Knee Muscle and Ligament Forces During Drop Landing Exercise

2017 ◽  
Author(s):  
Dumitru I. Caruntu ◽  
Ricardo Moreno ◽  
Robert Freeman
Keyword(s):  
Inverse Dynamics ◽  
Cruciate Ligament ◽  
Lateral Collateral Ligament ◽  
Inequality Constraints ◽  
Standing Position ◽  
The Body ◽  
Muscle Forces ◽  
Collateral Ligament ◽  
Drop Landing ◽  
D Model

This work investigates the human leg muscle and ligaments forces during a drop-landing exercise. An inverse dynamics 2-D model of human leg is used on this ballistic task in order to predict these forces. The model consists of three bony structures, namely femur, tibia, and patella. The joints of the model are the knee joint and the hip joint. The ligamentous structure of the knee includes the two cruciate ligaments, Anterior Cruciate Ligament (ACL) and the Posterior Cruciate Ligament (PCL), and the two collateral ligaments, Lateral Collateral Ligament (LCL) and Medial Collateral Ligament (MCL). The system of muscles of the system includes muscle such as quadriceps, hamstrings, gastrocnemius are included in the model. Experimental data used show a maximum of 100 degrees of flexion angle and ground reaction forces up to 4 times the body weight. The inverse dynamics 2-D model consists of an objective function to minimize the muscle forces, and a set of constraints consisting of equality constraints which are the dynamics equations of the bony structures, and inequality constraints in which all muscle forces must be positive. All muscle forces show a pattern in which they reach large magnitudes at the beginning of landing, decreasing as the subject end the exercise with a standing position.

Knee Contact Characteristics During Drop Landing Exercise

2017 ◽  
Author(s):  
Dumitru I. Caruntu ◽  
Ricardo Moreno
Keyword(s):  
Inverse Dynamics ◽  
Contact Point ◽  
Standing Position ◽  
The Body ◽  
Contact Forces ◽  
Drop Landing ◽  
Joint Contact ◽  
Reaction Forces ◽  
The Subject ◽  
D Model

This work investigates the human leg joint contact characteristics during a drop-landing exercise. The contact characteristics consist of tibio-femoral contact forces and contact point, and hip contact forces. An inverse dynamics 2-D model of human leg is used on this ballistic task in order to simplify computation. Experimental data used show a maximum of 100 degrees of flexion angle and ground reaction forces up to 4 times the body weight. All contact forces show a pattern in which they reach large magnitudes at the beginning of landing, decreasing as the subject end the exercise with a standing position.

scholarly journals Short-Term Outcome of Multi-Ligament Knee Injury among Sudanese Patients

2019 ◽  
Vol 7 (9) ◽  
pp. 1486-1493 ◽  
Author(s):  
Amin Ahmed Ali ◽  
Mohamed Babiker Abdelwahab
Keyword(s):  
Functional Outcome ◽  
Knee Injury ◽  
Cruciate Ligament ◽  
Lateral Collateral Ligament ◽  
The Body ◽  
University Hospital ◽  
Collateral Ligament ◽  
Term Outcome ◽  
Knee Ligaments ◽  
Excellent Outcome

