Influence of Modern Studded and Bladed Soccer Boots and Sidestep Cutting on Knee Loading during Match Play Conditions

2007 ◽  
Vol 35 (9) ◽  
pp. 1528-1536 ◽  
Author(s):  
Rajiv Kaila
Keyword(s):  
Inverse Dynamics ◽  
Cruciate Ligament ◽  
Three Dimensional ◽  
Match Play ◽  
Joint Forces ◽  
Significant Difference ◽  
Knee Loading ◽  
Anterior Cruciate ◽  
Inverse Dynamics Analysis ◽  
Straight Ahead

Background The influence of modern studded and bladed soccer boots and sidestep cutting on noncontact knee loading during match play conditions is not fully understood. Hypothesis Modern soccer boot type and sidestep cutting compared with straight-ahead running do not significantly influence knee internal tibia axial and valgus moments, anterior joint forces, and flexion angles. Study Design Controlled laboratory study. Methods Fifteen professional male outfield soccer players undertook trials of straight-ahead running and sidestep cutting at 30° and 60° with a controlled approach velocity on a Fédération Internationale de Football Association (FIFA) approved soccer surface. Two bladed and 2 studded soccer boots from 2 manufacturers were investigated. Three-dimensional inverse dynamics analysis determined externally applied internal/external tibia axial and valgus/varus moments, anterior forces, and flexion angles throughout stance. Results The soccer boot type imparted no significant difference on knee loading for each maneuver. Internal tibia and valgus moments were significantly greater for sidestep cutting at 30° and 60° compared with straight-ahead running. Sidestep cutting at 60° compared with straight-ahead running significantly increased anterior joint forces. Conclusion Varying soccer boot type had no effect on knee loading for each maneuver, but sidestep cutting significantly increased internal tibia and valgus moments and anterior joint forces. Clinical Relevance Sidestep cutting, irrespective of the modern soccer boot type worn, may be implicated in the high incidence of noncontact soccer anterior cruciate ligament injuries by significantly altering knee loading.

External Loading at the Knee Joint for Landing Movements in Alpine Skiing

1992 ◽  
Vol 8 (1) ◽  
pp. 62-80 ◽  
Author(s):  
Lynda Read ◽  
Walter Herzog
Keyword(s):  
Knee Joint ◽  
Knee Flexion ◽  
Inverse Dynamics ◽  
Cruciate Ligament ◽  
Acl Injury ◽  
External Loading ◽  
Alpine Skiing ◽  
Joint Forces ◽  
Anterior Cruciate ◽  
Resultant Forces

The purpose of this study was to determine resultant knee joint forces and moments during a specific movement in Alpine ski racers. The movement analyzed consisted of a landing from a bump and the initiation of recovery (if necessary). Resultant loads were obtained using an inverse dynamics approach. Results of two specific skiers are contrasted, one skier landing in good form, the second skier landing in poor form. The skier landing in poor form exhibited larger knee flexion, and larger knee joint resultant forces and moments than the skier landing in good form. The movement of the skier landing in poor form has been associated with isolated anterior cruciate ligament (ACL) injury. However, the data obtained in this study do not indicate that either skier was in danger of ACL injury.

Three-Dimensional Knee Joint Loading in Alpine Skiing: A Comparison Between a Carved and a Skidded Turn

2012 ◽  
Vol 28 (6) ◽  
pp. 655-664 ◽  
Author(s):  
Miriam Klous ◽  
Erich Müller ◽  
Hermann Schwameder
Keyword(s):  
Knee Joint ◽  
Inverse Dynamics ◽  
Small Sample Size ◽  
Three Dimensional ◽  
Small Sample ◽  
High Rate ◽  
Joint Loading ◽  
Joint Forces ◽  
Inverse Dynamics Analysis ◽  
Knee Joint Loading

Limited data exists on knee biomechanics in alpine ski turns despite the high rate of injuries associated with this maneuver. The purpose of the current study was to compare knee joint loading between a carved and a skidded ski turn and between the inner and outer leg. Kinetic data were collected using Kistler mobile force plates. Kinematic data were collected with five synchronized, panning, tilting, and zooming cameras. Inertial properties of the segments were calculated using an extended version of the Yeadon model. Knee joint forces and moments were calculated using inverse dynamics analysis. The obtained results indicate that knee joint loading in carving is not consistently greater than knee joint loading in skidding. In addition, knee joint loading at the outer leg is not always greater than at the inner leg. Differentiation is required between forces and moments, the direction of the forces and moments, and the phase of the turn that is considered. Even though the authors believe that the analyzed turns are representative, results have to be interpreted with caution due to the small sample size.

Anterior Cruciate Ligament Forces in Alpine Skiing

1993 ◽  
Vol 9 (4) ◽  
pp. 260-278 ◽  
Author(s):  
Walter Herzog ◽  
Lynda Read
Keyword(s):  
Anterior Cruciate Ligament ◽  
Knee Joint ◽  
Inverse Dynamics ◽  
Cruciate Ligament ◽  
Symmetric System ◽  
Alpine Skiing ◽  
Loading Conditions ◽  
World Cup ◽  
Joint Forces ◽  
Anterior Cruciate

The purpose of this study was to estimate cruciate ligament forces in Alpine skiing during a movement that has been associated with anterior cruciate ligament (ACL) tears. Resultant knee joint forces and moments were obtained from two skiers during a World Cup Downhill race using an inverse dynamics approach and a 2-D bilaterally symmetric system model. It was found that ACL forces were typically small for both skiers throughout the movement analyzed because quadriceps forces prevented anterior displacement of the tibia relative to the femur at the knee joint angles observed. However, for about 10 ms, loading conditions in the knee joint of Subject 2 (who displayed poor form) were such that large ACL forces may have been present. These particular loading conditions were never observed in Subject 1, who displayed good form. Since neither of the skiers was injured, it is not possible to draw firm conclusions about isolated ACL tears in Alpine skiing from the data at hand.

