The Role of the Anteromedial and Posterolateral Bundles of the Anterior Cruciate Ligament in Anterior Tibial Translation and Internal Rotation
Background: A rupture of the entire fibers of the anterior cruciate ligament leads to knee instability due to increased anterior tibial translation and increased internal tibial rotation. The influence of isolated deficiency of the anteromedial or posterolateral bundle of the anterior cruciate ligam...
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| Veröffentlicht in: | The American journal of sports medicine 2007-02, Vol.35 (2), p.223-227 |
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| creator | Zantop, Thore Herbort, Mirko Raschke, Michael J. Fu, Freddie H. Petersen, Wolf |
| description | Background: A rupture of the entire fibers of the anterior cruciate ligament leads to knee instability due to increased anterior tibial
translation and increased internal tibial rotation. The influence of isolated deficiency of the anteromedial or posterolateral
bundle of the anterior cruciate ligament on the resulting knee kinematics have not yet been reported.
Hypothesis: Transection of the anteromedial bundle will lead to increased anterior tibial translation at 90°. Transection of the posterolateral
bundle will show an increased anterior tibial translation as well as a combined rotatory instability at 30°.
Study Design: Controlled laboratory study.
Methods: Kinematics of the intact knee were determined in response to a 134-N anterior tibial load and a combined rotatory load of
10 N·m valgus and 4 N·m internal tibial rotation using a robotic/universal force moment sensor testing system. Subsequently,
the fibers of the anteromedial and posterolateral bundle were resected in an alternating order and the new translation in
response to the same external loading conditions measured. Statistical analysis was performed using a 2-way ANOVA test.
Results: Transection of the anteromedial bundle increased anterior tibial translation at 60° and 90° of knee flexion significantly.
Isolated transsection of the posterolateral bundle increased anterior tibial translation in response to 134-N anterior load
at 30° of knee flexion significantly and resulted in a significant increase in combined rotation at 0° and 30° in response
to a combined rotatory load compared with the intact knee and isolated resection of the anteromedial bundle.
Conclusion: The anteromedial and posterolateral bundles stabilize the knee joint in response to anterior tibial loads and combined rotatory
loads in a synergistic way.
Clinical Relevance: The results of the current study suggest that, from a biomechanical point of view, it may be beneficial to reconstruct both
bundles of the anterior cruciate ligament to better restore normal anterior tibial translation and combined rotation.
Keywords:
knee
anterior cruciate ligament
kinematics
rotational stability
double bundle |
| doi_str_mv | 10.1177/0363546506294571 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_68939281</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A158577692</galeid><sage_id>10.1177_0363546506294571</sage_id><sourcerecordid>A158577692</sourcerecordid><originalsourceid>FETCH-LOGICAL-c558t-a7a8151c2c14a96c03160c28bafc592d89375a94e280b66871cb4ebcca9bd59b3</originalsourceid><addsrcrecordid>eNqFkl2L1DAUhoMo7jh675UURO-q-Wi-Lsdh1YWBlWW8DmmazmRImzVpUf-Ev3nTmUJxQbxJwnmfvOecnADwGsEPCHH-ERJGaMUoZFhWlKMnYIUoxSUhjD4Fq0kuJ_0KvEjpBCFEnInn4ApxRAXmdAX-7I-2uAveFqEthnze9IONobON077QfVN8C2mKeJ3XHPo09o236S_chVhs42hcZoqdO-jO9kPh-kXdu3ry20fdp-zkQn_2vpn0Pgt3YThHX4JnrfbJvpr3Nfj--Xq__Vrubr_cbDe70lAqhlJzLRBFBhtUackMJIhBg0WtW0MlboQknGpZWSxgzZjgyNSVrY3Rsm6orMkavL_43sfwY7RpUJ1LxnqvexvGpFh2kFig_4IYYk6wxBl8-wg8hXHqLSkkCRGEsrytQXmhDtpb5XoT8gv8Gkzw3h6syj1ub9UmD4dyzs6u8MKbGFKKtlX30XU6_lYIqukLqMdfIF95Mxcy1nmMy4V55hl4NwM6Ge3bPBPj0sKJSubcaKk16Vza0s2_E8--R3c4_nTRqtRp73MZROlTIlRhhTEhD6nB0fQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1933835693</pqid></control><display><type>article</type><title>The Role of the Anteromedial and Posterolateral Bundles of the Anterior Cruciate Ligament in Anterior Tibial Translation and Internal Rotation</title><source>Access via SAGE</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Zantop, Thore ; Herbort, Mirko ; Raschke, Michael J. ; Fu, Freddie H. ; Petersen, Wolf</creator><creatorcontrib>Zantop, Thore ; Herbort, Mirko ; Raschke, Michael J. ; Fu, Freddie H. ; Petersen, Wolf</creatorcontrib><description>Background: A rupture of the entire fibers of the anterior cruciate ligament leads to knee instability due to increased anterior tibial
translation and increased internal tibial rotation. The influence of isolated deficiency of the anteromedial or posterolateral
bundle of the anterior cruciate ligament on the resulting knee kinematics have not yet been reported.
