Biomechanical and anatomical effects of an external rotational torque applied to the knee: A cadaveric study

American Journal of Sports Medicine

Volumn 34, Issue 10, 2006, Pages 1623-1629

  Csintalan, Rick P ^a   Ehsan, Amirhesam ^b,c   McGarry, Michelle H ^b   Fithian, Donald F ^a   Lee, Thay Q ^b,c  

^a KAISER PERMANENTE   (United States)

^b VA LONG BEACH HEALTHCARE SYSTEM   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Cadaveric study; External rotation; Laxity; Posterolateral corner

Indexed keywords

ADULT; AGED; ANTERIOR CRUCIATE LIGAMENT; ARTICLE; BIOMECHANICS; CADAVER; FIBULA; FUNCTIONAL ANATOMY; HUMAN; HUMAN TISSUE; JOINT LAXITY; KNEE INJURY; KNEE LIGAMENT; KNEE LIGAMENT INJURY; POPLITEOFIBULAR LIGAMENT; POPLITEUS TENDON; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; ROTATION; SIMULATION; SOFT TISSUE INJURY; TENDON; TORQUE; VALGUS DEFORMITY; VARUS DEFORMITY;

AGED; AGED, 80 AND OVER; ANALYSIS OF VARIANCE; ANTERIOR CRUCIATE LIGAMENT; BIOMECHANICS; CADAVER; HUMANS; JOINT INSTABILITY; KNEE INJURIES; MEDIAL COLLATERAL LIGAMENT, KNEE; MIDDLE AGED; SOFT TISSUE INJURIES; TORQUE;

EID: 33748668823     PISSN: 03635465     EISSN: 15523365     Source Type: Journal    
DOI: 10.1177/0363546506288013     Document Type: Article

References (38)

