Knee Frontal-Plane Biomechanics in Adults With or Without Bone Marrow Edema-Like Lesions After Anterior Cruciate Ligament Injury

Thomas, Abbey C.; Palmieri-Smith, Riann M.

doi:10.4085/1062-6050-51.12.08

Cited by 4 publications

(3 citation statements)

References 34 publications

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“…15 It is possible that different characteristics of the vGRF in the first 50% of stance phase may be more sensitive to early changes in tissue metabolism (peak instantaneous vGRF-loading rate) while peak vGRF may be more sensitive to changes in patient-reported outcomes at the time point collected. We chose to evaluate outcomes related to vGRF as this measure is a general but fundamental measure of lower extremity mechanical loading that is relatively easy to measure without the use of complex electromyography-driven models 30,38 or inverse-dynamics computations 5,39,40 that estimate tibiofemoral contact forces and joint moments, respectively. Additionally, understanding how vGRF characteristics associate with patient-reported outcomes may be critical for developing clinically important biomechanical markers that can be feasibly collected outside of a sophisticated motion-analysis laboratory.…”

Section: Discussionmentioning

confidence: 99%

Walking gait asymmetries 6 months following anterior cruciate ligament reconstruction predict 12‐month patient‐reported outcomes

Pietrosimone

Blackburn

Padua

et al. 2018

Journal Orthopaedic Research

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The study sought to determine the association between gait biomechanics (vertical ground reaction force [vGRF], vGRF loading rate [vGRF-LR]) collected 6 months following anterior cruciate ligament reconstruction (ACLR) with patient-reported outcomes at 12 months following ACLR. Walking gait biomechanics and all subsections of the Knee Injury and Osteoarthritis Outcomes Score (KOOS) were collected at 6 and 12 months following ACLR, respectively, in 25 individuals with a unilateral ACLR. Peak vGRF and peak instantaneous vGRF-LR were extracted from the first 50% of the stance phase. Limb symmetry indices (LSI) were used to normalize outcomes in the ACLR limb to that of the uninjured limb (ACLR/uninjured). Linear regression analyses were used to determine associations between biomechanical outcomes and KOOS while accounting for walking speed. Receiver operator characteristic curves were used to determine the accuracy of 6-month biomechanical outcomes for identifying individuals with acceptable patient-reported outcomes, using previously defined KOOS cut-off scores, 12 months post-ACLR. Individuals with lower peak vGRF LSI 6 months post-ACLR demonstrated worse patient-reported outcomes (KOOS Pain, Activities of Daily life, Sport and Recreation, Quality of Life) at the 12-month exam. A peak vGRF LSI ≥0.99 6 months following ACLR associated with 13.33× higher odds of reporting acceptable patient-reported outcomes 12 months post-ACLR. Lesser peak vGRF LSI during walking at 6-months post-ACLR may be a critical indicator of worse future patient-reported outcomes. Clinical significance achieving early symmetrical lower extremity loading and minimizing under-loading of the ACLR limb during walking may be a potential therapeutic target for improving patient-reported outcomes post-ACLR. © 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res.

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Section: Discussionmentioning

confidence: 99%

Walking gait asymmetries 6 months following anterior cruciate ligament reconstruction predict 12‐month patient‐reported outcomes

Pietrosimone

Blackburn

Padua

et al. 2018

Journal Orthopaedic Research

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“…Slater et al [91] reported that a smaller peak external knee flexion and adduction moment can be found in the ACL-injured patients during walking. Thomas and Palmieri-Smith [96] illustrated no difference in the external knee adduction moment among individuals with ACL injury and those who are healthy. Norcross et al [85] demonstrated that the ACL-injured patients had a greater knee energy adsorption during landing.…”

Section: Knee Musculoskeletal Disorders and Its Biomechanicalmentioning

confidence: 95%

Knee Joint Biomechanics in Physiological Conditions and How Pathologies Can Affect It: A Systematic Review

