectioning increased the rotatory laxity during the PS after ACL sectioning as measured through a user-friendly, noninvasive triaxial accelerometer. |
| Databáze: | OpenAIRE |
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