BACKGROUND: Multi-ligament knee injury is the state of having two or more of the major knee ligaments, namely: the anterior cruciate ligament (ACL), the posterior cruciate ligament (PCL), the medial collateral ligament (MCL), the lateral collateral ligament (LCL), the posteromedial corner (PMC), and the posterolateral corner (PLC). The knee is a hinge joint; this dictates two direction movements on the y-axis plane. The knee joints carry the weight load of the body uniquely. The role of the knee ligaments is not conserved only to maintain knee in a rigid position while standing, but also orchestrates the biomechanics of knee motion in harmony. Multi-ligament knee injury is very rare (incidence < 10:10,000 of trauma cases). Patients with multiple ligaments injuries of the knee become disabled for a long period. This disability rises from the pain and stiffness of the knee joint. A disability that might be associated with increased frequencies of sick leave from work, or much more dire consequences, such as quitting a job or being relieved of duty. AIM: To assess the functional outcome of the knee of patients with a multi-ligament knee injury after treatment using a standard scoring system and to determine the recovery rates of each treatment option to a multi-ligament knee injury. METHODS: it is a cross-sectional study conducted from January 2018 to January 2019. All patients with multi-ligament knee injuries that were diagnosed by MRI, and underwent reconstruction surgeries or on the waiting list, at Ribat University Hospital and Alyaa Specialized Hospital, Alkuwiti specialised hospital, and Haj Alsafi Hospital for the past 2 years were included. Lyshlome knee scoring scale was used to assess the functional outcome of each patient. RESULTS: 24 patients were enrolled in this study (16 had reconstruction surgery, 8 did not). 3 had excellent outcome (LKSS = 95 – 100), 8 of them had good score (LKSS = 84-94), 5 had fair outcome (LKSS = 65-83). All those who did not have reconstruction had a poor score (LKSS < 64). CONCLUSION: Reconstruction of multi-ligament knee injury shows a good outcome than it was left alone. Post-operative physiotherapy increases the potential of reconstruction. While our data is limited because of the rare condition, we plan to expand our study area to include a larger sample size. We also recommend extending the post-operative physiotherapy to improve the outcome of a multi-ligament knee injury.

scholarly journals Knee Internal Forces in Moderate Squat Exercise

2016 ◽  
Author(s):  
Dumitru I. Caruntu ◽  
Jose Mario Salinas
Keyword(s):  
Cruciate Ligament ◽  
Optimization Technique ◽  
Lateral Collateral Ligament ◽  
Standing Position ◽  
Contact Forces ◽  
Collateral Ligament ◽  
Squat Exercise ◽  
Internal Forces ◽  
Anterior Cruciate ◽  
Nonlinear Elastic

This paper deals with internal forces of human knee during moderate squat exercise. The moderate squat exercise consists of a descending phase from standing to the lowest position (largest flexion angle) in which no significant contact between thigh and calf occurs, and an ascending phase back to standing position. This research predicts the internal forces such as muscle forces, contact forces, and ligamentous forces. The ligamentous structures in this research consist of Anterior Cruciate Ligament (ACL), Posterior Cruciate Ligament (PCL), Lateral Collateral Ligament (LCL), and Medial Collateral Ligament (MCL). The ligaments are modeled as nonlinear elastic strips (they do not carry compression forces). An optimization technique was used to determine the muscle and contact forces present in the knee during the squat exercise.

Biomechanical Properties of the Stifle Joint Lateral Collateral Ligament in Dogs

1992 ◽  
Vol 05 (04) ◽  
pp. 158-162 ◽  
Author(s):  
D. Blackketter ◽  
J Harari ◽  
J. Dupuis
Keyword(s):  
Mechanical Properties ◽  
Cruciate Ligament ◽  
Lateral Collateral Ligament ◽  
Biomechanical Properties ◽  
Fibular Head ◽  
Joint Stability ◽  
Collateral Ligament ◽  
Cranial Cruciate Ligament ◽  
Stifle Joint

Bone/lateral collateral ligament/bone preparations were tested and structural mechanical properties compared to properties of cranial cruciate ligament in 15 dogs. The lateral collateral ligament has sufficient stiffness to provide stifle joint stability and strength to resist acute overload following fibular head transposition.

scholarly journals Imaging Findings of Knee Trauma on Magnetic Resonance Imaging

2022 ◽  
Vol 8 (1) ◽  
pp. 12-23
Author(s):  
Poonam Ohri ◽  
Shreeji Goya ◽  
Niveditha C ◽  
Manasi Kohli
Keyword(s):  
Anterior Cruciate Ligament ◽  
Imaging Modality ◽  
Cruciate Ligament ◽  
Age Groups ◽  
Lateral Collateral Ligament ◽  
Cost Effective ◽  
Collateral Ligament ◽  
Imaging Evaluation ◽  
Young Males ◽  
Anterior Cruciate

