Fatigue Injury Risk in Anterior Cruciate Ligament of Target Side Knee during golf Swing

Purevsuren, Tserenchimed; Kwon, Moon Seok; Park, Won Man; Kim, Kyungsoo; Jang, Seung Ho; Lim, Young-Tae; Kim, Yoon Hyuk

doi:10.1016/j.jbiomech.2016.12.007

Cited by 28Knee injuries and reconstruction techniquesSports Dynamics and BiomechanicsLower Extremity Biomechanics and Pathologies

Fatigue Injury Risk in Anterior Cruciate Ligament of Target Side Knee during golf Swing

Purevsuren, Tserenchimed, Kwon, Moon Seok, Park, Won Man, Kim, Kyungsoo, Jang, Seung Ho, Lim, Young-Tae, Kim, Yoon Hyuk·2017·Journal of Biomechanics

DOI 10.1016/j.jbiomech.2016.12.007

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Abstract

A golf-related ACL injury can be linked with excessive golf play or practice because such over-use by repetitive golf swing motions can increase damage accumulation to the ACL bundles. In this study, joint angular rotations, forces, and moments, as well as the forces and strains on the ACL of the target-side knee joint, were investigated for ten professional golfers using the multi-body lower extremity model. The fatigue life of the ACL was also predicted by assuming the estimated ACL force as a cyclic load. The ACL force and strain reached their maximum values within a short time just after ball-impact in the follow-through phase. The smaller knee flexion, higher internal tibial rotation, increase of the joint compressive force and knee abduction moment in the follow-through phase were shown as to lead an increased ACL loading. The number of cycles to fatigue failure (fatigue life) in the ACL might be several thousands. It is suggested that the excessive training or practice of swing motion without enough rest may be one of factors to lead to damage or injury in the ACL by the fatigue failure. The present technology can provide fundamental information to understand and prevent the ACL injury for golf players.

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The number of cycles for failure of ligament and tendon can be predicted by the magnitude of the applied cyclic peak stress as a percentage of the ultimate tensile stress.
“A cadaver study (Purevsuren et al., 2017) demonstrated the number of cycles for the failure of the ligament and tendon could be predicted by the magnitude of the applied cyclic peak stress [percentage of the ultimate tensile stress (UTS)].”
From The Femoral Tunnel Drilling Angle at 45° Coronal and 45° Sagittal Provided the Lowest Peak Stress and Strain on the Bone Tunnels and Anterior Cruciate Ligament Graft (2021) · cites this paper as Purevsuren et al., 2017