Hypothesis: Transection of the anteromedial bundle will lead to increased anterior tibial translation at 90°. Transection of the posterolateral
bundle will show an increased anterior tibial translation as well as a combined rotatory instability at 30°.
Study Design: Controlled laboratory study.
Methods: Kinematics of the intact knee were determined in response to a 134-N anterior tibial load and a combined rotatory load of
10 N·m valgus and 4 N·m internal tibial rotation using a robotic/universal force moment sensor testing system. Subsequently,
the fibers of the anteromedial and posterolateral bundle were resected in an alternating order and the new translation in
response to the same external loading conditions measured. Statistical analysis was performed using a 2-way ANOVA test.
Results: Transection of the anteromedial bundle increased anterior tibial translation at 60° and 90° of knee flexion significantly.
Isolated transsection of the posterolateral bundle increased anterior tibial translation in response to 134-N anterior load
at 30° of knee flexion significantly and resulted in a significant increase in combined rotation at 0° and 30° in response
to a combined rotatory load compared with the intact knee and isolated resection of the anteromedial bundle.
Conclusion: The anteromedial and posterolateral bundles stabilize the knee joint in response to anterior tibial loads and combined rotatory
loads in a synergistic way.
Clinical Relevance: The results of the current study suggest that, from a biomechanical point of view, it may be beneficial to reconstruct both
bundles of the anterior cruciate ligament to better restore normal anterior tibial translation and combined rotation.
Keywords:
knee
anterior cruciate ligament
kinematics
rotational stability
double bundle</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546506294571</identifier><identifier>PMID: 17158275</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: American Orthopaedic Society for Sports Medicine</publisher><subject>Aged ; Analysis ; Anterior cruciate ligament ; Anterior Cruciate Ligament - physiopathology ; Anterior Cruciate Ligament Injuries ; Biological and medical sciences ; Cadaver ; Fundamental and applied biological sciences. Psychology ; Health aspects ; Humans ; Kinematics ; Knee ; Knee Joint - physiopathology ; Ligaments ; Load ; Medical sciences ; Middle Aged ; Models, Biological ; Movement - physiology ; Range of Motion, Articular - physiology ; Robotics ; Skin & tissue grafts ; Sport (general aspects) ; Sports medicine ; Tibia - physiopathology ; Translations ; Traumas. Diseases due to physical agents ; Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports ; Weight-Bearing - physiology</subject><ispartof>The American journal of sports medicine, 2007-02, Vol.35 (2), p.223-227</ispartof><rights>2007 American Orthopaedic Society for Sports Medicine</rights><rights>2007 INIST-CNRS</rights><rights>COPYRIGHT 2007 Sage Publications, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c558t-a7a8151c2c14a96c03160c28bafc592d89375a94e280b66871cb4ebcca9bd59b3</citedby><cites>FETCH-LOGICAL-c558t-a7a8151c2c14a96c03160c28bafc592d89375a94e280b66871cb4ebcca9bd59b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0363546506294571$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0363546506294571$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18497691$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17158275$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zantop, Thore</creatorcontrib><creatorcontrib>Herbort, Mirko</creatorcontrib><creatorcontrib>Raschke, Michael J.</creatorcontrib><creatorcontrib>Fu, Freddie H.</creatorcontrib><creatorcontrib>Petersen, Wolf</creatorcontrib><title>The Role of the Anteromedial and Posterolateral Bundles of the Anterior Cruciate Ligament in Anterior Tibial Translation and Internal Rotation</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background: A rupture of the entire fibers of the anterior cruciate ligament leads to knee instability due to increased anterior tibial
translation and increased internal tibial rotation. The influence of isolated deficiency of the anteromedial or posterolateral
bundle of the anterior cruciate ligament on the resulting knee kinematics have not yet been reported.
