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Impingement pressure and tension forces of the anterior cruciate ligament
This study examined the impingement behavior of the uninjured ACL and the impingement pressure and tension forces of the ACL to draw conclusions for ACL reconstructions. A miniature pressure sensor was inserted between the ACL and the intercondylar roof of 15 knees of human cadavers before and after...
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Published in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2003-03, Vol.11 (2), p.85-90 |
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creator | Jagodzinski, M Leis, A Iselborn, K W Mall, G Nerlich, M Bosch, U |
description | This study examined the impingement behavior of the uninjured ACL and the impingement pressure and tension forces of the ACL to draw conclusions for ACL reconstructions. A miniature pressure sensor was inserted between the ACL and the intercondylar roof of 15 knees of human cadavers before and after a 3-mm notch roof resection (thickness of the sensor); tension of the ACL was measured after attaching the tibial insertion to a load cell. A long-arm goniometer was used to determine corresponding extension angles. The beginning of contact of the ACL with the notch roof was between -1 and -2 degrees of knee extension. Pressure for full passive extension was 855.6+/-279.1 and 346.4+/-287.7 kPa, and ACL tension averaged 101.9+/-38.4 N. Tension forces in passive hyperextension were higher than those detected when a 200-N Lachman test was performed (83.5+/-25.1 N). There was a significant correlation between extension capability and impingement pressure. Impingement of the ACL was detected in all knees. Full passive extension exerts biomechanical pressure and tension on the ACL. Tension forces of the ACL are higher in passive hyperextension than during a Lachman test with 200 N. The impingement behavior found for the uninjured ACL is simulated in an ACL reconstruction when the center tibial tunnel position is used. |
doi_str_mv | 10.1007/s00167-003-0352-0 |
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A miniature pressure sensor was inserted between the ACL and the intercondylar roof of 15 knees of human cadavers before and after a 3-mm notch roof resection (thickness of the sensor); tension of the ACL was measured after attaching the tibial insertion to a load cell. A long-arm goniometer was used to determine corresponding extension angles. The beginning of contact of the ACL with the notch roof was between -1 and -2 degrees of knee extension. Pressure for full passive extension was 855.6+/-279.1 and 346.4+/-287.7 kPa, and ACL tension averaged 101.9+/-38.4 N. Tension forces in passive hyperextension were higher than those detected when a 200-N Lachman test was performed (83.5+/-25.1 N). There was a significant correlation between extension capability and impingement pressure. Impingement of the ACL was detected in all knees. Full passive extension exerts biomechanical pressure and tension on the ACL. Tension forces of the ACL are higher in passive hyperextension than during a Lachman test with 200 N. The impingement behavior found for the uninjured ACL is simulated in an ACL reconstruction when the center tibial tunnel position is used.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-003-0352-0</identifier><identifier>PMID: 12664200</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Adolescent ; Adult ; Anterior Cruciate Ligament - physiology ; Biomechanics ; Cadavers ; Female ; Forensic medicine ; Humans ; Knee ; Knee Joint - physiology ; Ligaments ; Load ; Male ; Middle Aged ; Range of Motion, Articular ; Sensors ; Tensile Strength ; Trauma</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2003-03, Vol.11 (2), p.85-90</ispartof><rights>Springer-Verlag 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c324t-63c9f980c277c8e28fbd59f503b80924b3c307207b1117dc6f4d3294d1614f453</citedby><cites>FETCH-LOGICAL-c324t-63c9f980c277c8e28fbd59f503b80924b3c307207b1117dc6f4d3294d1614f453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12664200$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jagodzinski, M</creatorcontrib><creatorcontrib>Leis, A</creatorcontrib><creatorcontrib>Iselborn, K W</creatorcontrib><creatorcontrib>Mall, G</creatorcontrib><creatorcontrib>Nerlich, M</creatorcontrib><creatorcontrib>Bosch, U</creatorcontrib><title>Impingement pressure and tension forces of the anterior cruciate ligament</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>This study examined the impingement behavior of the uninjured ACL and the impingement pressure and tension forces of the ACL to draw conclusions for ACL reconstructions. A miniature pressure sensor was inserted between the ACL and the intercondylar roof of 15 knees of human cadavers before and after a 3-mm notch roof resection (thickness of the sensor); tension of the ACL was measured after attaching the tibial insertion to a load cell. A long-arm goniometer was used to determine corresponding extension angles. The beginning of contact of the ACL with the notch roof was between -1 and -2 degrees of knee extension. Pressure for full passive extension was 855.6+/-279.1 and 346.4+/-287.7 kPa, and ACL tension averaged 101.9+/-38.4 N. Tension forces in passive hyperextension were higher than those detected when a 200-N Lachman test was performed (83.5+/-25.1 N). There was a significant correlation between extension capability and impingement pressure. Impingement of the ACL was detected in all knees. Full passive extension exerts biomechanical pressure and tension on the ACL. Tension forces of the ACL are higher in passive hyperextension than during a Lachman test with 200 N. The impingement behavior found for the uninjured ACL is simulated in an ACL reconstruction when the center tibial tunnel position is used.