Online citations, reference lists, and bibliographies.
← Back to Search

ACL Forces And Knee Kinematics Produced By Axial Tibial Compression During A Passive Flexion–extension Cycle

K. Markolf, S. Jackson, B. Foster, D. Mcallister
Published 2014 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Application of axial tibial force to the knee at a fixed flexion angle has been shown to generate ACL force. However, direct measurements of ACL force under an applied axial tibial force have not been reported during a passive flexion–extension cycle. We hypothesized that ACL forces and knee kinematics during knee extension would be significantly different than those during knee flexion, and that ACL removal would significantly increase all kinematic measurements. A 500 N axial tibial force was applied to intact knees during knee flexion–extension between 0° and 50°. Contact force on the sloping lateral tibial plateau produced a coupled internal + valgus rotation of the tibia, anterior tibial displacement, and elevated ACL forces. ACL forces during knee extension were significantly greater than those during knee flexion between 5° and 50°. During knee extension, ACL removal significantly increased anterior tibial displacement between 0° and 50°, valgus rotation between 5° and 50°, and internal tibial rotation between 5° and 15°. With the ACL removed, kinematic measurements during knee extension were significantly greater than those during knee flexion between 5° and 45°. The direction of knee flexion–extension movement is an important variable in determining ACL forces and knee kinematics produced by axial tibial force. © 2013 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 32:89–95, 2014.
This paper references
Knee joint anatomy predicts high-risk in vivo dynamic landing knee biomechanics.
S. McLean (2010)
Mechanism of the pivot shift.
H. Matsumoto (1990)
Strain in the anteromedial bundle of the anterior cruciate ligament under combination loading
G. Berns (1992)
Robotic testing of proximal tibio‐fibular joint kinematics for measuring instability following total knee arthroplasty
W. Barsoum (2011)
Anterior cruciate ligament injury induced by internal tibial torsion or tibiofemoral compression.
E. G. Meyer (2008)
A case-control study of anterior cruciate ligament volume, tibial plateau slopes and intercondylar notch dimensions in ACL-injured knees.
R. A. Simon (2010)
Direct measurement of resultant forces in the ACL. An in vitro study performed with a new experimental technique
KL Markolf (1990)
Is there an influence of the tibial slope of the lateral condyle on the ACL lesion?
L. Stijak (2007)
Primary surgical treatment of anterior cruciate ligament ruptures
N. Kaplan (1990)
Direct measurement of resultant forces in the anterior cruciate ligament. An in vitro study performed with a new experimental technique.
K. Markolf (1990)
What Strains the Anterior Cruciate Ligament During a Pivot Landing?
Y. Oh (2012)
Importance of Tibial Slope for Stability of the Posterior Cruciate Ligament—Deficient Knee
J. Robert Giffin (2007)
Excessive compression of the human tibio-femoral joint causes ACL rupture.
E. G. Meyer (2005)
The Effect of Arthroscopic Partial Medial Meniscectomy on Tibiofemoral Stability
S. Arno (2013)
Implications of the Pivot Shift in the ACL-Deficient Knee
Zachary Leitze (2005)
The pivot shift.
C. G. Lane (2008)
Coupled motions under compressive load in intact and ACL-deficient knees: a cadaveric study.
David Liu-Barba (2007)
Relationships between Objective Assessment of Ligament Stability and Subjective Assessment of Symptoms and Function after Anterior Cruciate Ligament Reconstruction
M. Kocher (2004)
Simulated pivot-shift testing with single and double-bundle anterior cruciate ligament reconstructions.
K. Markolf (2008)
The Effects of Compressive Load and Knee Joint Torque on Peak Anterior Cruciate Ligament Strains *
B. Fleming (2003)
Relationship between the pivot shift and Lachman tests: a cadaver study.
K. Markolf (2010)
Force Measurements in the Medial Meniscus Posterior Horn Attachment
K. Markolf (2012)
A case– control study of anterior cruciate ligament volume, tibial plateau slopes and intercondylar notch dimensions in ACLinjured knees
RA Simon (2010)

