ArticleJournal of biomechanics2020
In vivo attachment site to attachment site length and strain of the ACL and its bundles during the full gait cycle measured by MRI and high-speed biplanar radiography.
Article in Journal of biomechanics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Guideline
- In vivo bundle-specific anterior cruciate ligament length changes during overground walking.Journal of experimental orthopaedics · 2026Article
- Sport-Specific Considerations in ACL Reconstruction: Diagnostic Evaluation and Graft Selection.Diagnostics (Basel, Switzerland) · 2026Review
- Anterior Cruciate Ligament Bundles Elongation Patterns During Fast Running and Single-Leg Drop Landing: An In Vivo Biplane Radiography Study.Orthopaedic journal of sports medicine · 2025Article
- An accuracy assessment of SlicerAutoscoperJournal of biomechanics · 2025Article
- Does Tibial Plateau Slope and Depth Influence ACL Strain In Vivo?Orthopaedic journal of sports medicine · 2024Article
- A comparison of three methods for establishing an ACL reference length in vivo.Journal of biomechanics · 2024Article
- Intermittent cyclic stretch of engineered ligaments drives hierarchical collagen fiber maturation in a dose- and organizational-dependent manner.Acta biomaterialia · 2024Article
- Optimising the Early-Stage Rehabilitation Process Post-ACL Reconstruction.Sports medicine (Auckland, N.Z.) · 2024Review
- Preclinical tendon and ligament models: Beyond the 3Rs (replacement, reduction, and refinement) to 5W1H (why, who, what, where, when, how).Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023Review
- Medial meniscus posterior root repair influences sagittal length and coronal inclination of the anterior cruciate ligament: a retrospective study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Postoperative considerations based on graft type after anterior cruciate ligament reconstruction a narrative review.Annals of joint · 2023Review
- Use of a Novel Multimodal Imaging Technique to Model In Vivo Quadriceps Force and ACL Strain During Dynamic Activity.The American journal of sports medicine · 2022Article
- Age- and sex-specific differences in ACL and ACL bundle size during adolescent growth.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022Article
- In search of a gold standard for objective clinical outcome: using dynamic biplane radiography to measure knee kinematics.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Patellar Tendon Orientation and Strain Are Predictors of ACL Strain In Vivo During a Single-Leg Jump.Orthopaedic journal of sports medicine · 2021Article
- Anterior Cruciate Ligament Loading Increases With Pivot-Shift Mechanism During Asymmetrical Drop Vertical Jump in Female Athletes.Orthopaedic journal of sports medicine · 2021Article
- Effect of walking on in vivo tibiofemoral cartilage strain in ACL-deficient versus intact knees.Journal of biomechanics · 2021Article
- Biplanar Videoradiography to Study the Wrist and Distal Radioulnar Joints.Journal of visualized experiments : JoVE · 2021Article
- Prospective Frontal Plane Angles Used to Predict ACL Strain and Identify Those at High Risk for Sports-Related ACL Injury.Orthopaedic journal of sports medicine · 2020Article
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Funding
Abstract
The purpose of this study was to measure in vivo attachment site to attachment site lengths and strains of the anterior cruciate ligament (ACL) and its bundles throughout a full cycle of treadmill gait. To obtain these measurements, models of the femur, tibia, and associated ACL attachment sites were created from magnetic resonance (MR) images in 10 healthy subjects. ACL attachment sites were subdivided into anteromedial (AM) and posterolateral (PL) bundles. High-speed biplanar radiographs were obtained as subjects ambulated at 1 m/s. The bone models were registered to the radiographs, thereby reproducing the in vivo positions of the bones and ACL attachment sites throughout gait. The lengths of the ACL and both bundles were estimated as straight line distances between attachment sites for each knee position. Increased attachment to attachment ACL length and strain were observed during midstance (length = 28.5 ± 2.6 mm, strain = 5 ± 4%, mean ± standard deviation), and heel strike (length = 30.5 ± 3.0 mm, strain = 12 ± 5%) when the knee was positioned at low flexion angles. Significant inverse correlations were observed between mean attachment to attachment ACL lengths and flexion (rho = -0.87, p < 0.001), as well as both bundle lengths and flexion (rho = -0.86, p < 0.001 and rho = -0.82, p < 0.001, respectively). AM and PL bundle attachment to attachment lengths were highly correlated throughout treadmill gait (rho = 0.90, p < 0.001). These data can provide valuable information to inform design criteria for ACL grafts used in reconstructive surgery, and may be useful in the design of rehabilitation and injury prevention protocols.
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