Zhang

Liu

Han

et al. 2020

Applied Bionics and Biomechanics

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The knee joint, as the main lower limb motor joint, is the most vulnerable and susceptible joint. The knee injuries considerably impact the normal living ability and mental health of patients. Understanding the biomechanics of a normal and diseased knee joint is in urgent need for designing knee assistive devices and optimizing a rehabilitation exercise program. In this paper, we systematically searched electronic databases (from 2000 to November 2019) including ScienceDirect, Web of Science, PubMed, Google Scholar, and IEEE/IET Electronic Library for potentially relevant articles. After duplicates were removed and inclusion criteria applied to the titles, abstracts, and full text, 138 articles remained for review. The selected articles were divided into two groups to be analyzed. Firstly, the real movement of a normal knee joint and the normal knee biomechanics of four kinds of daily motions in the sagittal and coronal planes, which include normal walking, running, stair climbing, and sit-to-stand, were discussed and analyzed. Secondly, an overview of the current knowledge on the movement biomechanical effects of common knee musculoskeletal disorders and knee neurological disorders were provided. Finally, a discussion of the existing problems in the current studies and some recommendation for future research were presented. In general, this review reveals that there is no clear assessment about the biomechanics of normal and diseased knee joints at the current state of the art. The biomechanics properties could be significantly affected by knee musculoskeletal or neurological disorders. Deeper understanding of the biomechanics of the normal and diseased knee joint will still be an urgent need in the future.

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“…3 External knee-adduction moment is often used as a measure of medial tibiofemoral loading. Thomas et al 47 did not find an increase in knee-adduction moment in ACL-deficient patients with bone bruises relative to those without. Nonetheless, patients with bone bruises do take longer to recover a nonantalgic gait after an acute ACL tear.…”

Section: Biomechanical Impactsmentioning

confidence: 87%

Clinical Implications of Bone Bruise Patterns Accompanying Anterior Cruciate Ligament Tears

et al. 2021

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Background: Anterior cruciate ligament (ACL) tears are common injuries; they are often associated with concomitant injuries to other structures in the knee, including bone bruises. While there is limited evidence that bone bruises are associated with slightly worse clinical outcomes, the implications of bone bruises for the articular cartilage and the risk of developing osteoarthritis (OA) in the knee are less clear. Recent studies suggest that the bone bruise pattern may be helpful in predicting the presence of meniscal ramp lesions. Evidence Acquisition: A literature review was performed in EMBASE using the keyword search phrase (acl OR (anterior AND cruciate AND ligament)) AND ((bone AND bruise) OR (bone AND contusion) OR (bone AND marrow AND edema) OR (bone AND marrow AND lesion) OR (subchondral AND edema)). Study Design: Clinical review. Level of Evidence: Level 4. Results: The literature search returned 93 articles of which 25 were ultimately included in this review. Most studies identified a high prevalence of bone bruises in the setting of acute ACL injury. Individual studies have found relationships between bone bruise volume and functional outcomes; however, these results were not supported by systematic review. Similarly, the literature has contradictory findings on the relationship between bone bruises and the progression of OA after ACL reconstruction. Investigations into concomitant injury found anterolateral ligament and meniscal ramp lesions to be associated with bone bruise presence on magnetic resonance imaging. Conclusion: Despite the ample literature identifying the prevalence of bone bruises in association with ACL injury, there is little evidence to correlate bone bruises to functional outcomes or progression of OA. Bone bruises may best be used as a marker for concomitant injury such as medial meniscal ramp lesions that are not always well visualized on magnetic resonance imaging. Further research is required to establish the longitudinal effects of bone bruises on ACL tear recovery. Strength of Recommendation Taxonomy: 2.

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Knee Frontal-Plane Biomechanics in Adults With or Without Bone Marrow Edema-Like Lesions After Anterior Cruciate Ligament Injury

Cited by 4 publications

References 34 publications

Walking gait asymmetries 6 months following anterior cruciate ligament reconstruction predict 12‐month patient‐reported outcomes

Walking gait asymmetries 6 months following anterior cruciate ligament reconstruction predict 12‐month patient‐reported outcomes

Knee Joint Biomechanics in Physiological Conditions and How Pathologies Can Affect It: A Systematic Review

Clinical Implications of Bone Bruise Patterns Accompanying Anterior Cruciate Ligament Tears

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