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Cited by 182Knee injuries and reconstruction techniquesTendon Structure and TreatmentLower Extremity Biomechanics and Pathologies

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

In Vivo Elongation of the Anterior Cruciate Ligament and Posterior Cruciate Ligament during Knee Flexion

Li, Guoan, DeFrate, Louis E., Sun, Hao, Gill, Thomas J.·2004·The American Journal of Sports Medicine
DOI 10.1177/0363546503262175
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Abstract

Background: Most knowledge regarding cruciate ligament function is based on in vitro experiments. Purpose: To investigate the in vivo elongation of the functional bundles of the anterior cruciate ligament and posterior cruciate ligament during weightbearing flexion. Hypothesis: The biomechanical role of functional bundles of the anterior cruciate ligament and posterior cruciate ligament under in vivo loading is different from that measured in cadavers. Study Design: In vivo biomechanical study. Methods: Elongation of the anterior cruciate ligament and posterior cruciate ligament was measured during a quasi-static lunge using imaging and 3-dimensional computer-modeling techniques. Results: The anterior-medial bundle of the anterior cruciate ligament had a relatively constant length from full extension to 90° of flexion. The posterior-lateral bundle of the anterior cruciate ligament decreased in length with flexion. Both bundles of the posterior cruciate ligament had increased lengths with flexion. Conclusion: The data did not demonstrate the reciprocal function of the 2 bundles of the anterior cruciate ligament or the posterior cruciate ligament with flexion observed in previous studies. Instead, the data suggest that there is a reciprocal function between the anterior cruciate ligament and posterior cruciate ligament with flexion. The anterior cruciate ligament plays a more important role in low-flexion angles, whereas the posterior cruciate ligament plays a more important role in high flexion. Clinical Relevance: Understanding the biomechanical role of the knee ligaments in vivo is essential to reproduce the structural behavior of the ligament after injury (especially for 2-bundle reconstructions) and thus improve surgical outcomes.

Overview

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Crossref · 10.1177/0363546503262175

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33 of 33 references verified0 citation errors · 0 not checkable

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Citations

Cites

Research works printed but not linked: 2

  1. Lewis JL, 1980, Trans Orthop Res Soc, 5, 307
  2. Li G, J Biomech Eng

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Metadata

Authors
Li, G., DeFrate, L. E., Sun, H., & Gill, T. J.
Affiliations
Harvard University (US)
Corresponding author
Li, Guoan
ORCID
Venue
The American Journal of Sports Medicine
Publisher
SAGE Publications
Published
2004-09
Volume
32
Issue
6
Pages
1415-1420
ISSN
  • 0363-5465 (ISSN-L)
  • 1552-3365
DOI
10.1177/0363546503262175
OpenAlex
W2050751779
Cited by
182
References
33
Citations by year
2026: 3 · 2025: 5 · 2024: 8 · 2023: 8 · 2022: 7 · 2021: 11 · 2020: 10 · 2019: 12 · 2018: 8 · 2017: 6 · 2016: 8 · 2015: 2 · 2014: 10 · 2013: 11 · 2012: 10
FWCI
9.50
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • The American Journal of Sports Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Tendon Structure and Treatment
  • Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
Keywords
anterior cruciate ligament, posterior cruciate ligament, ligament elongation, knee flexion, lunge, knee biomechanics, ligament injury, ligament reconstruction
MeSH terms
Adult, Biomechanical Phenomena, Computer Simulation, Humans, Knee Injuries, Knee Joint, Magnetic Resonance Imaging, Movement, Anterior Cruciate Ligament, Posterior Cruciate Ligament, Weight-Bearing

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