Three-Dimensional Tibiofemoral Kinematics of the Anterior Cruciate Ligament-Deficient and Reconstructed Knee during Walking

2003 ◽  
Vol 31 (1) ◽  
pp. 75-79 ◽  
Author(s):  
Anastasios D. Georgoulis ◽  
Anastasios Papadonikolakis ◽  
Christos D. Papageorgiou ◽  
Argyris Mitsou ◽  
Nicholas Stergiou
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Three Dimensional ◽  
Swing Phase ◽  
Rotational Instability ◽  
Tibial Rotation ◽  
Significant Difference ◽  
Anterior Cruciate ◽  
Tibiofemoral Kinematics ◽  
Anterior Cruciate Ligament Deficient

Background It is possible that gait abnormalities may play a role in the pathogenesis of meniscal or chondral injury as well as osteoarthritis of the knee in patients with anterior cruciate ligament deficiency. Hypothesis The three-dimensional kinematics of anterior cruciate ligament-deficient knees are changed even during low-stress activities, such as walking, but can be restored by reconstruction. Study Design Case control study. Methods Using a three-dimensional optoelectronic gait analysis system, we examined 13 patients with anterior cruciate ligament-deficient knees, 21 patients with anterior cruciate ligament-reconstructed knees, and 10 control subjects with uninjured knees during walking. Results Normal patterns of knee flexion-extension, abduction-adduction, and internal-external rotation during the gait cycle were maintained by all subjects. A significant difference in tibial rotation angle during the initial swing phase was found in anterior cruciate ligament-deficient knees compared with reconstructed and control knees. The patients with anterior cruciate ligament-deficient knees rotated the tibia internally during the initial swing phase, whereas the others rotated externally. Conclusions Patients with anterior cruciate ligament-deficient knees experienced repeated episodes of rotational instability during walking, whereas patients with reconstruction experienced tibial rotation that is closer to normal. Clinical Relevance Repeated episodes of knee rotational instability may play a role in the development of pathologic knee conditions.

scholarly journals Clinical Outcomes of Arthroscopic Notchplasty and Partial Resection for Mucoid Degeneration of the Anterior Cruciate Ligament

2021 ◽  
Vol 10 (2) ◽  
pp. 315
Author(s):  
Joong Won Lee ◽  
Jung Tae Ahn ◽  
Hyun Gon Gwak ◽  
Sang Hak Lee
Keyword(s):  
Anterior Cruciate Ligament ◽  
Clinical Outcomes ◽  
Cruciate Ligament ◽  
Arthroscopic Surgery ◽  
Partial Resection ◽  
Knee Score ◽  
Mucoid Degeneration ◽  
Duration Of Symptoms ◽  
Significant Difference ◽  
Anterior Cruciate

Background: Mucoid degeneration of the anterior cruciate ligament (MD-ACL) is a chronic degenerative process involving a hypertrophied ACL, which may lead to notch impingement syndrome. As a treatment method, there is consensus regarding arthroscopic resection for MD-ACL resulting in good clinical outcomes; however, additional notchplasty remains controversial. The purpose of this study was to investigate clinical outcomes after arthroscopic partial resection of the ACL and additional notchplasty performed to minimize volume reduction of the ACL. Study Design: Level IIIb retrospective cohort study. Methods: Of 1810 individuals who underwent knee arthroscopic surgery performed by the same surgeon between July 2011 and October 2020, 52 were included, while 10 were excluded due to a follow-up period of <1 year. Clinical data including pain location, terminal flexion or extension pain, range of motion (ROM), Lysholm knee score, and Hospital for Special Surgery (HSS) knee score were assessed pre- and postoperatively. Additionally, according to the resected volume of the ACL, patients were classified into two groups: <25% (Group 1), and 25–50% (Group 2). Clinical outcomes were compared between the two groups. Results: There were 17 (40.5%) men and 25 (59.5%) women with a mean age of 53.9 years (range, 16–81 years) at the time of surgery. The mean duration of symptoms before surgery was 14.4 months (range, 3–66 months). Arthroscopic partial resection of the MD-ACL was performed in all patients, and concomitant notchplasty was performed in 36 (81.8%). All clinical scores improved postoperatively, and were statistically significant (p < 0.01). However, there was no significant difference in clinical outcomes between groups 1 and 2 classified according to the resected ACL volume. Recurrence of MD-ACL was recorded in only one patient, 11 months after arthroscopic treatment. No patients underwent ACL reconstruction because of symptoms of anterior instability. Conclusion: Arthroscopic partial resection of the ACL and concomitant notchplasty yielded satisfactory outcomes for the treatment of MD-ACL. Notchplasty may be an alternative procedure to avoid total ACL resection and postoperative instability.

Mechanical Simulation of Knee Movement in Basketball Shooting

2013 ◽  
Vol 336-338 ◽  
pp. 760-763
Author(s):  
Hui Yue
Keyword(s):  
Finite Element ◽  
Cruciate Ligament ◽  
Three Dimensional ◽  
Element Model ◽  
Basketball Player ◽  
Knee Movement ◽  
Dimensional Finite Element ◽  
Anterior Cruciate ◽  
Three Dimensional Finite Element

A short explanation of the finite element method as a powerful tool for mathematical modeling is provided, and an application using constitutive modeling of the behavior of ligaments is introduced. Few possible explanations of the role of water in ligament function are extracted from two dimensional finite element models of a classical ligament. The modeling is extended to a three dimensional finite element model for the human anterior cruciate ligament. Simulation of ligament force in pitching motion of basketball player is studied in this paper.

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