Evidence map›Paper›PMID 30977558›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2019

Knee Abduction and Internal Rotation Moments Increase ACL Force During Landing Through the Posterior Slope of the Tibia.

Alessandro Navacchia, Nathaniel A Bates, Nathan D Schilaty, Aaron J Krych, Timothy E Hewett

Open access · bronzeAbstract readValidation Study
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Boosting the clinical use of ground reaction forces in anterior cruciate ligament injury prevention: The 'CUTtheACL' study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
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  12. Posterior tibial slope and meniscal slope correlate with in vivo tibial internal rotation during running and drop jump.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Effects of and Response to Mechanical Loading on the Knee.Sports medicine (Auckland, N.Z.) · 2022
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Alessandro NavacchiaDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-0375-8779
Nathaniel A BatesDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
Nathan D SchilatyDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
Aaron J KrychDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
Timothy E HewettDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
Mayo Clinic · US

Funding

Mayo Clinic Interdisciplinary Women's Health Research ProgramK12HD065987 · NICHD · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2010 to 2023
$6.7M
Neuromuscular Intervention Targeted to Mechanisms of ACL Load in Female AthletesR01AR055563 · NIAMS · OHIO STATE UNIVERSITY · PI BATES, NATHANIEL ANDREW, KRYCH, AARON · 2008 to 2022
$5.9M
Multi-faceted Approach to Modeling ACL Injury MechanismsR01AR056259 · NIAMS · OHIO STATE UNIVERSITY · PI HEWETT, TIMOTHY E · 2009 to 2017
$4.9M
IDENTIFYING FEMALE ATHLETES AT HIGH RISK FOR ACL INJURYR01AR049735 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI HEWETT, TIMOTHY E · 2004 to 2008
$2.6M
NIAMS NIH HHS L30 AR070273NIAMS NIH HHS R01 AR049735NIAMS NIH HHS R01 AR055563NIAMS NIH HHS R01 AR056259NICHD NIH HHS K12 HD065987NIH HHS K12HD065987NIH HHS L30AR070273NIH HHS R01AR049735NIH HHS R01AR055563NIH HHS R01AR056259
6 · The paper itself

Abstract

The mechanism underlying non-contact anterior cruciate ligament (ACL) injury is multi-factorial and still an object of debate. Computational models, in combination with in vivo and cadaveric studies, can provide valuable insight into the contribution of the different factors involved. The goal of this study was to validate four knee finite element models (two males and two females) to kinematic and strain data collected in vitro with an impact-driven simulator and use them to assess how secondary external knee loads (knee abduction moment [KAM], anterior shear force, and internal rotation torque [ITR]) affect tibiofemoral contact forces and ACL force during impact. Four subject-specific knee models were developed from specimen computed tomography and magnetic resonance imaging. Patellofemoral and tibiofemoral ligament properties were calibrated to match experimentally measured kinematics and ligament strain. Average root mean square errors and correlations between experimental and model-predicted knee kinematics were below 1.5 mm and 2°, and above 0.75, respectively. Similar errors and correlations were obtained for ACL strain (< 2% and > 0.9). Model-predicted ACL forces were highly correlated with the anterior component of the tibiofemoral contact force on the lateral plateau occurring during impact (r = 0.99), which was increased by larger KAM and ITR through the posterior tibial slope and a larger contact force on the lateral side. This study provides a better understanding of the mechanism through which secondary external knee loads increase ACL injury risk during landing. © 2019 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 37:1730-1742, 2019.

Indexed as

AdultAnterior Cruciate LigamentAnterior Cruciate Ligament InjuriesBiomechanical PhenomenaFemaleFinite Element AnalysisHumansKnee JointMaleMiddle AgedTibiaWeight-BearingACLfinite elementkneelanding

Identifiers

PMID30977558
PMCPMC6790148
OpenAlexW2935727953

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.