Hypothesis: Transection of the anteromedial bundle will lead to increased anterior tibial translation at 90°. Transection of the posterolateral
bundle will show an increased anterior tibial translation as well as a combined rotatory instability at 30°.
Study Design: Controlled laboratory study.
Methods: Kinematics of the intact knee were determined in response to a 134-N anterior tibial load and a combined rotatory load of
10 N·m valgus and 4 N·m internal tibial rotation using a robotic/universal force moment sensor testing system. Subsequently,
the fibers of the anteromedial and posterolateral bundle were resected in an alternating order and the new translation in
response to the same external loading conditions measured. Statistical analysis was performed using a 2-way ANOVA test.
Results: Transection of the anteromedial bundle increased anterior tibial translation at 60° and 90° of knee flexion significantly.
Isolated transsection of the posterolateral bundle increased anterior tibial translation in response to 134-N anterior load
at 30° of knee flexion significantly and resulted in a significant increase in combined rotation at 0° and 30° in response
to a combined rotatory load compared with the intact knee and isolated resection of the anteromedial bundle.
Conclusion: The anteromedial and posterolateral bundles stabilize the knee joint in response to anterior tibial loads and combined rotatory
loads in a synergistic way.
Clinical Relevance: The results of the current study suggest that, from a biomechanical point of view, it may be beneficial to reconstruct both
bundles of the anterior cruciate ligament to better restore normal anterior tibial translation and combined rotation.
Keywords:
knee
anterior cruciate ligament
kinematics
rotational stability
double bundle</description><subject>Aged</subject><subject>Analysis</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament - physiopathology</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Biological and medical sciences</subject><subject>Cadaver</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Kinematics</subject><subject>Knee</subject><subject>Knee Joint - physiopathology</subject><subject>Ligaments</subject><subject>Load</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Models, Biological</subject><subject>Movement - physiology</subject><subject>Range of Motion, Articular - physiology</subject><subject>Robotics</subject><subject>Skin & tissue grafts</subject><subject>Sport (general aspects)</subject><subject>Sports medicine</subject><subject>Tibia - physiopathology</subject><subject>Translations</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports</subject><subject>Weight-Bearing - physiology</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkl2L1DAUhoMo7jh675UURO-q-Wi-Lsdh1YWBlWW8DmmazmRImzVpUf-Ev3nTmUJxQbxJwnmfvOecnADwGsEPCHH-ERJGaMUoZFhWlKMnYIUoxSUhjD4Fq0kuJ_0KvEjpBCFEnInn4ApxRAXmdAX-7I-2uAveFqEthnze9IONobON077QfVN8C2mKeJ3XHPo09o236S_chVhs42hcZoqdO-jO9kPh-kXdu3ry20fdp-zkQn_2vpn0Pgt3YThHX4JnrfbJvpr3Nfj--Xq__Vrubr_cbDe70lAqhlJzLRBFBhtUackMJIhBg0WtW0MlboQknGpZWSxgzZjgyNSVrY3Rsm6orMkavL_43sfwY7RpUJ1LxnqvexvGpFh2kFig_4IYYk6wxBl8-wg8hXHqLSkkCRGEsrytQXmhDtpb5XoT8gv8Gkzw3h6syj1ub9UmD4dyzs6u8MKbGFKKtlX30XU6_lYIqukLqMdfIF95Mxcy1nmMy4V55hl4NwM6Ge3bPBPj0sKJSubcaKk16Vza0s2_E8--R3c4_nTRqtRp73MZROlTIlRhhTEhD6nB0fQ</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>Zantop, Thore</creator><creator>Herbort, Mirko</creator><creator>Raschke, Michael J.</creator><creator>Fu, Freddie H.</creator><creator>Petersen, Wolf</creator><general>American Orthopaedic Society for Sports Medicine</general><general>SAGE Publications</general><general>Sage Publications, Inc</general><general>Sage Publications Ltd</general><scope>IQODW</scope><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>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20070201</creationdate><title>The Role of the Anteromedial and Posterolateral Bundles of the Anterior Cruciate Ligament in Anterior Tibial Translation and Internal Rotation</title><author>Zantop, Thore ; Herbort, Mirko ; Raschke, Michael J. ; Fu, Freddie H. ; Petersen, Wolf</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c558t-a7a8151c2c14a96c03160c28bafc592d89375a94e280b66871cb4ebcca9bd59b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Aged</topic><topic>Analysis</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament - physiopathology</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Biological and medical sciences</topic><topic>Cadaver</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Kinematics</topic><topic>Knee</topic><topic>Knee Joint - physiopathology</topic><topic>Ligaments</topic><topic>Load</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Models, Biological</topic><topic>Movement - physiology</topic><topic>Range of Motion, Articular - physiology</topic><topic>Robotics</topic><topic>Skin & tissue grafts</topic><topic>Sport (general aspects)</topic><topic>Sports medicine</topic><topic>Tibia - physiopathology</topic><topic>Translations</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports</topic><topic>Weight-Bearing - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zantop, Thore</creatorcontrib><creatorcontrib>Herbort, Mirko</creatorcontrib><creatorcontrib>Raschke, Michael J.