Volume 7, Issue 8 (September 2010)

    Relative Motion of ACL Insertion Points In Vivo: A Case Study, Including Skiing Maneuvers

    (Received 2 November 2009; accepted 3 July 2010)

    Published Online: 2010

    CODEN: JAIOAD

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    Abstract

    FASTRAK receivers were mounted on Kirschner-wires inserted in the distal femur and proximal tibia, respectively. Relative motions of the anterior cruciate ligament (ACL) insertion points were calculated for a hypothesised ACL while diagnostic and skiing load cases were applied to the knee. The highest strains, in descending order were: (i) Lachman test (13.5 %), (ii) 20 N•m internal rotation load (10.6 %) and (iii) latero-medial knee movement (6.4 %). The Lachman-procedure not only produces anterior tibial translation (5.5 mm) but as well internal rotation (10.0°). The medial knee movement produces valgus (2.3°) and external rotation (15.6°), but induces flexion (9.7°) as well, which therefore increases ACL load due to a non physiological instantaneous centre of rotation.


    Author Information:

    Freudiger, Stefan
    Ingenieurbüro Flugwesen und Biomechanik IFB AG, Bremgarten,

    Vogt, Wolfgang
    Orthopädisches Fachzentrum OFZ,

    Wirz, Dieter
    Labor für orthopädische Biomechanik, Universität Basel, Klingelbergstrasse 50–70, CH-4056 Basel, Switzerland,


    Stock #: JAI102831

    ISSN: 1546-962X

    DOI: 10.1520/JAI102831

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    Author
    Title Relative Motion of ACL Insertion Points In Vivo: A Case Study, Including Skiing Maneuvers
    Symposium Skiing Trauma and Safety, 2009-02-05
    Committee F27