OpenSim: Open-Source Software to Create and Analyze Dynamic Simulations of Movement
Delp, S. L., Anderson, F. C., Arnold, A. S., Loan, P., Habib, A., John, C. T., Guendelman, E., & Thelen, D. G. (2007) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2007.901024 · Cited by 4,951 · see citing works
A Joint Coordinate System for the Clinical Description of Three-Dimensional Motions: Application to the Knee
Grood, E. S., & Suntay, W. J. (1983) · Journal of Biomechanical Engineering · doi:10.1115/1.3138397 · Cited by 3,823 · see citing works
ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion—part I: ankle, hip, and spine
Wu, G., Siegler, S., Allard, P., Kirtley, C., Leardini, A., Rosenbaum, D., Whittle, M., DʼLima, D. D., Cristofolini, L., Witte, H., et al. (2002) · Journal of Biomechanics · doi:10.1016/s0021-9290(01)00222-6 · Cited by 3,249 · see citing works
Adjustments to Zatsiorsky-Seluyanov's segment inertia parameters
de Leva, P. (1996) · Journal of Biomechanics · doi:10.1016/0021-9290(95)00178-6 · Cited by 2,977 · see citing works
Biomechanical analysis of human ligament grafts used in knee-ligament repairs and reconstructions.
Noyes, F. R., Butler, D. L., Grood, E. S., Zernicke, R. F., & Hefzy, M. S. (1984) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-198466030-00005 · Cited by 1,521 · see citing works
Tensile properties of the human femur-anterior cruciate ligament-tibia complex
Woo, S. L., Hollis, J. M., Adams, D. J., Lyon, R. M., & Takai, S. (1991) · The American Journal of Sports Medicine · doi:10.1177/036354659101900303 · Cited by 1,195 · see citing works
Combined knee loading states that generate high anterior cruciate ligament forces
Markolf, K. L., Burchfield, D. M., Shapiro, M. M., Shepard, M. F., Finerman, G. A. M., & Slauterbeck, J. L. (1995) · Journal of Orthopaedic Research® · doi:10.1002/jor.1100130618 · Cited by 1,038 · see citing works
Prevention of non‐contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors
Alentorn‐Geli, E., Myer, G. D., Silvers, H. J., Samitier, G., Romero, D., Lázaro-Haro, C., & Cugat, R. (2009) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-009-0813-1 · Cited by 893 · see citing works
Distribution of in situ forces in the anterior cruciate ligament in response to rotatory loads
Gabriel, M. T., Wong, E. K., Woo, S. L., Yagi, M., & Debski, R. E. (2003) · Journal of Orthopaedic Research® · doi:10.1016/s0736-0266(03)00133-5 · Cited by 672 · see citing works
Prediction of hip joint centre location from external landmarks
Bell, A. L., Brand, R. A., & Pedersen, D. R. (1989) · Human Movement Science · doi:10.1016/0167-9457(89)90020-1 · Cited by 561 · see citing works
Articular contact in a three-dimensional model of the knee
Blankevoort, L., Kuiper, J. H., Huiskes, R., et al. (1991) · Journal of Biomechanics · doi:10.1016/0021-9290(91)90019-j · Cited by 525 · see citing works
Comparison of material properties in fascicle-bone units from human patellar tendon and knee ligaments
Butler, D. L., Kay, M. D., & Stouffer, D. C. (1986) · Journal of Biomechanics · doi:10.1016/0021-9290(86)90019-9 · Cited by 516 · see citing works
What Functional Activities Are Important to Patients With Knee Replacements?
Weiss, J. M., Noble, P. C., Conditt, M. A., Kohl, H. W., Roberts, S., Cook, K. F., Gordon, M. J., & Mathis, K. B. (2002) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-200211000-00030 · Cited by 373 · see citing works
In Vitro fatigue of Human Tendons
Schechtman, H., & Bader, D. L. (1997) · Journal of Biomechanics · doi:10.1016/s0021-9290(97)00033-x · Cited by 218 · see citing works
Patellofemoral kinematics during knee flexion-extension: An in vitro study
Amis, A. A., Senavongse, W., & Bull, A. M. J. (2006) · Journal of Orthopaedic Research® · doi:10.1002/jor.20268 · Cited by 185 · see citing works
What Strains the Anterior Cruciate Ligament During a Pivot Landing?
Oh, Y. K., Lipps, D. B., Ashton‐Miller, J. A., & Wojtys, E. M. (2012) · The American Journal of Sports Medicine · doi:10.1177/0363546511432544 · Cited by 174 · see citing works
The Mark Coventry Award: In Vivo Knee Forces During Recreation and Exercise After Knee Arthroplasty
DʼLima, D. D., Steklov, N., Patil, S. S., et al. (2008) · Clinical Orthopaedics and Related Research · doi:10.1007/s11999-008-0345-x · Cited by 173 · see citing works
A quantitative analysis of valgus torque on the ACL: A human cadaveric study
Fukuda, Y., Woo, S. L., Loh, J. C., Tsuda, E., Tang, P., McMahon, P. J., & Debski, R. E. (2003) · Journal of Orthopaedic Research® · doi:10.1016/s0736-0266(03)00084-6 · Cited by 166 · see citing works
Measurement of in vivo anterior cruciate ligament strain during dynamic jump landing
Taylor, K. A., Terry, M. E., Utturkar, G. M., Spritzer, C. E., Queen, R. M., Irribarra, L. A., Garrett, W. E. J., & DeFrate, L. E. (2010) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2010.10.028 · Cited by 150 · see citing works
A survey of golf injuries in amateur golfers.
Batt, M. E. (1992) · British Journal of Sports Medicine · doi:10.1136/bjsm.26.1.63 · Cited by 133 · see citing works
Effect of combined axial compressive and anterior tibial loads on in situ forces in the anterior cruciate ligament: A porcine study
Li, G., Rudy, T. W., Allen, C. R., et al. (1998) · Journal of Orthopaedic Research® · doi:10.1002/jor.1100160121 · Cited by 124 · see citing works
Comparative Analysis of the Structural Properties of the Collateral Ligaments of the Human Knee
Wilson, W., Deakin, A. H., Payne, A. P., et al. (2011) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2012.3919 · Cited by 123 · see citing works
Tibiofemoral Contact Pressures and Osteochondral Microtrauma during Anterior Cruciate Ligament Rupture Due to Excessive Compressive Loading and Internal Torque of the Human Knee
Meyer, E., Baumer, T. G., Slade, J., Smith, W. E., & Haut, R. (2008) · American Journal of Sports Medicine · doi:10.1177/0363546508318046 · Cited by 121 · see citing works
Anterior Cruciate Ligament Fatigue Failures in Knees Subjected to Repeated Simulated Pivot Landings
Lipps, D. B., Wojtys, E. M., & Ashton-Miller, J. A. (2013) · The American Journal of Sports Medicine · doi:10.1177/0363546513477836 · Cited by 97 · see citing works
A multibody knee model with discrete cartilage prediction of tibio-femoral contact mechanics
Guess, T. M., Liu, H., Bhashyam, S., et al. (2011) · Computer Methods in Biomechanics & Biomedical Engineering · doi:10.1080/10255842.2011.617004 · Cited by 85 · see citing works
Golf‐related injuries: A systematic review
Cabri, J., Sousa, J. P., Kots, M., et al. (2009) · European Journal of Sport Science · doi:10.1080/17461390903009141 · Cited by 85 · see citing works
Effect of axial tibial torque direction on ACL relative strain and strain rate in an in vitro simulated pivot landing
Oh, Y. K., Kreinbrink, J. L., Wojtys, E. M., & Ashton‐Miller, J. A. (2011) · Journal of Orthopaedic Research® · doi:10.1002/jor.21572 · Cited by 72 · see citing works
Three-Dimensional Knee Joint Kinetics During a Golf Swing
Gatt, C. J., Pavol, M. J., Parker, R. D., et al. (1998) · The American Journal of Sports Medicine · doi:10.1177/03635465980260022101 · Cited by 65 · see citing works
The effect of tibial tuberosity realignment procedures on the patellofemoral pressure distribution
Saranathan, A., Kirkpatrick, M. S., Mani, S., Smith, L. G., Cosgarea, A. J., Tan, J. S., & Elias, J. J. (2011) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-011-1802-8 · Cited by 58 · see citing works
Concurrent Prediction of Muscle and Tibiofemoral Contact Forces During Treadmill Gait
Guess, T. M., Stylianou, A. P., & Kia, M. (2014) · Journal of Biomechanical Engineering · doi:10.1115/1.4026359 · Cited by 54 · see citing works
Golf Injuries and Rehabilitation
Parziale, J. R., & Mallon, W. J. (2006) · Physical Medicine and Rehabilitation Clinics of North America · doi:10.1016/j.pmr.2006.05.002 · Cited by 51 · see citing works
Cyclic loading causes faster rupture and strain rate than static loading in medial collateral ligament at high stress
Thornton, G. M., Schwab, T., & Oxland, T. R. (2007) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2007.05.004 · Cited by 51 · see citing works
Frontal plane knee moments in golf: effect of target side foot position at address.
Lynn, S. K., & Noffal, G. J. (2010) · Europe PMC (PubMed Central) · Cited by 38 · see citing works
Three‐dimensional knee joint kinematics during golf swing and stationary cycling after total knee arthroplasty
Hamai, S., Miura, H., HIGAKI, H., et al. (2008) · Journal of Orthopaedic Research® · doi:10.1002/jor.20671 · Cited by 37 · see citing works
Biomechanical risk factors and mechanisms of knee injury in golfers
Marshall, R., & McNair, P. (2013) · Sports Biomechanics · doi:10.1080/14763141.2013.767371 · Cited by 30 · see citing works
Low handicap golfers generate more torque at the shoe-natural grass interface when using a driver.
Worsfold, P., Smith, N. A., & Dyson, R. (2008) · PubMed · Cited by 21 · see citing works
Application of Computational Lower Extremity Model to Investigate Different Muscle Activities and Joint Force Patterns in Knee Osteoarthritis Patients during Walking
Nha, K. W., Dorj, A., Feng, J., et al. (2013) · Computational and Mathematical Methods in Medicine · doi:10.1155/2013/314280 · Cited by 21 · see citing works
Influence of Bundle Diameter and Attachment Point on Kinematic Behavior in Double Bundle Anterior Cruciate Ligament Reconstruction Using Computational Model
Kwon, O. S., Purevsuren, T., Kim, K., et al. (2014) · Computational and Mathematical Methods in Medicine · doi:10.1155/2014/948292 · Cited by 16 · see citing works
Self-citation
Dynamic simulation of tibial tuberosity realignment: model evaluation
Purevsuren, T., Elias, J. J., Kim, K., et al. (2014) · Computer Methods in Biomechanics & Biomedical Engineering · doi:10.1080/10255842.2014.936857 · Cited by 15 · see citing works
Self-citation
A Novel Application of the Principles of Linear Elastic Fracture Mechanics (LEFM) to the Fatigue Behavior of Tendon Tissue
Adeeb, S. M., Zec, M. L., Thornton, G. M., Frank, C. B., & Shrive, N. G. (2004) · Journal of Biomechanical Engineering · doi:10.1115/1.1800556 · Cited by 11 · see citing works
The effects of cyclic loading on tensile properties of a rabbit femur–anterior cruciate ligament–tibia complex (FATC)
Sekiguchi, H., Post, W. R., Han, J., et al. (1998) · The Knee · doi:10.1016/s0968-0160(97)10011-4 · Cited by 11 · see citing works
Prediction of medial and lateral contact force of the knee joint during normal and turning gait after total knee replacement
Purevsuren, T., Dorj, A., Kim, K., et al. (2016) · Proceedings of the Institution of Mechanical Engineers Part H Journal of Engineering in Medicine · doi:10.1177/0954411916634750 · Cited by 11 · see citing works
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Cheng, R., Wang, H., Jiang, Z., Dimitriou, D., Cheng, C.-K., & Tsai, T.-Y. (2021) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2021.797389 · Cited by 20 · see citing works

