Anterior cruciate ligament injuries: Anatomy, physiology, biomechanics, and management

Clinical Journal of Sport Medicine

Volumn 22, Issue 4, 2012, Pages 349-355

  Siegel, Leon ^a   Vandenakker Albanese, Carol ^b   Siegel, David ^b,c  

^a OCCIDENTAL COLLEGE   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c VETERANS AFFAIRS MEDICAL CENTER   (United States)

Author keywords

anterior cruciate ligament; anterior cruciate ligament reconstruction; anteromedial bundle; hamstring tendon graft; patellar tendon graft; posterolateral bundle; quadriceps tendon graft

Indexed keywords

ANTERIOR CRUCIATE LIGAMENT INJURY; ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION; ATHLETE; BASKETBALL; BIOMECHANICS; BODY POSITION; BONE TRANSPLANTATION; CONSERVATIVE TREATMENT; ELECTROMYOGRAPHY; EXERCISE; FEMUR CONDYLE; FORCE; GRAFT FAILURE; HAMSTRING; HUMAN; KINEMATICS; MUSCULOSKELETAL DIAGNOSIS; PATHOLOGICAL ANATOMY; PHYSICAL EXAMINATION; PHYSIOTHERAPY; PLASTIC SURGERY; POSTOPERATIVE CARE; PRIORITY JOURNAL; QUADRICEPS FEMORIS MUSCLE; REHABILITATION CARE; REINNERVATION; REVIEW; RUNNING; SEX DIFFERENCE; SPORT INJURY; TIBIA; WEIGHT BEARING;

ANTERIOR CRUCIATE LIGAMENT; ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION; HUMANS; KNEE INJURIES;

EID: 84864252507     PISSN: 1050642X     EISSN: 15363724     Source Type: Journal    
DOI: 10.1097/JSM.0b013e3182580cd0     Document Type: Review

References (69)