This paper is referenced by
Anatomic Factors that May Predispose Female Athletes to Anterior Cruciate Ligament Injury
Edward C. Cheung (2015)
Greater body mass index and hip abduction muscle strength predict noncontact anterior cruciate ligament injury in female Japanese high school basketball players
Kengo Shimozaki (2018)
Structural and Functional features of Major Synovial Joints and Their Relevance to Osteoarthritis
X. Zhang (2015)
ACL-reconstructed and ACL-deficient individuals show differentiated trunk, hip, and knee kinematics during vertical hops more than 20 years post-injury
Jonas L Markström (2017)
Does Limited Internal Femoral Rotation Increase Peak Anterior Cruciate Ligament Strain During a Simulated Pivot Landing?
M. Beaulieu (2014)
Anterior Cruciate Ligament Research Retreat VIII Summary Statement: An Update on Injury Risk Identification and Prevention Across the Anterior Cruciate Ligament Injury Continuum March 14-16, 2019, Greensboro, NC.
S. Shultz (2019)
Simulated Landings : Implications for Injury Mechanism Strain Response of the Anterior Cruciate Ligament to Uniplanar and Multiplanar Loads During
T. Hewett (2016)
Relative Strain in the Anterior Cruciate Ligament and Medial Collateral Ligament During Simulated Jump Landing and Sidestep Cutting Tasks
Nathaniel A. Bates (2015)
Investigation of Anterior Cruciate Ligament and Medial Collateral Ligament Biomechanics during 6-Degree-of- Freedom, Robotically-Simulated Athletic Tasks
Nathaniel A. Bates (2014)
Early weight-bearing after anterior cruciate ligament reconstruction with hamstring grafts induce femoral bone tunnel enlargement: a prospective clinical and radiographic study
T. Tajima (2019)
Effects of tibiofemoral compression on ACL forces and knee kinematics under combined knee loads
K. Markolf (2019)
Microstructure Variations in the Soft‐Hard Tissue Junction of the Human Anterior Cruciate Ligament
L. Zhao (2017)
Current Understandings and Directions for Future Research
S. Shultz (2018)
A multiscale synthesis: characterizing acute cartilage failure under an aggregate tibiofemoral joint loading
M. Adouni (2019)
Sports and exercise medicine – how to change the health of a nation
Sardar Bahadur (2017)
The Soft–Hard Tissue Junction: Structure, Mechanics and Function
N. Broom (2018)
Timing, not magnitude, of force may explain sex-dependent risk of ACL injury
Haraldur B Sigurðsson (2018)
Strain Response of the Anterior Cruciate Ligament to Uniplanar and Multiplanar Loads During Simulated Landings
A. Kiapour (2016)
Effects of Anterior Closing Wedge Tibial Osteotomy on Anterior Cruciate Ligament Force and Knee Kinematics
K. Yamaguchi (2018)
Male-Female Differences in Knee Laxity and Stiffness
Daniel V. Boguszewski (2015)
Muscle force contributions to knee joint loading
N. Maniar (2017)
Location of the natural knee axis for internal-external tibial rotation.
Daniel V. Boguszewski (2016)
Steeper posterior tibial slope markedly increases ACL force in both active gait and passive knee joint under compression.
H. Marouane (2014)
Use of Robotic Manipulators to Study Diarthrodial Joint Function.
R. Debski (2017)
Prediction of ACL Force Produced by Tibiofemoral Compression During Controlled Knee Flexion: A New Robotic Testing Methodology.
K. Markolf (2018)
In Vitro Biomechanical Analysis of Knee Rotational Stability
A. Rahnemaiazar (2017)
Movement strategies and dynamic knee control after anterior cruciate ligament injury : a three-dimensional biomechanical analysis
Jonas L Markström (2019)
The effects of limb dominance and a short term, high intensity exercise protocol on both landings of the vertical drop jump: implications for the vertical drop jump as a screening tool
E. Whyte (2018)
Development of an anterior cruciate ligament injury prevention programme based upon the biomechanics of cutting activities
Enda Whyte (2018)
Quantification of the role of tibial posterior slope in knee joint mechanics and ACL force in simulated gait.
H. Marouane (2015)
ACL Research Retreat VII: An Update on Anterior Cruciate Ligament Injury Risk Factor Identification, Screening, and Prevention.
S. Shultz (2015)
Effects of hip and trunk kinematics on peak frontal plane knee moments during sidestep cutting: A cross-sectional study
Adam Johannesson (2019)
See more
Semantic Scholar Logo Some data provided by SemanticScholar