Ligament mechanics during three degree-of-freedom motion at the acromioclavicular joint
The development of effective treatment and reconstruction procedures for injuries to the soft tissues around the acromioclavicular (AC) joint relies on a comprehensive understanding of overall joint function. The objective of this study was to determine the magnitude and direction of the in situ for...
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| Veröffentlicht in: | Annals of biomedical engineering 2000-06, Vol.28 (6), p.612-618 |
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| creator | Debski, R E Parsons, 3rd, I M Fenwick, J Vangura, A |
| description | The development of effective treatment and reconstruction procedures for injuries to the soft tissues around the acromioclavicular (AC) joint relies on a comprehensive understanding of overall joint function. The objective of this study was to determine the magnitude and direction of the in situ forces in the AC capsular and coracoclavicular ligaments as well as the resulting joint kinematics during application of three external loading conditions while allowing three degree-of-freedom joint motion. A robotic/universal force-moment sensor testing system was utilized to determine the in situ forces in the soft tissue structures and the resulting joint kinematics. The clavicle translated 5.1+/-2.0, 5.6+/-2.2, and 4.2+/-1.9 mm during application of a 70 N load in the anterior, posterior, and superior directions, respectively, representing almost a 50% increase over previous studies using similar load magnitudes. In response to an anterior load, the magnitude of in situ force in the superior AC ligament (35+/-18 N) was found to be greater (p |
| doi_str_mv | 10.1114/1.1304848 |
| format | Article |
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The objective of this study was to determine the magnitude and direction of the in situ forces in the AC capsular and coracoclavicular ligaments as well as the resulting joint kinematics during application of three external loading conditions while allowing three degree-of-freedom joint motion. A robotic/universal force-moment sensor testing system was utilized to determine the in situ forces in the soft tissue structures and the resulting joint kinematics. The clavicle translated 5.1+/-2.0, 5.6+/-2.2, and 4.2+/-1.9 mm during application of a 70 N load in the anterior, posterior, and superior directions, respectively, representing almost a 50% increase over previous studies using similar load magnitudes. In response to an anterior load, the magnitude of in situ force in the superior AC ligament (35+/-18 N) was found to be greater (p<0.05) than the force in the trapezoid and conoid ligaments. In contrast, the magnitude of in situ force in the conoid (49+/-22 N) was significantly greater (p<0.05) than all other ligaments in response to a superior load. Additionally, the directions of the force vector representing the conoid and trapezoid were different, being located in opposing quadrants of the posterior axis of the scapula with this loading condition. Our data suggest that the kinematic constraints placed on the AC joint during loading affect the resulting joint motion and that the magnitude and direction of force in each ligament are affected by the coupled motions that occur. Based on the differences in magnitude and direction of the in situ force in the coracoclavicular ligaments with each loading condition, surgical procedures should reconstruct these ligaments in a more anatomical manner or treat them separately to prevent joint degeneration.</description><identifier>ISSN: 0090-6964</identifier><identifier>EISSN: 1573-9686</identifier><identifier>DOI: 10.1114/1.1304848</identifier><identifier>PMID: 10983707</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Acromioclavicular Joint - injuries ; Acromioclavicular Joint - physiology ; Aged ; Aged, 80 and over ; Cadaver ; Humans ; Joint Dislocations - etiology ; Joints (anatomy) ; Kinematics ; Ligaments ; Ligaments, Articular - injuries ; Ligaments, Articular - physiology ; Middle Aged ; Patient treatment ; Range of Motion, Articular - physiology ; Rupture ; Sports medicine ; Sprains and Strains - etiology ; Surgery ; Tissue ; Weight-Bearing</subject><ispartof>Annals of biomedical engineering, 2000-06, Vol.28 (6), p.612-618</ispartof><rights>Biomedical Engineering Society 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-a177eadda45d27bf949695ada64b50338c6780d0985037622bc887b5c6e016f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10983707$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Debski, R E</creatorcontrib><creatorcontrib>Parsons, 3rd, I M</creatorcontrib><creatorcontrib>Fenwick, J</creatorcontrib><creatorcontrib>Vangura, A</creatorcontrib><title>Ligament mechanics during three degree-of-freedom motion at the acromioclavicular joint</title><title>Annals of biomedical engineering</title><addtitle>Ann Biomed Eng</addtitle><description>The