1. Buoncristiani AM, Tjoumakaris FP, Starman JS, et al. Anatomic doublebundle anterior cruciate ligament reconstruction. Arthroscopy. 2006;22: 1000-1006. (Pubitemid 44301780)
2. Freedman KB, D'Amato MJ, Nedeff DD, et al. Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring autografts. Am J Sports Med. 2003; 31:2-11. (Pubitemid 36110125)
3. Frobell RB, Roos EM, Roos HP, et al. A randomized trial of treatment for acute anterior cruciate ligament tears. N Engl J Med. 2010;363:331-342.
4. Levy BA. Is early reconstruction necessary for all anterior cruciate ligament tears? N Engl J Med. 2010;363;386-388.
5. Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations of injury prevention initiatives. J Athl Train. 2007;42:311-319. (Pubitemid 46919986)
6. Pujol N, Bianchi MP, Chambat P. The incidence of anterior cruciate ligament injuries among competitive alpine skiers: a 25-year investigation. Am J Sports Med. 2007;35:1070-1074. (Pubitemid 46976470)
7. Anderson AF, Dome DC, Gautam S, et al. Correlation of anthropometric measurements, strength, anterior cruciate ligament size, and intercondylar notch characteristics to sex differences in anterior cruciate ligament tear rates. Am J Sports Med. 2001;29:58-66. (Pubitemid 32154124)
8. Gwinn DE, Wilckens JH, McDevitt ER, et al. The relative incidence of anterior cruciate ligament injury in men and women at the United States Naval Academy. Am J Sports Med. 2000;28:98-102. (Pubitemid 30056337)
9. Arendt E, Dick R. Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med. 1995;23:694-701.
10. Agel J, Arendt EA, Bershadsky B. Anterior cruciate ligament injury in national collegiate athletic association basketball and soccer: a 13-year review. Am J Sports Med. 2005;33:524-530. (Pubitemid 40411158)
11. Hewett TE, Myer GD, Ford KR. Reducing knee and anterior cruciate ligament injuries among female athletes: a systematic review of neuromuscular training interventions. J Knee Surg. 2005;18:82-88.
12. Besier TF, Lloyd DG, Cochrane JL, et al. External loading of the knee joint during running and cutting maneuvers. Med Sci Sports Exerc. 2001; 33:1168-1175. (Pubitemid 32641317)
13. Zebis MK, Bencke J, Andersen LL, et al. The effects of neuromuscular training on knee joint motor control during sidecutting in female elite soccer and handball players. Clin J Sport Med. 2008;18:329-337.
14. Souryal TO, Moore HA, Evans JP. Bilaterality in anterior cruciate ligament injuries: associated intercondylar notch stenosis. Am J Sports Med. 1988;16:449-454.
15. Uhorchak JM, Scoville CR,Williams GN, et al. Risk factors associated with noncontact injury of the anterior cruciate ligament: a prospective four-year evaluation of 859 West Point cadets. Am J Sports Med. 2003;3:831-842. (Pubitemid 37448810)
16. Davis TJ, Shelbourne KD, Klootwyk TE. Correlation of the intercondylar notch width of the femur to the width of the anterior and posterior cruciate ligaments. Knee Surg Sports Traumatol Arthrosc. 1999;7:209-214.
17. Shelbourne KD, Davis TJ, Klootwyk TE. The relationship between intercondylar notch width of the femur and the incidence of anterior cruciate ligament tears. A prospective study. Am J Sports Med. 1998; 26:402-408. (Pubitemid 28248730)
18. Giuliani JR, Kilcoyne KG, Rue JPH. Anterior cruciate ligament anatomy: a review of the anteromedial and posterolateral bundles. J Knee Surg. 2009;22:148-154.
19. Li G, DeFrate LE, Sun G, et al. In vivo elongation of the anterior cruciate ligament and posterior cruciate ligament during knee flexion. Am J Sports Med. 2004;32:1415-1420. (Pubitemid 39100881)
20. Sidles JA, Larson RV, Garbini JL, et al. Ligament length relationships in the moving knee. J Orthop Res. 1988;6:593-610.
21. Odensten M, Gillquist J. Functional anatomy of the anterior cruciate ligament and a rationale for reconstruction. J Bone Joint Surg Am. 1985;67:257-262. (Pubitemid 15167127)
22. Georgoulis AD, Pappa L, Moebius U, et al. The presence of proprioceptive mechanoreceptors in the remnants of the ruptured ACL as a possible source of re-innervation of the ACL autograft. Knee Surg Sports Traumatol Arthrosc. 2001;9:364-368. (Pubitemid 33684615)
23. Gabriel MT, Wong EK, Woo SLY, et al. Distribution of in situ forces in the anterior cruciate ligament in response to rotatory loads. J Orthop Res. 2004;22:85-89. (Pubitemid 38035449)
24. Sakane M, Fox RJ, Woo SL-Y, et al. In situ forces in the anterior cruciate ligament and its bundles in response to anterior tibial loads. J Orthop Res. 1997;15:285-293. (Pubitemid 27220548)
