ArticleClinical biomechanics (Bristol, Avon)2018
The influence of internal and external tibial rotation offsets on knee joint and ligament biomechanics during simulated athletic tasks.
Article in Clinical biomechanics (Bristol, Avon), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Effects of a Multicomponent Periodized Program in Kinematic and Muscle Activity Characteristics Related to Anterior Cruciate Ligament Injury Mechanism in College Football Players-A Controlled Trial.Journal of functional morphology and kinesiology · 2025Article
- Differences in Kinematic and Muscle Activity Between ACL Injury Risk and Healthy Players in Female Football: Influence of Change of Direction Amplitude in a Cross-Sectional Case-Control Study.Medicina (Kaunas, Lithuania) · 2025Article
- High Prevalence of Persistent Measurable Postoperative Knee Joint Laxity in Patients with Tibial Plateau Fractures Treated by Open Reduction and Internal Fixation (ORIF).Journal of clinical medicine · 2023Article
- Gender differences affect the location of the patellar tendon attachment site for tibial rotational alignment in total knee arthroplasty.Journal of orthopaedic surgery and research · 2022Article
- [Accuracy of patellar tendon at the attachment as anatomic landmark for rotational alignment of tibial component].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Influence of relative injury risk profiles on anterior cruciate ligament and medial collateral ligament strain during simulated landing leading to a noncontact injury event.Clinical biomechanics (Bristol, Avon) · 2019Article
- Multiplanar Loading of the Knee and Its Influence on Anterior Cruciate Ligament and Medial Collateral Ligament Strain During Simulated Landings and Noncontact Tears.The American journal of sports medicine · 2019Article
- Alterations in knee sensorimotor brain functional connectivity contributes to ACL injury in male high-school football players: a prospective neuroimaging analysis.Brazilian journal of physical therapyArticle
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Authors and funding
5 authors.
Funding
Abstract
backgroundFollowing anterior cruciate ligament injury and subsequent reconstruction transverse plane tibiofemoral rotation becomes underconstrained and overconstrained, respectively. Conflicting reports exist on how rotations influence loading at the knee. This investigation aimed to determine the mechanical effects of internal and external tibial rotation offsets on knee kinematics and ligament strains during in vitro simulations of in vivo recorded kinematics.
methodA 6-degree-of-freedom robotic manipulator arm was used to articulate 11 cadaveric tibiofemoral joint specimens through simulations of four athletic tasks produced from in vivo recorded kinematics. These simulations were then repeated with 4° tibial rotation offsets applied to the baseline joint orientation.
findingsRotational offsets had a significant effect on peak posterior force for female motion simulations (P < 0.01), peak lateral force for most simulated tasks (P < 0.01), and peak anterior force, internal torque, and flexion torque for sidestep cutting tasks (P ≤ 0.01). Rotational offsets did not exhibit statistically significant effects on peak anterior cruciate ligament strain (P > 0.05) or medial collateral ligament strain (P > 0.05) for any task.
interpretationTransverse plane rotational offsets comparable to those observed in anterior cruciate ligament deficient and reconstructed patients alter knee kinetics without significantly altering anterior cruciate ligament strain. As knee degeneration is attributed to abnormal knee loading profiles, altered transverse plane kinematics may contribute to this. However, altered transverse plane rotations likely play a limited role in anterior cruciate ligament injury risk as physiologic offsets failed to significantly influence anterior cruciate ligament strain during athletic tasks.
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