development of effective treatment and reconstruction procedures for injuries to the soft tissues around the acromioclavicular (AC) joint relies on a comprehensive understanding of overall joint function. The objective of this study was to determine the magnitude and direction of the in situ forces in the AC capsular and coracoclavicular ligaments as well as the resulting joint kinematics during application of three external loading conditions while allowing three degree-of-freedom joint motion. A robotic/universal force-moment sensor testing system was utilized to determine the in situ forces in the soft tissue structures and the resulting joint kinematics. The clavicle translated 5.1+/-2.0, 5.6+/-2.2, and 4.2+/-1.9 mm during application of a 70 N load in the anterior, posterior, and superior directions, respectively, representing almost a 50% increase over previous studies using similar load magnitudes. In response to an anterior load, the magnitude of in situ force in the superior AC ligament (35+/-18 N) was found to be greater (p<0.05) than the force in the trapezoid and conoid ligaments. In contrast, the magnitude of in situ force in the conoid (49+/-22 N) was significantly greater (p<0.05) than all other ligaments in response to a superior load. Additionally, the directions of the force vector representing the conoid and trapezoid were different, being located in opposing quadrants of the posterior axis of the scapula with this loading condition. Our data suggest that the kinematic constraints placed on the AC joint during loading affect the resulting joint motion and that the magnitude and direction of force in each ligament are affected by the coupled motions that occur. Based on the differences in magnitude and direction of the in situ force in the coracoclavicular ligaments with each loading condition, surgical procedures should reconstruct these ligaments in a more anatomical manner or treat them separately to prevent joint degeneration.</description><subject>Acromioclavicular Joint - injuries</subject><subject>Acromioclavicular Joint - physiology</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cadaver</subject><subject>Humans</subject><subject>Joint Dislocations - etiology</subject><subject>Joints (anatomy)</subject><subject>Kinematics</subject><subject>Ligaments</subject><subject>Ligaments, Articular - injuries</subject><subject>Ligaments, Articular - physiology</subject><subject>Middle Aged</subject><subject>Patient treatment</subject><subject>Range of Motion, Articular - physiology</subject><subject>Rupture</subject><subject>Sports medicine</subject><subject>Sprains and Strains - etiology</subject><subject>Surgery</subject><subject>Tissue</subject><subject>Weight-Bearing</subject><issn>0090-6964</issn><issn>1573-9686</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqF0ctKxDAUBuAgio6XhS8gxYXiomNO7l2KeIMBNwMuS5qkY4a20aQVfHsjMwtxoaufwMdJcn6ETgHPAYBdwxwoZoqpHTQDLmlZCSV20QzjCpeiEuwAHaa0xhhAUb6PDgBXikosZ-hl4Ve6d8NY9M686sGbVNgp-mFVjK_RucK6VY4ytGWb04a-6MPow1DoMQtXaBND74Pp9Ic3U6djsQ5-GI_RXqu75E62eYSW93fL28dy8fzwdHuzKA2jciw1SOm0tZpxS2TTVqwSFddWC9ZwTKkyQips83PzSQpCGqOUbLgRDoNo6RG63Ix9i-F9cmmse5-M6zo9uDClWlEAyVUlsrz4U0pCOAGi_oUEGFFcQIbnv-A6THHIv60lF4JLSb-vvdqgvKaUomvrt-h7HT9rwPV3eTXU2_KyPdsOnJre2R9y0xb9Akq8koI</recordid><startdate>20000601</startdate><enddate>20000601</enddate><creator>Debski, R E</creator><creator>Parsons, 3rd, I M</creator><creator>Fenwick, J</creator><creator>Vangura, A</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>7QF</scope><scope>7QO</scope><scope>7QQ</scope><scope>7SC</scope><scope>7SE</scope><scope>7SP</scope><scope>7SR</scope><scope>7TA</scope><scope>7TB</scope><scope>7U5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8BQ</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>F28</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H8D</scope><scope>H8G</scope><scope>HCIFZ</scope><scope>JG9</scope><scope>JQ2</scope><scope>K9.</scope><scope>KR7</scope><scope>L6V</scope><scope>L7M</scope><scope>LK8</scope><scope>L~C</scope><scope>L~D</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>M7S</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>7X8</scope></search><sort><creationdate>20000601</creationdate><title>Ligament mechanics during three degree-of-freedom motion at the acromioclavicular joint</title><author>Debski, R E ; Parsons, 3rd, I M ; Fenwick, J ; Vangura, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-a177eadda45d27bf949695ada64b50338c6780d0985037622bc887b5c6e016f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Acromioclavicular Joint - injuries</topic><topic>Acromioclavicular Joint - physiology</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cadaver</topic><topic>Humans</topic><topic>Joint Dislocations - etiology</topic><topic>Joints (anatomy)</topic><topic>Kinematics</topic><topic>Ligaments</topic><topic>Ligaments, Articular - injuries</topic><topic>Ligaments, Articular - physiology</topic><topic>Middle