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anterior Cruciate Ligament - physiology</subject><subject>Biomechanics</subject><subject>Cadavers</subject><subject>Female</subject><subject>Forensic medicine</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Joint - physiology</subject><subject>Ligaments</subject><subject>Load</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Range of Motion, Articular</subject><subject>Sensors</subject><subject>Tensile Strength</subject><subject>Trauma</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNpdkE1LxDAQhoMo7rr6A7xI8OAtOvlo0hxlWXVhwYueQ5sma5e2qUl78N_bsguCl5mBed5heBC6pfBIAdRTAqBSEQBOgGeMwBlaUsE5UVyoc7QELRhhkMkFukrpADCNQl-iBWVSCgawRNtt29fd3rWuG3AfXUpjdLjoKjy4LtWhwz5E6xIOHg9f82ZwsQ4R2zjauhgcbup9Maev0YUvmuRuTn2FPl82H-s3snt_3a6fd8RyJgYiudVe52CZUjZ3LPdllWmfAS9z0EyU3HJQDFRJKVWVlV5UnGlRUUmFFxlfoYfj3T6G79GlwbR1sq5pis6FMRnFqRCQ6Qm8_wcewhi76TejGJNcSVATRI-QjSGl6LzpY90W8cdQMLNkc5RsJslmljyVFbo7HR7L1lV_iZNV_gsv-XYF</recordid><startdate>20030301</startdate><enddate>20030301</enddate><creator>Jagodzinski, M</creator><creator>Leis, A</creator><creator>Iselborn, K W</creator><creator>Mall, G</creator><creator>Nerlich, M</creator><creator>Bosch, U</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20030301</creationdate><title>Impingement pressure and tension forces of the anterior cruciate ligament</title><author>Jagodzinski, M ; Leis, A ; Iselborn, K W ; Mall, G ; Nerlich, M ; Bosch, U</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c324t-63c9f980c277c8e28fbd59f503b80924b3c307207b1117dc6f4d3294d1614f453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anterior Cruciate Ligament - physiology</topic><topic>Biomechanics</topic><topic>Cadavers</topic><topic>Female</topic><topic>Forensic medicine</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee Joint - physiology</topic><topic>Ligaments</topic><topic>Load</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Range of Motion, Articular</topic><topic>Sensors</topic><topic>Tensile Strength</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jagodzinski, M</creatorcontrib><creatorcontrib>Leis, A</creatorcontrib><creatorcontrib>Iselborn, K W</creatorcontrib><creatorcontrib>Mall, G</creatorcontrib><creatorcontrib>Nerlich, M</creatorcontrib><creatorcontrib>Bosch, U</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jagodzinski, M</au><au>Leis, A</au><au>Iselborn, K W</au><au>Mall, G</au><au>Nerlich, M</au><au>Bosch, U</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impingement pressure and tension forces of the anterior cruciate ligament</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2003-03-01</date><risdate>2003</risdate><volume>11</volume><issue>2</issue><spage>85</spage><epage>90</epage><pages>85-90</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>This study examined the impingement behavior of the uninjured ACL and the impingement pressure and tension forces of the ACL to draw conclusions for ACL reconstructions. A miniature pressure sensor was inserted between the ACL and the intercondylar roof of 15 knees of human cadavers before and after a 3-mm notch roof resection (thickness of the sensor); tension of the ACL was measured after attaching the tibial insertion to a load cell. A long-arm goniometer was used to determine corresponding extension angles. The beginning of contact of the ACL with the notch roof was between -1 and -2 degrees of knee extension. Pressure for full passive extension was 855.6+/-279.1 and 346.4+/-287.7 kPa, and ACL tension averaged 101.9+/-38.4 N. Tension forces in passive hyperextension were higher than those detected when a 200-N Lachman test was performed (83.5+/-25.1 N). There was a significant correlation between extension capability and impingement pressure. Impingement of the ACL was detected in all knees. Full passive extension exerts biomechanical pressure and tension on the ACL. Tension forces of the ACL are higher in passive hyperextension than during a Lachman test with 200 N. The impingement behavior found for the uninjured ACL is simulated in an ACL reconstruction when the center tibial tunnel position is used.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>12664200</pmid><doi>10.1007/s00167-003-0352-0</doi><tpages>6</tpages></addata></record> |
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subjects | Adolescent Adult Anterior Cruciate Ligament - physiology Biomechanics Cadavers Female Forensic medicine Humans Knee Knee Joint - physiology Ligaments Load Male Middle Aged Range of Motion, Articular Sensors Tensile Strength Trauma |
title | Impingement pressure and tension forces of the anterior cruciate ligament |
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