Increased distal femoral torsion is a predictor of non-contact anterior cruciate ligament injury: a case control studyPreprint
Wang, D., Chen, J., Fan, H., Seeley, R. A., Liang, X., Huang, W., Gan, X., & Li, K. (2022) · Research Square · doi:10.21203/rs.3.rs-2099257/v1
Prospective evaluation of musculoskeletal injury history as predictors for anterior cruciate ligament injury risk: The JUMP-ACL study
Padua, D. A., Cameron, K. L., Beutler, A. I., et al. (2015) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2015.02.939
Increased lateral femoral condyle ratio is associated with greater risk of ALC injury in non‐contact anterior cruciate ligament injury
Li, K., Zheng, X., Li, J., Seeley, R. A., Marot, V., Murgier, J., Liang, X., Huang, W., & Cavaignac, É. (2020) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-020-06347-0 · Cited by 32 · see citing works
Neuromuscular control in patients with acute ACL injury during stair ascent – A pilot study
Busch, A., Henle, P., Boesch, L., et al. (2019) · Sports Orthopaedics and Traumatology · doi:10.1016/j.orthtr.2019.04.002 · Cited by 9 · see citing works
A Study of the Uncontact Froung-crossd Anterior Cruciate Ligament Injury Analysis
Kim, M.-I. (2012) · Journal of the Korea Entertainment Industry Association · doi:10.21184/jkeia.2012.09.6.3.167 · Cited by 1 · see citing works