Aged</topic><topic>Patient treatment</topic><topic>Range of Motion, Articular - physiology</topic><topic>Rupture</topic><topic>Sports medicine</topic><topic>Sprains and Strains - etiology</topic><topic>Surgery</topic><topic>Tissue</topic><topic>Weight-Bearing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Debski, R E</creatorcontrib><creatorcontrib>Parsons, 3rd, I M</creatorcontrib><creatorcontrib>Fenwick, J</creatorcontrib><creatorcontrib>Vangura, A</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>Aluminium Industry Abstracts</collection><collection>Biotechnology Research Abstracts</collection><collection>Ceramic Abstracts</collection><collection>Computer and Information Systems Abstracts</collection><collection>Corrosion Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Engineered Materials Abstracts</collection><collection>Materials Business File</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Solid State and Superconductivity Abstracts</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>METADEX</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Aerospace Database</collection><collection>Copper Technical Reference Library</collection><collection>SciTech Premium Collection</collection><collection>Materials Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Civil Engineering Abstracts</collection><collection>ProQuest Engineering Collection</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>ProQuest Biological Science Collection</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</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>Engineering Collection</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of biomedical engineering</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Debski, R E</au><au>Parsons, 3rd, I M</au><au>Fenwick, J</au><au>Vangura, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ligament mechanics during three degree-of-freedom motion at the acromioclavicular joint</atitle><jtitle>Annals of biomedical engineering</jtitle><addtitle>Ann Biomed Eng</addtitle><date>2000-06-01</date><risdate>2000</risdate><volume>28</volume><issue>6</issue><spage>612</spage><epage>618</epage><pages>612-618</pages><issn>0090-6964</issn><eissn>1573-9686</eissn><abstract>The development of effective treatment and reconstruction procedures for injuries to the soft tissues around the acromioclavicular (AC) joint relies on a comprehensive understanding of overall joint function. The objective of this study was to determine the magnitude and direction of the in situ forces in the AC capsular and coracoclavicular ligaments as well as the resulting joint kinematics during application of three external loading conditions while allowing three degree-of-freedom joint motion. A robotic/universal force-moment sensor testing system was utilized to determine the in situ forces in the soft tissue structures and the resulting joint kinematics. The clavicle translated 5.1+/-2.0, 5.6+/-2.2, and 4.2+/-1.9 mm during application of a 70 N load in the anterior, posterior, and superior directions, respectively, representing almost a 50% increase over previous studies using similar load magnitudes. In response to an anterior load, the magnitude of in situ force in the superior AC ligament (35+/-18 N) was found to be greater (p<0.05) than the force in the trapezoid and conoid ligaments. In contrast, the magnitude of in situ force in the conoid (49+/-22 N) was significantly greater (p<0.05) than all other ligaments in response to a superior load. Additionally, the directions of the force vector representing the conoid and trapezoid were different, being located in opposing quadrants of the posterior axis of the scapula with this loading condition. Our data suggest that the kinematic constraints placed on the AC joint during loading affect the resulting joint motion and that the magnitude and direction of force in each ligament are affected by the coupled motions that occur. Based on the differences in magnitude and direction of the in situ force in the coracoclavicular ligaments with each loading condition, surgical procedures should reconstruct these ligaments in a more anatomical manner or treat them separately to prevent joint degeneration.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>10983707</pmid><doi>10.1114/1.1304848</doi><tpages>7</tpages></addata></record> |
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| subjects | Acromioclavicular Joint - injuries Acromioclavicular Joint - physiology Aged Aged, 80 and over Cadaver Humans Joint Dislocations - etiology Joints (anatomy) Kinematics Ligaments Ligaments, Articular - injuries Ligaments, Articular - physiology Middle Aged Patient treatment Range of Motion, Articular - physiology Rupture Sports medicine Sprains and Strains - etiology Surgery Tissue Weight-Bearing |
| title | Ligament mechanics during three degree-of-freedom motion at the acromioclavicular joint |
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