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ASTM Selected Technical Papers
Skiing Trauma and Safety, 18th Volume
By
Robert J. Johnson, MD
Robert J. Johnson, MD
1
University of Vermont
,
Burlington, Vermont,
USA
, Editor
Search for other works by this author on:
Jasper E. Shealy, PhD
Jasper E. Shealy, PhD
2
Rochester Institute of Technology
,
Rochester, New York,
USA
, Editor
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Veit Senner
Veit Senner
3
Technische Universität München
,
München,
Germany
, Program Chairman and Editor
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ISBN:
978-0-8031-7511-2
No. of Pages:
225
Publisher:
ASTM International
Publication date:
2011

FASTRAK receivers were mounted on Kirschner-wires inserted in the distal femur and proximal tibia, respectively. Relative motions of the anterior cruciate ligament (ACL) insertion points were calculated for a hypothesised ACL while diagnostic and skiing load cases were applied to the knee. The highest strains, in descending order were: (i) Lachman test (13.5 %), (ii) 20 N•m internal rotation load (10.6 %) and (iii) latero-medial knee movement (6.4 %). The Lachman-procedure not only produces anterior tibial translation (5.5 mm) but as well internal rotation (10.0°). The medial knee movement produces valgus (2.3°) and external rotation (15.6°), but induces flexion (9.7°) as well, which therefore increases ACL load due to a non physiological instantaneous centre of rotation.

1.
Johnson
,
R. J.
,
Ettlinger
,
C. F.
, and
Shealy
,
J. E.
, “
Lower Extremity Injuries Involving Traditional Alpine Skis Versus Short Skis with Non-Release bindings
,”
Skiing Trauma and Safety: 14th Volume, ASTM STP 1440
,
Johnson
R. J.
,
Lamont
M.
, and
Shealy
J. E.
, Eds.,
ASTM International
,
West Conshohocken, PA
,
2003
, pp. 105–112.
2.
Ramsey
,
D. K.
,
Wretenberg
,
P. F.
,
Benoit
,
D. L.
,
Lamontagne
,
M.
, and
Németh
,
G.
, “
Methodological Concerns Using Intra-Cortical Pins to Measure Tibiofemoral Kinematics
,”
Knee Surg. Sports Traumatol. Arthrosc
 0942-2056, Vol.
11
,
2003
, pp. 344–349.
3.
Cerulli
,
G.
,
Benoit
,
D. L.
,
Lamontagne
,
M.
,
Caraffa
,
A.
, and
Liti
,
A.
, “
In vivo Anterior Cruciate Ligament Strain Behaviour During a Rapid Deceleration Movement: A Case Report
,”
Knee Surg. Sports Traumatol. Arthrosc
 0942-2056, Vol.
11
,
2003
, pp. 307–311.
4.
Fleming
,
B. C.
,
Renstrom
,
P. A.
,
Beynnon
,
B. D.
,
Engstrom
,
B.
,
Peura
,
G. D.
,
Badger
,
G. J.
, and
Johnson
,
R. J.
, “
The Effect of Weightbearing and External Loading on Anterior Cruciate Ligament Strain
,”
J. Biomech.
 0021-9290, Vol.
34
,
2001
, pp. 163–170.
5.
Fleming
,
B. C.
,
Beynnon
,
B. D.
,
Nichols
,
C. E.
,
Johnson
,
R. J.
, and
Pope
,
M. H.
, “
An In-Vivo Comparison of Anterior Tibial Translation and Strain in the Anteromedial Band of the Anterior Cruciate Ligament
,”
J. Biomech.
 0021-9290, Vol.
26
,
1993
, pp. 51–58.
6.
Friederich
,
N. F.
and
O'Brien
,
W. R.
, “
Functional Anatomy of the Cruciate Ligaments
,”
The Knee and the Cruciate Ligaments
,
Jakob
R. P.
and
Stäubli
H. U.
, Eds.,
Springer
,
Berlin
,
1990
, pp. 78–91.
7.
Huiskes
,
R.
and
Blankevoort
,
L.
, “
Anatomy and Biomechanics of the Anterior Cruciate Ligament: A Three-Dimensional Problem
,”
The Knee and the Cruciate Ligaments
,
Jakob
R. P.
and
Stäubli
H. U.
, Eds.,
Springer
,
Berlin
,
1990
, pp. 92–109.
8.
Hefzy
,
M. S.
,
Grood
,
E. S.
, and
Noyes
,
F. R.
, “
Factors Affecting the Region of Most Isometric Femoral Attachments
,”
Am. J. Sports Med.
 0363-5465, Vol.