Authors: Purevsuren, T., Kwon, M. S., Park, W. M., Kim, K., Jang, S. H., Lim, Y.-T., & Kim, Y. H.
Affiliations: Kyung Hee University (KR)
Konkuk University (KR)
Corresponding author: Lim, Young-Tae
Kim, Yoon Hyuk
ORCID: Purevsuren, Tserenchimed
Kwon, Moon Seok
Park, Won Man
Lim, Young-Tae
Kim, Yoon Hyuk
Venue: Journal of Biomechanics
Publisher: Elsevier BV
Published: 2017-02
Volume: 53
Pages: 9-14
ISSN: 0021-9290 (ISSN-L)
DOI: 10.1016/j.jbiomech.2016.12.007
OpenAlex: W2565889184
Cited by: 28
References: 42
Citations by year: 2026: 4 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 7 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 5 · 2017: 1
FWCI: 3.32
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Biomechanics (publishedVersion)
PubMed (publishedVersion)
Funders: National Research Foundation of Korea (NRF) (NRF-2014M3C1B1033319)
Topics: Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
Physical Sciences › Engineering › Biomedical Engineering › Sports Dynamics and Biomechanics
Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
Keywords: anterior cruciate ligament injury, golf swing, fatigue failure, knee abduction moment, tibial rotation, professional golfers, injury prevention, overuse injuries
MeSH terms: Anterior Cruciate Ligament Injuries, Adult, Biomechanical Phenomena, Golf, Humans, Knee Joint, Male, Pressure, Rotation, Stress, Mechanical, Tibia, Anterior Cruciate Ligament, Young Adult

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Fatigue Injury Risk in Anterior Cruciate Ligament of Target Side Knee during golf Swing

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