Range of motion and radiographic analysis of the hip in patients with contact and non-contact anterior cruciate ligament injury

Junior, Osmar Valadão Lopes; Gomes, João Luiz Ellera; Spinelli, Leandro de Freitas

doi:10.1007/s00167-015-3532-9

Cited by 23 publications

(19 citation statements)

References 29 publications

(62 reference statements)

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“…In contrast, the hip internal rotation measured in ACL injury situations remained constant at 30° during the 40 ms after IC, which suggests that further movement toward internal rotation is difficult . Several recent studies have reported that limited hip internal rotation range of motion is associated with an increased risk of ACL injury in football players and other athletes . During side‐step cutting maneuvers, knee abduction moments increased with hip internal rotation at IC .…”

Section: Discussionmentioning

confidence: 90%

Kinematic analysis of pressing situations in female collegiate football games: New insight into anterior cruciate ligament injury causation

Sasaki

Koga

Krosshaug

et al. 2017

Scandinavian Med Sci Sports

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The most common events during which anterior cruciate ligament (ACL) injuries occur in football are pressing situations. This study aimed to describe the knee and hip joint kinematics during pressing situations in football games to identify kinematic patterns in actions with a high risk for ACL injuries. We filmed 5 female collegiate football matches and identified 66 pressing situations. Five situations with a large distance between the trunk and foot placements in the sagittal plane were analyzed using a model-based image-matching technique. The mean knee flexion angle at initial contact (IC) was 13° (range, 8°-28°) and increased by 11° (95% confidence interval [CI], 3°-14°) at 40 ms after IC. As for knee adduction and rotation angles, the knee positions were close to neutral at IC, and only minor knee angular changes occurred later in the sequences. The mean hip flexion was 25° (range, 8°-43°) at IC and increased by 22° (95% CI, 11°-32°) after 100 ms. The hip was also externally rotated by 7° (range, -19° to 3°) at IC, and gradually rotated internally, reaching 10° of internal rotation (range, -5° to 27°) at 100 ms after IC. This study suggests that the observed knee valgus, internal hip and knee rotation, and static hip flexion previously reported in non-contact ACL injury events are unique to injury situations. In contrast, neither rapid knee valgus nor increased internal rotation was seen in non-injury pressing maneuvers.

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Section: Discussionmentioning

confidence: 90%

Kinematic analysis of pressing situations in female collegiate football games: New insight into anterior cruciate ligament injury causation

Sasaki

Koga

Krosshaug

et al. 2017

Scandinavian Med Sci Sports

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“…Aside from the lack of rotational stability that may be seen in some cases of ACLR, a better understanding concerning the relation between hip bony abnormalities as well as irregularity in hip range of motion and risk of ACL injuries has also been reported in the literature. 24 , 25 , 26 , 27 In addition to cases of knee rotatory instability confirmed clinically as a high-grade pivot shift, we also perform and recommend our technique of lateral tenodesis in patients with restricted hip range of motion because tension placed on the graft will be severely limited as a result. 23 …”

Section: Discussionmentioning

confidence: 99%

Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial Band

Gomes

Leie

Marczwski

et al. 2017

Arthroscopy Techniques

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An increasing concern has been given to the rotation stability of the knee in the setting of an anterior cruciate ligament (ACL) reconstruction. This growing interest stems from a better understanding of the rotational stability of the knee afforded by the identification of the anterolateral ligament. Previously, a residual abnormal pivot-shift test had been found after an anatomic single-band reconstruction of the ACL because of a lack of rotational stability, which may lead to the development of osteoarthritis. Residual instability affects function, especially in high-demand athletes who perform many flexion-rotation movements during sporting activity. The purpose of this Technical Note is to describe our preferred method of intra-articular ACL reconstruction using a hamstring tendon autograft in combination with an extra-articular iliotibial band tenodesis for reinforcement of rotational stability.

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“…This greater strain is the main cause of ACL rupture in these patients (11,(13)(14)(15). Decrease in hip range of motion is multifactorial, one of the most important factors in femoroacetabular impingement which can cause restriction in hip range of motion, especially internal rotation, so can cause increase in ACL strain during landing and pivoting (8,9).…”

Section: Discussionmentioning

confidence: 99%

Hip Restricted Range of Motion in Physical Examination: A Possible Risk Factor For Non-Contact ACL Injury

et al. 2015

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Background: There is significant evidence of hip and knee kinematic influence on each other. In some studies, hip restricted range of motion is a risk factor of anterior cruciate ligament (ACL) tear. Objectives: This study was designed to compare hip range of motion in physical examination between non-contact ACL injured patients with normal population. Patients and Methods: One hundred and forty patients with arthroscopically confirmed primary ACL ruptures were evaluated to assess their hip range of motion; these findings were compared with a control group of 100 patients with non ACL injury. Results: All parameters of hip range of motion (internal rotation, abduction and adduction) except external rotation were decreased significantly in ACL injured group compared with control group. Patients with sum of internal and external rotation lower than 80° had an increased odds ratio of having ACL injuries (OR = 2.64; 95% CI, 1.4 to 4.7). Conclusions: There was an association between non-contact ACL rupture and decreased hip range of motions including internal rotation, abduction and adduction as well as sum of internal and external rotation. Therefore, it may be possible to use hip physical exam finding as a predictor of ACL rupture.

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Range of motion and radiographic analysis of the hip in patients with contact and non-contact anterior cruciate ligament injury

Abstract: III.

Cited by 23 publications

References 29 publications

Kinematic analysis of pressing situations in female collegiate football games: New insight into anterior cruciate ligament injury causation

Kinematic analysis of pressing situations in female collegiate football games: New insight into anterior cruciate ligament injury causation

Intra-articular Anterior Cruciate Ligament Reconstruction With Extra-articular Lateral Tenodesis of the Iliotibial Band

Hip Restricted Range of Motion in Physical Examination: A Possible Risk Factor For Non-Contact ACL Injury

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