25. Prodromos CC, Fu FH, Howell SM, et al. Controversies in soft-tissue anterior cruciate ligament reconstruction: grafts, bundles, tunnels, fixation, and harvest. J Am Acad Orthop Surg. 2008;16:376-384.
26. Krosshaug T, Nakamae A, Boden BP, et al. Mechanisms of anterior cruciate ligament injury in basketball video analysis of 39 cases. Am J Sports Med. 2007;35:359-367. (Pubitemid 46280478)
27. Boden BP, Torg JS, Knowles DB, et al. Video analysis of anterior cruciate ligament injury: abnormalities in hip and ankle kinematics. Am J Sports Med. 2009;37:252-259.
28. Beynnon BD, Fleming BC. Anterior cruciate ligament strain in-vivo: a review of previous work. J Biomech. 1998;31:519-525. (Pubitemid 28434467)
29. Benjaminse A, Gokeler A, vand der Schans CP. Clinical diagnosis of an anterior cruciate ligament rupture: a meta-analysis. J Orthop Sports Phys Ther. 2006;36:267-288.
30. Solomon DH, Simel DK, Bates DW, et al. The rational clinical examination. Does this patient have a torn meniscus or ligament of the knee? Value of the physical examination. JAMA. 2001;286:1610-1620. (Pubitemid 33010286)
31. Galway HR, MacIntosh DL. The lateral pivot shift: a symptom and sign of anterior cruciate ligament insufficiency. Clin Orthop. 1980;147:45-50. (Pubitemid 10098133)
32. Ostrowski JA. Accuracy of 3 diagnostic test for anterior cruciate ligament tears. J Athl Train. 2006;41:120-121.
33. Noyes FR, Mooar PA, Matthew DS, et al. The symptomatic anterior cruciate-deficient knee, part I. J Bone Joint Surg Am. 1983;65:154-162.
34. Sherman MF, Warren RF, Marshall JL, et al. A clinical and radiographical analysis of 127 anterior cruciate insufficient knees. Clin Orthop. 1988;227:229-237. (Pubitemid 18054639)
35. Spindler KP, Wright RW. Clinical practice. Anterior cruciate ligament tear. N Engl J Med. 2008;359:2135-2142.
36. Chhabra A, Starman JS, Ferretti M, et al. Anatomic, radiographic, biomechanical, and kinematic evaluation of the anterior cruciate ligament and its two functional bundles. J Bone Joint Surg Am. 2006;88(suppl 4):2-10. (Pubitemid 44901969)
37. Steckel H, Vadala G, Davis D, et al. 2D and 3D 3-Tesla magnetic resonance imaging of the double bundle structure in anterior cruciate ligament anatomy. Knee Surg Sports Traumatol Arthrosc. 2006;14: 1151-1158. (Pubitemid 44705162)
38. Starman JS, Vanbeek C, Armfield DR, et al. Assessment of normal ACL double bundle anatomy in standard viewing planes by magnetic resonance imaging. Knee Surg Sports Traumatol Arthrosc. 2007;15:493-499.
39. Fithian DC, Paxton EW, Stone ML, et al. Prospective trial of a treatment algorithm for the management of the anterior cruciate ligament-injured knee. Am J Sports Med. 2005;33:335-346. (Pubitemid 40270870)
40. Barrack RL, Bruckner JD, Kneisl J, et al. The outcome of nonoperatively treated complete tears of the anterior cruciate ligament in active young adults. Clin Orthop Relat Res. 1990;259:192-199. (Pubitemid 20336119)
41. Noyes FR, Barber SD, Mooar LA. A rationale for assessing sports activity levels and limitations in knee disorders. Clin Orthop Relat Res. 1989; 246:238-249. (Pubitemid 19226510)
42. Scavenius M, Bak K, Hansen S, et al. Isolated total ruptures of the anterior cruciate ligament: a clinical study with long-term follow-up of 7 year. Scand J Med Sci Sports. 1999;9:114-119.
43. Wittenberg RH, Oxfort HU, Plafki C. A comparison of conservative and delayed surgical treatment of anterior cruciate ligament ruptures: a matched pair analysis. Int Orthop. 1998;22:145-148. (Pubitemid 28388724)
44. Recht MP, Piraino DW, Cohen MA, et al. Localized anterior arthrofibrosis (cyclops lesion) after reconstruction of the anterior cruciate ligament: MR imaging findings. Am J Roentgenol. 1995;165:383-385.
45. Aune AK, Holm I, Risberg MA, et al. Four-strand hamstring tendon autograft compared with patellar tendon-bone autograft for anterior cruciate ligament reconstruction: a randomized study with two-year followup. Am J Sports Med. 2001;29:722-728. (Pubitemid 33078907)
46. Tuman JM, Diduch DR, Rubino LJ, et al. Predictors for hamstring graft diameter in anterior cruciate ligament reconstruction. Am J Sports Med. 2007;35:1945-1949. (Pubitemid 350029346)
47. DeAngelis JP, Fulkerson JP. Quadriceps tendon-a reliable alternative for reconstruction of the anterior cruciate ligament. Clin Sports Med. 2007;26:587-596. (Pubitemid 47505381)
