2012
DOI: 10.1007/s00167-012-1955-0
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Lessons learned from the last 20 years of ACL-related in vivo-biomechanics research of the knee joint

Abstract: As a result of biomechanical research, clinicians have a better understanding of ACL injury aetiology, prevention and rehabilitation. Athletes exhibiting neuromuscular deficits predisposing them to ACL injury can be identified and enrolled into prevention programmes. Clinicians should assess ACL-reconstructed patients for excessive internal tibial rotation that may lead to poor outcomes.

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Cited by 45 publications
(40 citation statements)
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References 104 publications
(146 reference statements)
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“…A recent cadaveric study demonstrated agreement with the proposed injury mechanism reported from ‘in vivo’ studies; increased knee valgus and anterior tibial translation (and to a lesser extent internal tibial rotation) increase ACL strain 9. Finally, biomechanical laboratory studies have contributed to the current understanding of ACL injury factors as described in a recent literature review of the past 20 years 21. In addition to the prospective coupled biomechanical-epidemiological study discussed above,10 studies have compared the biomechanics of athletes at high risk for ACL injury to those at low risk finding that female athletes, compared to males, perform athletic tasks with patterns consistent with the ligament dominance theory 22…”
Section: Introductionsupporting
confidence: 58%
“…A recent cadaveric study demonstrated agreement with the proposed injury mechanism reported from ‘in vivo’ studies; increased knee valgus and anterior tibial translation (and to a lesser extent internal tibial rotation) increase ACL strain 9. Finally, biomechanical laboratory studies have contributed to the current understanding of ACL injury factors as described in a recent literature review of the past 20 years 21. In addition to the prospective coupled biomechanical-epidemiological study discussed above,10 studies have compared the biomechanics of athletes at high risk for ACL injury to those at low risk finding that female athletes, compared to males, perform athletic tasks with patterns consistent with the ligament dominance theory 22…”
Section: Introductionsupporting
confidence: 58%
“…An ACL injury typically occurs during the landing portion of a jump in ordinary sports activities and has a greater incidence in women than in men 1,2) . ACL deficiency may lead to degenerative changes such as tears of the meniscus.…”
Section: Introductionmentioning
confidence: 99%
“…In particular, Kazemi et al 6 provided a general review of computational models to analyse the mechanical function of the knee joint during different loading conditions; Pappas et al 7 summarised available techniques to measure ligament strain and forces in vivo with an emphasis on their advantages, limitations, and clinical relevance; and Bates et al 4 provided a summary of the literature on the biomechanical evidence regarding ACL loading during physiological or clinical tasks from in vitro cadaveric simulations. The latter group further conducted a meta-analysis of the reported ACL forces during passive knee flexion, in which a strong correlation was found between anterior-tibial translation and ACL ligament forces during passive knee flexion 4 .…”
Section: Introductionmentioning
confidence: 99%