1. Baker CL Jr, Norwood LA, Hughston JC. Acute posterolateral rotatory instability of the knee. J Bone Joint Surg Am. 1983;65:614-618.
2. Bizot P, Meunier A, Christel P, Witvoet J. Experimental capsuloligamentar lesions of the knee during passive hyperextension. Biomechanical aspects. A lesional evaluation and consequences [in French]. Rev Chir Orthop Reparatrice Appar Mot. 1995;81:211-220.
3. Bousquet G, Charmion L, Passot JP, Girardin P, Relave M, Gazielly D. Stabilization of the external condyle of the knee in chronic anterior laxity. Importance of the popliteal muscle [in French]. Rev Chir Orthop Reparatrice Appar Mot. 1986;72:427-434.
4. Butler DL, Noyes FR, Grood ES. Ligamentous restraints to anterior-posterior drawer in the human knee: a biomechanical study. J Bone Joint Surg Am. 1980;62:259-270.
5. Chen E, Maffulli N, Chan KM. Knee injuries produced by recreational sports follow a different pattern than casual injuries. Bull Hosp Jt Dis. 1998;57:74-79.
6. Covey DC. Injuries of the posterolateral corner of the knee. J Bone Joint Surg Am. 2001;83:106-118.
7. DeLee JC, Riley MB, Rockwood CA Jr. Acute posterolateral rotatory instability of the knee. Am J Sports Med. 1983;11:199-207.
8. Ferrari DA, Ferrari JD, Coumas J. Posterolateral instability of the knee. J Bone Joint Surg Br. 1994;76:187-192.
9. Gollehon DL, Torzilli PA, Warren RF. The role of the posterolateral and cruciate ligaments in the stability of the human knee: a biomechanical study. J Bone Joint Surg Am. 1987;69:233-242.
10. Harner CD, Hoher J. Evaluation and treatment of posterior cruciate ligament injuries. Am J Sports Med. 1998;26:471-482.
11. Harner CD, Vogrin TM, Hoher J, Ma CB, Woo SL. Biomechanical analysis of a posterior cruciate ligament reconstruction: deficiency of the posterolateral structures as a cause of graft failure. Am J Sports Med. 2000;28:32-39.
12. Hughston JC, Andrews JR, Cross MJ, Moschi A. Classification of knee ligament instabilities, I: the medial compartment and cruciate ligaments. J Bone Joint Surg Am. 1976;58:159-172.
13. Hughston JC, Andrews JR, Cross MJ, Moschi A. Classification of knee ligament instabilities, II: the lateral compartment. J Bone Joint Surg Am. 1976;58:173-179.
14. Hughston JC, Jacobson KE. Chronic posterolateral rotatory instability of the knee. J Bone Joint Surg Am. 1985;67:351-359.
15. Hughston JC, Norwood LA Jr. The posterolateral drawer test and external rotational recurvatum test for posterolateral rotatory instability of the knee. Clin Orthop Relat Res. 1980;147:82-87.
16. Jakob RP. Indications, treatment and evaluation of chronic instability of the anterior cruciate ligament [in German]. Orthopade. 1987;16:130-139.
17. Jakob RP, Hassler H, Staeubli HU. Observations on rotatory instability of the lateral compartment of the knee: experimental studies on the functional anatomy and the pathomechanism of the true and the reversed pivot shift sign. Acta Orthop Scand Suppl. 1981;191:1-32.
18. Jakob RP, Warner JP. Lateral and posterolateral rotatory instability of the knee. In: Drez D, DeLee JC, eds. Orthopaedic Sports Medicine: Principles and Practice. Philadelphia, Pa: W. B. Saunders; 1994:1275-1312.
19. LaPrade RF, Gilbert TJ, Bollom TS, Wentorf F, Chaljub G. The magnetic resonance imaging appearance of individual structures of the posterolateral knee: a prospective study of normal knees and knees with surgically verified grade III injuries. Am J Sports Med. 2000;28:191-199.
20. LaPrade RF, Terry GC. Injuries to the posterolateral aspect of the knee: association of anatomic injury patterns with clinical instability. Am J Sports Med. 1997;25:433-438.
21. Loomer RL. A test for knee posterolateral rotatory instability. Clin Orthop Relat Res. 1991;264:235-238.
22. Maynard MJ, Deng X, Wickiewicz TL, Warren RF. The popliteofibular ligament: rediscovery of a key element in posterolateral stability. Am J Sports Med. 1996;24:311-316.
23. Muller W. The Knee: Form, Function, and Ligament Reconstruction. Heidelberg, Germany: Springer-Verlag; 1982.
24. Muller W, Biedert R, Hefti F, Jakob RP, Munzinger U, Staubli HU. OAK knee evaluation: a new way to assess knee ligament injuries. Clin Orthop Relat Res. 1988;232:37-50.
25. Noyes FR, Barber-Westin SD. Surgical reconstruction of severe chronic posterolateral complex injuries of the knee using allograft tissues. Am J Sports Med. 1995;23:2-12.
26. Noyes FR, Barber-Westin SD. Surgical restoration to treat chronic deficiency of the posterolateral complex and cruciate ligaments of the knee joint. Am J Sports Med. 1996;24:415-426.
27. Noyes FR, Stowers SF, Grood ES, Cummings J, VanGinkel LA. Posterior subluxations of the medial and lateral tibiofemoral compartments: an in vitro ligament sectioning study in cadaveric knees. Am J Sports Med. 1993;21:407-414.
28. O'Brien SJ, Warren RF, Pavlov H, Panariello R, Wickiewicz TL. Reconstruction of the chronically insufficient anterior cruciate ligament with the central third of the patellar ligament. J Bone Joint Surg Am. 1991;73:278-286.
29. Seebacher JR, Inglis AE, Marshall JL, Warren RF. The structure of the posterolateral aspect of the knee. J Bone Joint Surg Am. 1982;64:536-541.
30. Shino K, Horibe S, Ono K. The voluntarily evoked posterolateral drawer sign in the knee with posterolateral instability. Clin Orthop Relat Res. 1987;215:179-186.
31. Skyhar MJ, Warren RF, Ortiz GJ, Schwartz E, Otis JC. The effects of sectioning of the posterior cruciate ligament and the posterolateral complex on the articular contact pressures within the knee. J Bone Joint Surg Am. 1993;75:694-699.
32. Sugita T, Amis AA. Anatomic and biomechanical study of the lateral collateral and popliteofibular ligaments. Am J Sports Med. 2001;29:466-472.
33. Veltri DM, Deng XH, Torzilli PA, Maynard MJ, Warren RF. The role of the popliteofibular ligament in stability of the human knee: a biomechanical study. Am J Sports Med. 1996;24:19-27.
34. Veltri DM, Deng XH, Torzilli PA, Warren RF, Maynard MJ. The role of the cruciate and posterolateral ligaments in stability of the knee: a biomechanical study. Am J Sports Med. 1995;23:436-443.
35. Veltri DM, Warren RF. Anatomy, biomechanics, and physical findings in posterolateral knee instability. Clin Sports Med. 1994;13:599-614.
36. Veltri DM, Warren RF. Operative treatment of posterolateral instability of the knee. Clin Sports Med. 1994;13:615-627.
37. Warren RF, Marshall JL. Injuries of the anterior cruciate and medial collateral ligaments of the knee: a long-term follow-up of 86 cases - part II. Clin Orthop Relat Res. 1978;136:198-211.
38. Yu JS, Salonen DC, Hodler J, Haghighi P, Trudell D, Resnick D. Posterolateral aspect of the knee: improved MR imaging with a coronal oblique technique. Radiology. 1996;198:199-204.