48. Lee S, Seong SC, Jo H, et al. Anterior cruciate ligament reconstruction using quadriceps tendon autograft. J Bone Joint Surg Am. 2007;89 (suppl 3): 116-126. (Pubitemid 47556795)
49. Prodromos C, Joyce B, Shi K. A meta-analysis of stability of autografts compared to allografts after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2007;15:851-856.
50. Krych AJ, Jackson JD, Hoskin TL, et al. A meta-analysis of patellar tendon autograft versus patellar tendon allograft in anterior cruciate ligament reconstruction. Arthroscopy. 2008;24:292-298. (Pubitemid 351625558)
51. Sun K, Tian S, Zhang J, et al. Anterior cruciate ligament reconstruction with BPTB autograft, irradiated versus non-irradiated allograft: a prospective randomized clinical study. Knee Surg Sports Traumatol Arthrosc. 2009;17:464-474.
52. Ristanis S, Stergiou N, Patras K, et al. Excessive tibial rotation during high-demand activities is not restored by anterior cruciate ligament reconstruction. Arthroscopy. 2005;21:1323-1329. (Pubitemid 41735197)
53. Tashman S, Collon D, Anderson K, et al. Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction. Am J Sports Med. 2004;32:975-983. (Pubitemid 38669394)
54. Adachi N, Ochi M, Uchio Y, et al. Reconstruction of the anterior cruciate ligament: single-versus double-bundle multistranded hamstring tendons. J Bone Joint Surg Br. 2004;86:515-520.
55. Hamada M, Shino K, Horibe S, et al. Single-versus bi-socket anterior cruciate ligament reconstruction using autogenous multiple-stranded hamstring tendons with endoButton femoral fixation: a prospective study. Arthroscopy. 2001;17:801-807.
56. Yasuda K, Kondo E, Ichiyama H, et al. Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts. Arthroscopy. 2004;20:1015-1025. (Pubitemid 39600658)
57. Mae T, Shino K, Miyama T, et al. Single-versus two-femoral socket anterior cruciate ligament reconstruction technique: biomechanical analysis using a robotic simulator. Arthroscopy. 2001;17:708-716.
58. Nishimoto K, Kuroda R, Mizuno K, et al. Analysis of the graft bending angle at the femoral tunnel aperture in anatomic double bundle anterior cruciate ligament reconstruction: a comparison of the transtibial and the far anteromedial portal technique. Knee Surg Sports Traumatol Arthrosc. 2009;17:270-276.
59. Yagi M, Wong EK, Kanamori A, et al. Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med. 2002;30:660-666.
60. Yamamoto Y, Hsu WH, Woo SL, et al. Knee stability and graft function after anterior cruciate ligament reconstruction: a comparison of a lateral and an anatomical femoral tunnel placement. Am J Sports Med. 2004;32: 1825-1832. (Pubitemid 39551859)
61. Abebe ES, Moorman CT III, Dziedzic TS, et al. Femoral tunnel placement during anterior cruciate ligament reconstruction: an in vivo imaging analysis comparing transtibial and 2-incision tibial tunnel-independent techniques. Am J Sports Med. 2009;37:1904-1911.
62. Abebe ES, Kim JP, Utturkar GM, et al. The effect of femoral tunnel placement on ACL graft orientation and length during in vivo knee flexion. J Biomechanics. 2011;44:1914-1920.
63. Shelbourne KD, Klotz C. What I have learned about the ACL: utilizing a progressive rehabilitation scheme to achieve total knee symmetry after anterior cruciate ligament reconstruction. J Orthop Sci. 2006;11:318-325. (Pubitemid 43806843)
64. Wright RW, Preston E, Fleming BC, et al. A systematic review of anterior cruciate ligament reconstruction rehabilitation: part II: open versus closed kinetic chain exercises, neuromuscular electrical stimulation, accelerated rehabilitation, and miscellaneous topics. J Knee Surg. 2008;21:225-234.
65. Risberg MA, Holm I, Myklebust G, et al. Neuromuscular training versus strength training during first 6 months after anterior cruciate ligament reconstruction: a randomized clinical trial. Phys Ther. 2007;87:737-750. (Pubitemid 46870399)
66. Moffat KL, Wang IN, Rodeo SA, et al. Orthopedic interface tissue engineering for the biological fixation of soft tissue grafts. Clin Sports Med. 2009;28:157-176.
67. Mahirogullari M, Ferguson CM, Whitlock PW, et al. Freeze-dried allografts for anterior cruciate ligament reconstruction. Clin Sports Med. 2007; 26:625-637. (Pubitemid 47505382)
68. Lopez-Vidriero E, Goulding KA, Simon DA, et al. The use of plateletrich plasma in arthroscopy and sports medicine: optimizing the healing environment. Arthroscopy. 2010;26:269-278.
69. Weitzel PP, Richmond JC, Altman GH, et al. Future direction of the treatment of ACL ruptures. Orthop Clin North Am. 2002;33:653-661. (Pubitemid 35356241)