ArticleOrthopaedic journal of sports medicine2020
Analysis of Internal Knee Forces Allows for the Prediction of Rupture Events in a Clinically Relevant Model of Anterior Cruciate Ligament Injuries.
Article in Orthopaedic journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 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
- An Evidence-Based and Mechanistic Approach to Reducing the Risk of Anterior Cruciate Ligament Injury: An Exercise and Sport Science Australia Position Statement.Sports medicine (Auckland, N.Z.) · 2026Article
- The Effect of Strength Training Targeting Medial Thigh Muscles on Neuromuscular and Biomechanical Risk Factors for Anterior Cruciate Ligament Injury: A Randomized Controlled Trial.Sports medicine - open · 2025Article
- A Robotic Clamped-Kinematic System to Study Knee Ligament Injury.Annals of biomedical engineering · 2025Article
- Commentary on "The deterministic condition for the ground reaction force acting point on the combined knee valgus and tibial internal rotation moments in the early phase of cutting maneuvers in female athletes".Journal of sport and health science · 2024Article
- The influence of gluteal muscle strength deficits on dynamic knee valgus: a scoping review.Journal of experimental orthopaedics · 2022Article
- Sex difference in frontal plane hip moment in response to lateral trunk obliquity during single-leg landing.BMC sports science, medicine & rehabilitation · 2022Article
- Hamstrings Contraction Regulates the Magnitude and Timing of the Peak ACL Loading During the Drop Vertical Jump in Female Athletes.Orthopaedic journal of sports medicine · 2021Article
- Mechanisms of non-contact anterior cruciate ligament injury as determined by bone contusion location and severity.Quantitative imaging in medicine and surgery · 2021Article
- Anterior Cruciate Ligament Loading Increases With Pivot-Shift Mechanism During Asymmetrical Drop Vertical Jump in Female Athletes.Orthopaedic journal of sports medicine · 2021Article
- Sex differences in passive and active stiffness of the knee flexor muscles during dynamic perturbation test: principal component analysis.Somatosensory & motor research · 2020Article
- Linear Discriminant Analysis Successfully Predicts Knee Injury Outcome From Biomechanical Variables.The American journal of sports medicine · 2020Article
- Knee abduction moment is predicted by lower gluteus medius force and larger vertical and lateral ground reaction forces during drop vertical jump in female athletes.Journal of biomechanics · 2020Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundA recently developed mechanical impact simulator induced an anterior cruciate ligament (ACL) rupture via the application of a combination of inverse dynamics-based knee abduction moment (KAM), anterior tibial shear force (ATS), and internal tibial rotation moment with impulsive compression in a cohort of cadaveric limbs. However, there remains an opportunity to further define the interaction of internal forces and moments at the knee and their respective influence on injury events. PURPOSE: To identify the influence of internal knee loads on an ACL injury event using a cadaveric impact simulator. STUDY
designControlled laboratory study.
methodsDrop-landing simulations were performed and analyzed on 30 fresh-frozen cadaveric knees with a validated mechanical impact simulator. Internal forces and moments at the knee joint center were calculated using data from a 6-axis load cell recorded on the femur during testing. Kinetic data from a total of 1083 trials that included 30 ACL injury trials were used as inputs for principal component (PC) analysis to identify the most critical features of loading waveforms. Logistic regression analysis with a stepwise selection was used to select the PCs that predicted an ACL injury. Injurious waveforms were reconstructed with selected PCs in logistic regression analysis.
resultsA total of 3 PCs were selected in logistic regression analysis that developed a significant model (
conclusionThese findings give us a better understanding of ACL injury mechanisms using 6-axis kinetics from an in vitro simulator. An ACL rupture was correlated with an internal knee adduction moment (external KAM) and was augmented by ATS and lateral tibial force induced by an impact, which distorted the ACL insertion orientation. CLINICAL RELEVANCE: The ACL injury mechanism explained in this study may help target injury prevention programs to decrease injurious knee loading (KAM, ATS, and lateral tibial force) during landing tasks.
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