Background: Knee is one of the major joints involved in kinesis. With increasing involvement in sports related activities especially in young people, Trauma related knee pathologies have increased. An accurate diagnosis regarding the type and extent of injuries is essential for early operative as well as non-operative treatment. Methods:This prospective study included total of 82 cases. The patients were referred to the department of Radiodiagnosis from indoor and outdoor departments of Guru Nanak Dev Hospital, Amritsar with suspicion of internal derangement of the knee and with history of knee trauma.Results:The most common age group involved was young males between 15-34 years. In all age groups most of the patients were males. Most common ligament to be injured was Anterior Cruciate Ligament (ACL). Partial tears were more common than complete tears. Posterior Cruciate Ligament (PCL) tears were less common. Medial Collateral Ligament (MCL) tears outnumbered Lateral Collateral Ligament (LCL) tears and grade 2 tears were more common in both. Among the meniscal injuries Medial Meniscus (MM) tears were more common than LM and grade 3 signal was more common in both. Most of the patellar retinaculum injuries were associated with Anterior Cruciate Ligament ACL tears.Conclusions:Post-traumatic pre-arthroscopic MR imaging evaluation has proved to be cost-effective. MRI is an accurate imaging modality complementing the clinical evaluation and providing a global intra-articular and extra-articular assessment of the knee.

Radiological Identification of Injury to the Kaplan Fibers of the Iliotibial Band in Association With Anterior Cruciate Ligament Injury

2020 ◽  
Vol 48 (9) ◽  
pp. 2213-2220
Author(s):  
Lachlan M. Batty ◽  
Jerome Murgier ◽  
Julian A. Feller ◽  
Richard O’Sullivan ◽  
Kate E. Webster ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Lateral Collateral Ligament ◽  
Acl Injury ◽  
Iliotibial Band ◽  
Time Interval ◽  
Collateral Ligament ◽  
Tibial Bone ◽  
Mri Scans ◽  
Anterior Cruciate

Background: Recent biomechanical studies have demonstrated that the Kaplan fibers (KFs) of the iliotibial band play a role in the control of anterolateral rotation of the knee. However, controversy exists regarding whether the KFs are injured in conjunction with anterior cruciate ligament (ACL) injury. Purpose: To establish the prevalence of radiological injury to the KFs in the ACL-injured knee; to evaluate the effect of the time interval between injury and magnetic resonance imaging (MRI) on diagnosis of KF injury; and to assess for any association between KF injury and other qualitative radiological findings. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: Preoperative MRI scans were reviewed for 161 patients with ACL injury. Specific diagnostic criteria were developed and applied to identify KF injury. Chi-square testing was performed to look for associations among KF injury, the time from injury to MRI, and associated radiological knee injuries. Results: Radiological evidence of KF injury was identified in 30 (18.6%) patients. The diagnosis of KF injury was higher in patients who had MRI scans performed within 90 days of injury as compared with ≥90 days after injury (23.7 vs 6.4%; P = .010). Patients with an MRI diagnosis of KF injury had significantly higher rates of lateral meniscal injury (40% vs 18%; P = .007), posteromedial tibial bone marrow edema (73% vs 44%; P = .003), and injury to the lateral collateral ligament (13% vs 3%; P = .019) or medial collateral ligament (23% vs 8%; P = .019). Conclusion: The prevalence of injury to the KF in patients with ACL injury as diagnosed by MRI was relatively low (18.6% of patients). However, the time interval from injury to MRI was relevant to diagnosis, with significantly higher rates of injury identification in patients with early (within 90 days) versus delayed (≥90 days) MRI. KF injury was associated with higher rates of injury to the lateral meniscal and collateral ligaments, as well as posteromedial tibial bone bruising.

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