The effects of knee joint kinematics on anterior cruciate ligament injury and articular cartilage damage

Autor: A. Vaziri, Paul K. Canavan, Srinath S. Chakravarthy, Ruben Goebel, A. Orsi, Hamid Nayeb-Hashemi, Estefanía Peña
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Cartilage
Articular

Male
Knee Joint
02 engineering and technology
0302 clinical medicine
Femur
Anterior Cruciate Ligament
Range of Motion
Articular

030222 orthopedics
biology
Angular displacement
anterior cruciate ligament
General Medicine
Anatomy
musculoskeletal system
Magnetic Resonance Imaging
Biomechanical Phenomena
Computer Science Applications
failure locus
medicine.anatomical_structure
surgical procedures
operative

finite element
Adult
musculoskeletal diseases
Soft Tissue Injuries
Rotation
injury
Anterior cruciate ligament
0206 medical engineering
Biomedical Engineering
Bioengineering
Knee Injuries
03 medical and health sciences
medicine
Humans
Rupture
Tibia
Knee joint kinematics
business.industry
Anterior Cruciate Ligament Injuries
Reproducibility of Results
Models
Theoretical

Articular cartilage damage
medicine.disease
biology.organism_classification
020601 biomedical engineering
ACL injury
Human-Computer Interaction
Valgus
Coronal plane
business
human activities
Popis: This study determined which knee joint motions lead to anterior cruciate ligament (ACL) rupture with the knee at 25° of flexion. The knee was subjected to internal and external rotations, as well as varus and valgus motions. A failure locus representing the relationship between these motions and ACL rupture was established using finite element simulations. This study also considered possible concomitant injuries to the tibial articular cartilage prior to ACL injury. The posterolateral bundle of the ACL demonstrated higher rupture susceptibility than the anteromedial bundle. The average varus angular displacement required for ACL failure was 46.6% lower compared to the average valgus angular displacement. Femoral external rotation decreased the frontal plane angle required for ACL failure by 27.5% compared to internal rotation. Tibial articular cartilage damage initiated prior to ACL failure in all valgus simulations. The results from this investigation agreed well with other experimental and analytical investigations. This study provides a greater understanding of the various knee joint motion combinations leading to ACL injury and articular cartilage damage. Scopus
Databáze: OpenAIRE