17
,
1989
, pp. 208–216.
9.
Odensten
,
M.
and
Gillquist
,
J.
, “
Functional Anatomy of the Anterior Cruciate Ligament and a Rationale for Reconstruction
,”
J. Bone Joint Surgery
 0021-9355, Vol.
67A
,
1985
, pp. 257–261.
10.
Freudiger
,
S.
and
Friederich
,
N. F.
, “
Critical Load Cases for Knee Ligaments at Skiing—An Engineering Approach
,”
Skiing Trauma and Safety: 13th Volume, ASTM STP 1397
,
Johnson
R. J.
,
Zucco
P.
, and
Shealy
J. E.
, Eds.,
ASTM International
,
West Conshohocken, PA
,
2000
, pp. 160–174.
11.
Müller
,
W.
,
Das Knie: Form, Funktion und ligamentäre Wiederherstellungschirurgie [The Knee: Form, Function, and Ligament Reconstruction]
,
Springer
,
Berlin
,
1982
, pp. 72–73.
12.
Markolf
,
K. L.
,
Gorek
,
J. F.
,
Kabo
,
J. M.
, and
Shapiro
,
M. S.
, “
Direct Measurement of Resultant Forces in the Anterior Cruciate Ligament
,”
J. Bone Joint Surgery
 0021-9355, Vol.
72A
,
1990
, pp. 557–567.
13.
Stäubli
,
H. U.
,
Noesberger
,
B.
, and
Jakob
,
R. P.
, “
Stressradiography of the Knee. Cruciate Ligament Function Studied in 138 Patients
,”
Acta Orthop. Scand. Suppl.
 0300-8827 Vol.
249
,
1992
, pp. 0–27.
14.
Logan
,
M. C.
,
Williams
,
A.
,
Lavelle
,
J.
,
Gedroyc
,
W.
, and
Freeman
,
M.
, “
What Really Happens During the LACHMAN Test? A Dynamic MRI Analysis of Tibiofemoral Motion
,”
Am. J. Sports Med.
 0363-5465, Vol.
32
,
2004
, pp. 369–375.
15.
Müller
,
W.
, personal communication,
2005
.
16.
Ahmed
,
A. M.
,
Hyder
,
A.
,
Burke
,
D. L.
, and
Chan
,
K. H.
, “
In-Vitro Ligament Tension Pattern in the Flexed Knee in Passive Loading
,”
J. Orthop. Res.
 0736-0266, Vol.
5
,
1987
, pp. 217–230.
17.
Markolf
,
K. L.
,
Bargar
,
W. L.
,
Shoemaker
,
S. C.
, and
Amstutz
,
H. C.
, “
The Role of Joint Load in Knee Stability
,”
Journal of Bone and Joint Surgery
 0021-9355, Vol.
63A
,
1981
, pp. 570–585.
18.
Shoemaker
,
S. C.
,
Markolf
,
K. L.
,
Dorey
,
F. J.
,
Zager
,
S.
, and
Namba
,
R.
, “
Tibial Torque Generation in a Flexed Weight-Bearing Stance
,”
Clin. Orthop. Relat. Res.
 0009-921X, Vol.
228
,
1988
, pp. 164–170.
19.
Matsumoto
,
H.
, “
Mechanism of the Pivot Shift
,”
Journal of Bone Joint Surgery
 0021-9355, Vol.
72B
,
1990
, pp. 816–821.
20.
Freudiger
,
S.
, “
Laboratory Simulation of Biomechanical Knee Behaviour Under Skiing and Falling Loads
,”
Skiing Trauma and Safety: Thirteenth Volume, ASTM STP 1397
,
Johnson
R. J.
,
Zucco
P.
, and
Shealy
J. E.
, Eds.,
ASTM International
,
West Conshohocken, PA
,
2000
, pp. 149–159.
21.
Noyes
,
F. R.
and
Grood
,
E. S.
, “
The Strength of the Anterior Cruciate Ligament in Humans and Rhesus Monkeys
,”
Journal of Bone and Joint Surgery
 0021-9355, Vol.
58A
,
1976
, pp. 1074–1082.
22.
Rauch
,
G.
,
Allzeit
,
B.
, and
Gotzen
,
L.
, “
Biomechanische Untersuchungen zur Zugfestigkeit des Vorderen Kreuzbandes unter Besonderer Berücksichtigung der Altersabhängigkeit [Biomechanical investigations regarding tension strength of the anterior cruciate ligament under specific consideration of age dependency]
,”
Unfallchirurg
 0177-5537, Vol.
91
,
1988
, pp. 437–443.
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