</creatorcontrib><creatorcontrib>Fu, Freddie H.</creatorcontrib><creatorcontrib>Petersen, Wolf</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zantop, Thore</au><au>Herbort, Mirko</au><au>Raschke, Michael J.</au><au>Fu, Freddie H.</au><au>Petersen, Wolf</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Role of the Anteromedial and Posterolateral Bundles of the Anterior Cruciate Ligament in Anterior Tibial Translation and Internal Rotation</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>35</volume><issue>2</issue><spage>223</spage><epage>227</epage><pages>223-227</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background: A rupture of the entire fibers of the anterior cruciate ligament leads to knee instability due to increased anterior tibial
translation and increased internal tibial rotation. The influence of isolated deficiency of the anteromedial or posterolateral
bundle of the anterior cruciate ligament on the resulting knee kinematics have not yet been reported.
Hypothesis: Transection of the anteromedial bundle will lead to increased anterior tibial translation at 90°. Transection of the posterolateral
bundle will show an increased anterior tibial translation as well as a combined rotatory instability at 30°.
Study Design: Controlled laboratory study.
Methods: Kinematics of the intact knee were determined in response to a 134-N anterior tibial load and a combined rotatory load of
10 N·m valgus and 4 N·m internal tibial rotation using a robotic/universal force moment sensor testing system. Subsequently,
the fibers of the anteromedial and posterolateral bundle were resected in an alternating order and the new translation in
response to the same external loading conditions measured. Statistical analysis was performed using a 2-way ANOVA test.
Results: Transection of the anteromedial bundle increased anterior tibial translation at 60° and 90° of knee flexion significantly.
Isolated transsection of the posterolateral bundle increased anterior tibial translation in response to 134-N anterior load
at 30° of knee flexion significantly and resulted in a significant increase in combined rotation at 0° and 30° in response
to a combined rotatory load compared with the intact knee and isolated resection of the anteromedial bundle.
Conclusion: The anteromedial and posterolateral bundles stabilize the knee joint in response to anterior tibial loads and combined rotatory
loads in a synergistic way.
Clinical Relevance: The results of the current study suggest that, from a biomechanical point of view, it may be beneficial to reconstruct both
bundles of the anterior cruciate ligament to better restore normal anterior tibial translation and combined rotation.
Keywords:
knee
anterior cruciate ligament
kinematics
rotational stability
double bundle</abstract><cop>Los Angeles, CA</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>17158275</pmid><doi>10.1177/0363546506294571</doi><tpages>5</tpages></addata></record> |
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| ispartof | The American journal of sports medicine, 2007-02, Vol.35 (2), p.223-227 |
| issn | 0363-5465 1552-3365 |
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| subjects | Aged Analysis Anterior cruciate ligament Anterior Cruciate Ligament - physiopathology Anterior Cruciate Ligament Injuries Biological and medical sciences Cadaver Fundamental and applied biological sciences. Psychology Health aspects Humans Kinematics Knee Knee Joint - physiopathology Ligaments Load Medical sciences Middle Aged Models, Biological Movement - physiology Range of Motion, Articular - physiology Robotics Skin & tissue grafts Sport (general aspects) Sports medicine Tibia - physiopathology Translations Traumas. Diseases due to physical agents Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports Weight-Bearing - physiology |
| title | The Role of the Anteromedial and Posterolateral Bundles of the Anterior Cruciate Ligament in Anterior Tibial Translation and Internal Rotation |
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