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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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. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c615t-d32449360fa2a234c6448b7715ccce6d7a571d9ee1aaf45ef50edecc158768403</citedby><cites>FETCH-LOGICAL-c615t-d32449360fa2a234c6448b7715ccce6d7a571d9ee1aaf45ef50edecc158768403</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1034953980?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,3549,27923,27924,45994,64384,64386,64388,72340</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23014160$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20413123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Hyung-Soon</creatorcontrib><creatorcontrib>Ahn, Chulhyun</creatorcontrib><creatorcontrib>Fung, David T</creatorcontrib><creatorcontrib>Ren, Yupeng</creatorcontrib><creatorcontrib>Zhang, Li-Qun</creatorcontrib><title>A knee-specific finite element analysis of the human anterior cruciate ligament impingement against the femoral intercondylar notch</title><title>Journal of biomechanics</title><addtitle>J Biomech</addtitle><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.</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. Extraarticular rhumatism</subject><subject>Knee</subject><subject>Knee - physiology</subject><subject>Ligaments</subject><subject>Medical sciences</subject><subject>Models and simulation</subject><subject>Noncontact ACL injury</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Pressure distribution</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Stress concentration</subject><subject>Stress, Mechanical</subject><subject>Studies</subject><issn>0021-9290</issn><issn>1873-2380</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkk1v1DAQhiMEokvhL1SREOKUZRw7X5eKquJLqsQBOFveyWR3tom92EmlPfPHcbrbFnrpyZL9vjPvjJ8kOROwFCDKD9vldsVuINwsc4iXIJcgimfJQtSVzHJZw_NkAZCLrMkbOElehbAFgEpVzcvkJAclpMjlIvlzkV5boizsCLljTDu2PFJKPQ1kx9RY0-8Dh9R16bihdDMNxsbbkTw7n6KfkE3U97w2twYedmzXR_PasA3jrbGjwXnTpzxb0dl23xufWjfi5nXyojN9oDfH8zT59fnTz8uv2dX3L98uL64yLEUxZq3MlWpkCZ3JTS4VlkrVq6oSBSJS2VamqETbEAljOlVQVwC1hCiKuiprBfI0OT_U3U2rgVqMEWMivfM8GL_XzrD-_8XyRq_djY4bBNUUscD7YwHvfk8URj1wQOp7Y8lNQVeFjI1EIZ9WStmUosxn5dtHyq2bfNx60ALk3LWp5-jlQYXeheCpu08tQM9A6K2-A0LPQGiQOgIRjWf_znxvuyMgCt4dBSag6TtvLHJ40EkQSpRzgo8HHcUfumHyOiCTRWrZE466dfx0lvNHJbCPtMWu17Sn8DC3DrkG_WPGd6ZXRHBjBJB_AZqf7tw</recordid><startdate>20100720</startdate><enddate>20100720</enddate><creator>Park, Hyung-Soon</creator><creator>Ahn, Chulhyun</creator><creator>Fung, David T</creator><creator>Ren, Yupeng</creator><creator>Zhang, Li-Qun</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Elsevier Limited</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>3V.</scope><scope>7QP</scope><scope>7TB</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20100720</creationdate><title>A knee-specific finite element analysis of the human anterior cruciate ligament impingement against the femoral intercondylar notch</title><author>Park, Hyung-Soon ; Ahn, Chulhyun ; Fung, David T ; Ren, Yupeng ; Zhang, Li-Qun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c615t-d32449360fa2a234c6448b7715ccce6d7a571d9ee1aaf45ef50edecc158768403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>ACL impingement</topic><topic>Anterior cruciate ligament (ACL)</topic><topic>Anterior Cruciate Ligament - physiopathology</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena</topic><topic>Computerized, statistical medical data processing and models in biomedicine</topic><topic>Diseases of the osteoarticular system</topic><topic>Experiments</topic><topic>Femur - physiology</topic><topic>Finite Element Analysis</topic><topic>Geometry</topic><topic>Humans</topic><topic>Juxtaarticular diseases. Extraarticular rhumatism</topic><topic>Knee</topic><topic>Knee - physiology</topic><topic>Ligaments</topic><topic>Medical sciences</topic><topic>Models and simulation</topic><topic>Noncontact ACL injury</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Pressure distribution</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Stress concentration</topic><topic>Stress, Mechanical</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Hyung-Soon</creatorcontrib><creatorcontrib>Ahn, Chulhyun</creatorcontrib><creatorcontrib>Fung, David T</creatorcontrib><creatorcontrib>Ren, Yupeng</creatorcontrib><creatorcontrib>Zhang, Li-Qun</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>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</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>ProQuest SciTech 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>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</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>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</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>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of biomechanics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Hyung-Soon</au><au>Ahn, Chulhyun</au><au>Fung, David T</au><au>Ren, Yupeng</au><au>Zhang, Li-Qun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A knee-specific finite element analysis of the human anterior cruciate ligament impingement against the femoral intercondylar notch</atitle><jtitle>Journal of biomechanics</jtitle><addtitle>J Biomech</addtitle><date>2010-07-20</date><risdate>2010</risdate><volume>43</volume><issue>10</issue><spage>2039</spage><epage>2042</epage><pages>2039-2042</pages><issn>0021-9290</issn><eissn>1873-2380</eissn><abstract>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.</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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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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