ArticleThe American journal of sports medicine2019
Frontal Plane Loading Characteristics of Medial Collateral Ligament Strain Concurrent With Anterior Cruciate Ligament Failure.
Article in The American journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Do knee abduction kinematics and kinetics predict future anterior cruciate ligament injury risk? A systematic review and meta-analysis of prospective studies.BMC musculoskeletal disorders · 2020Pooled it
- The effect of Stop X exercises on balance, strength and range of motion of male adolescent football players with dynamic knee valgus.Scientific reports · 2025Trial
- Biomechanical preservation of lumbar spine stability and motion with an intraosseous implant following vertebral body osteotomy.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- The deterministic condition for the ground reaction force acting point on the combined knee valgus and tibial internal rotation moments in early phase of cutting maneuvers in female athletes.Journal of sport and health science · 2024Article
- Optical Measurement of Ligament Strain: Opportunities and Limitations for Intraoperative Application.Sensors (Basel, Switzerland) · 2023Review
- Comparison of postural sway in individuals with and without dynamic knee valgus.BMC sports science, medicine & rehabilitation · 2023Article
- Finite Element Analysis and Experimental Validation of the Anterior Cruciate Ligament and Implications for the Injury Mechanism.Bioengineering (Basel, Switzerland) · 2022Article
- Good Surgical Outcomes After Concomitant Repair of Double Radial Tears of the Lateral Meniscus and Anterior Cruciate Ligament Reconstruction.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Incidence of Associated Lesions of Multiligament Knee Injuries: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2021Review
- Mechanics of cadaveric anterior cruciate ligament reconstructions during simulated jump landing tasks: Lessons learned from a pilot investigation.Clinical biomechanics (Bristol, Avon) · 2021Article
- Anterior Cruciate Ligament Loading Increases With Pivot-Shift Mechanism During Asymmetrical Drop Vertical Jump in Female Athletes.Orthopaedic journal of sports medicine · 2021Article
- Filtration Selection and Data Consilience: Distinguishing Signal from Artefact with Mechanical Impact Simulator Data.Annals of biomedical engineering · 2021Article
- Linear Discriminant Analysis Successfully Predicts Knee Injury Outcome From Biomechanical Variables.The American journal of sports medicine · 2020Article
- Timing of Strain Response of the ACL and MCL Relative to Impulse Delivery During Simulated Landings Leading up to ACL Failure.Journal of applied biomechanics · 2020Article
- Bone Bruise Distribution Patterns After Acute Anterior Cruciate Ligament Ruptures: Implications for the Injury Mechanism.Orthopaedic journal of sports medicine · 2020Article
- Joint laxity varies in response to partial and complete anterior cruciate ligament injuries throughout skeletal growth.Journal of biomechanics · 2020Article
- Analysis of Internal Knee Forces Allows for the Prediction of Rupture Events in a Clinically Relevant Model of Anterior Cruciate Ligament Injuries.Orthopaedic journal of sports medicine · 2020Article
- Variation in ACL and MCL Strain Before Initial Contact Is Dependent on Injury Risk Level During Simulated Landings.Orthopaedic journal of sports medicine · 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
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundBoth the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL) bear load during athletic tasks of landing, cutting, pivoting, and twisting. As dynamic knee valgus is a purported mechanism for ACL injury, the MCL should bear significant strain load with valgus force. HYPOTHESIS: The intact MCL will demonstrate a significant increase in strain upon failure of the ACL at 25° of knee flexion. STUDY
designControlled laboratory study.
methodsIn vivo kinetics/kinematics of 44 healthy athletic participants were measured to determine stratification of injury risk (ie, low, medium, and high) in 3 degrees of knee forces/moments (knee abduction moment, anterior tibial shear, and internal tibial rotation). These stratified kinetic values were input into a cadaveric impact simulator to assess ligamentous strain during a simulated landing task. Uniaxial and multiaxial load cells and differential variable reluctance transducer strain sensors were utilized to collect mechanical data for analysis. Conditions of external loads applied to the cadaveric limbs were varied and randomized.
resultsACL strain increased with increased dynamic knee abduction moment (χ
conclusionAlthough significant, MCL strain had minimal increase with increased dynamic knee abduction moment, and the event of ACL failure did not significantly increase MCL strain when compared with high dynamic knee abduction moment conditions in the cadaveric model. The ACL bears more strain than the MCL at increasing amounts of dynamic knee abduction moment at 25° of knee flexion, which may explain the limited concomitant MCL injury rate that can occur during a dynamic valgus collapse of the knee. CLINICAL RELEVANCE: These characteristics of ACL and MCL strain are important to understand the mechanisms that drive these injuries at the knee and will improve rehabilitation and injury prevention techniques.
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Registered trials
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