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The biomechanics of anterior cruciate ligament rehabilitation and reconstruction
Abstract
The rehabilitation of knee injuries involving the anterior cruciate ligament (ACL) is controversial. This paper describes strain in the normal and reconstructed ACL during a series of passive and active tests of knee flexion with and without varus, valgus, and axial rotation torques on the tibia. Strain in the human knee ACL was significantly different depending on whether the knee flexion angle was changed passively or via simulated quadriceps contraction. The knee joint capsule was found to be important for strain protection of the ACL. Quadriceps activity did not strain the normal or recon structed ACL when the knee was flexed beyond 60°, but significantly strained the tissue from 0 to 45° of knee flexion. Immobilization may not protect the ACL if isometric quadriceps contractions are allowed to occur. Properly placed reconstructions exhibited strain behav ior which closely followed the anteromedial band of the ACL.
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Cited by
Valgus Knee Motion during Landing in High School Female and Male Basketball Players
FORD, K. R., MYER, G. D., & HEWETT, T. E. (2003) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000089346.85744.d9 · Cited by 992
Renstrom, P., Ljungqvist, A., Arendt, E., Beynnon, B., Fukubayashi, T., Garrett, W., Georgoulis, T., Hewett, T. E., Johnson, R., Krosshaug, T., et al. (2008) · British Journal of Sports Medicine · doi:10.1136/bjsm.2008.048934 · Cited by 820
Self-citationAmis, A., & Dawkins, G. (1991) · The Journal of Bone and Joint Surgery. British volume · doi:10.1302/0301-620x.73b2.2005151 · Cited by 731
Owusu-Akyaw, K. A., Kim, S. Y., Spritzer, C. E., Collins, A. T., Englander, Z. A., Utturkar, G. M., Garrett, W. E., & DeFrate, L. E. (2018) · The American Journal of Sports Medicine · doi:10.1177/0363546518764681 · Cited by 73
Shultz, S. J., Schmitz, R. J., Cameron, K. L., Ford, K. R., Grooms, D. R., Lepley, L. K., Myer, G. D., & Pietrosimone, B. (2019) · Journal of Athletic Training · doi:10.4085/1062-6050-54.084 · Cited by 44
Metadata
- Authors
- Arms, S. W., Pope, M. H., Johnson, R. J., Fischer, R. A., Arvidsson, I., & Eriksson, E.
- Venue
- The American Journal of Sports Medicine
- Publisher
- SAGE Publications
- Published
- 1984-01
- Volume
- 12
- Issue
- 1
- Pages
- 8-18
- ISSN
- 0363-5465 (ISSN-L)
- 1552-3365
- OpenAlex
- W2103822840
- Cited by
- 511
- References
- 0
- FWCI
- 8.25
- Type
- journal article
- Language
- en
- Open access
- closed
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- Arms, S. W., Pope, M. H., Johnson, R. J., Fischer, R. A., Arvidsson, I., & Eriksson, E. (1984). The biomechanics of anterior cruciate ligament rehabilitation and reconstruction. The American Journal of Sports Medicine. https://doi.org/10.1177/036354658401200102
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
