A knee-specific finite element analysis of the human anterior cruciate ligament impingement against the femoral intercondylar notch

Abstract This work presents a finite element analysis of anterior cruciate ligament (ACL) impingement against the intercondylar notch during tibial external rotation and abduction, as a mechanism of noncontact ACL injuries. Experimentally, ACL impingement was measured in a cadaveric knee in terms of...

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Veröffentlicht in:Journal of biomechanics 2010-07, Vol.43 (10), p.2039-2042
Hauptverfasser: Park, Hyung-Soon, Ahn, Chulhyun, Fung, David T, Ren, Yupeng, Zhang, Li-Qun
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creator Park, Hyung-Soon
Ahn, Chulhyun
Fung, David T
Ren, Yupeng
Zhang, Li-Qun
description Abstract This work presents a finite element analysis of anterior cruciate ligament (ACL) impingement against the intercondylar notch during tibial external rotation and abduction, as a mechanism of noncontact ACL injuries. Experimentally, ACL impingement was measured in a cadaveric knee in terms of impingement contact pressure and six degrees-of-freedom tibiofemoral kinematics. Three-dimensional geometries of the ACL, femur and tibia were incorporated into the finite element model of the individual knee specimen. A fiber-reinforced model was adopted, which accounts for the anisotropy, large deformation, nonlinearity and incompressibility of the ACL. With boundary conditions specified based on the experimental tibiofemoral kinematics, the finite element analysis showed that impingement between the ligament and the lateral wall of intercondylar notch could occur when qthe knee at 45° was externally rotated at 29.1° and abducted at 10.0°. Strong contact pressure and tensile stress occurred at the impinging and nonimpinging sides of the ligament, respectively. The impingement force and contact area estimated from the model matched their counterparts from the corresponding cadaver experiment. The modeling and experimental approach provides a useful tool to characterize potential ACL impingement on a knee-specific basis, which may help elucidate the ACL injury mechanism and develop more effective treatments.
doi_str_mv 10.1016/j.jbiomech.2010.03.015
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Experimentally, ACL impingement was measured in a cadaveric knee in terms of impingement contact pressure and six degrees-of-freedom tibiofemoral kinematics. Three-dimensional geometries of the ACL, femur and tibia were incorporated into the finite element model of the individual knee specimen. A fiber-reinforced model was adopted, which accounts for the anisotropy, large deformation, nonlinearity and incompressibility of the ACL. With boundary conditions specified based on the experimental tibiofemoral kinematics, the finite element analysis showed that impingement between the ligament and the lateral wall of intercondylar notch could occur when qthe knee at 45° was externally rotated at 29.1° and abducted at 10.0°. Strong contact pressure and tensile stress occurred at the impinging and nonimpinging sides of the ligament, respectively. The impingement force and contact area estimated from the model matched their counterparts from the corresponding cadaver experiment. The modeling and experimental approach provides a useful tool to characterize potential ACL impingement on a knee-specific basis, which may help elucidate the ACL injury mechanism and develop more effective treatments.</description><identifier>ISSN: 0021-9290</identifier><identifier>EISSN: 1873-2380</identifier><identifier>DOI: 10.1016/j.jbiomech.2010.03.015</identifier><identifier>PMID: 20413123</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>ACL impingement ; Anterior cruciate ligament (ACL) ; Anterior Cruciate Ligament - physiopathology ; Anterior Cruciate Ligament Injuries ; Biological and medical sciences ; Biomechanical Phenomena ; Computerized, statistical medical data processing and models in biomedicine ; Diseases of the osteoarticular system ; Experiments ; Femur - physiology ; Finite Element Analysis ; Geometry ; Humans ; Juxtaarticular diseases. Extraarticular rhumatism ; Knee ; Knee - physiology ; Ligaments ; Medical sciences ; Models and simulation ; Noncontact ACL injury ; Physical Medicine and Rehabilitation ; Pressure distribution ; Sports injuries ; Sports medicine ; Stress concentration ; Stress, Mechanical ; Studies</subject><ispartof>Journal of biomechanics, 2010-07, Vol.43 (10), p.2039-2042</ispartof><rights>Elsevier Ltd</rights><rights>2010 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>2010 Elsevier Ltd. 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The modeling and experimental approach provides a useful tool to characterize potential ACL impingement on a knee-specific basis, which may help elucidate the ACL injury mechanism and develop more effective treatments.</description><subject>ACL impingement</subject><subject>Anterior cruciate ligament (ACL)</subject><subject>Anterior Cruciate Ligament - physiopathology</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Computerized, statistical medical data processing and models in biomedicine</subject><subject>Diseases of the osteoarticular system</subject><subject>Experiments</subject><subject>Femur - physiology</subject><subject>Finite Element Analysis</subject><subject>Geometry</subject><subject>Humans</subject><subject>Juxtaarticular diseases. 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Experimentally, ACL impingement was measured in a cadaveric knee in terms of impingement contact pressure and six degrees-of-freedom tibiofemoral kinematics. Three-dimensional geometries of the ACL, femur and tibia were incorporated into the finite element model of the individual knee specimen. A fiber-reinforced model was adopted, which accounts for the anisotropy, large deformation, nonlinearity and incompressibility of the ACL. With boundary conditions specified based on the experimental tibiofemoral kinematics, the finite element analysis showed that impingement between the ligament and the lateral wall of intercondylar notch could occur when qthe knee at 45° was externally rotated at 29.1° and abducted at 10.0°. Strong contact pressure and tensile stress occurred at the impinging and nonimpinging sides of the ligament, respectively. The impingement force and contact area estimated from the model matched their counterparts from the corresponding cadaver experiment. The modeling and experimental approach provides a useful tool to characterize potential ACL impingement on a knee-specific basis, which may help elucidate the ACL injury mechanism and develop more effective treatments.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>20413123</pmid><doi>10.1016/j.jbiomech.2010.03.015</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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language eng
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subjects ACL impingement
Anterior cruciate ligament (ACL)
Anterior Cruciate Ligament - physiopathology
Anterior Cruciate Ligament Injuries
Biological and medical sciences
Biomechanical Phenomena
Computerized, statistical medical data processing and models in biomedicine
Diseases of the osteoarticular system
Experiments
Femur - physiology
Finite Element Analysis
Geometry
Humans
Juxtaarticular diseases. Extraarticular rhumatism
Knee
Knee - physiology
Ligaments
Medical sciences
Models and simulation
Noncontact ACL injury
Physical Medicine and Rehabilitation
Pressure distribution
Sports injuries
Sports medicine
Stress concentration
Stress, Mechanical
Studies
title A knee-specific finite element analysis of the human anterior cruciate ligament impingement against the femoral intercondylar notch
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