Associations between lower extremity muscle mass and multiplanar knee laxity and stiffness: A potential explanation for sex differences in frontal and transverse plane knee laxity

American Journal of Sports Medicine

Volumn 40, Issue 12, 2012, Pages 2836-2844

  Shultz, Sandra J ^a   Pye, Michele L ^a   Montgomery, Melissa M ^b   Schmitz, Randy J ^a  

^a UNIVERSITY OF NORTH CAROLINA AT GREENSBORO   (United States)

^b CALIFORNIA STATE UNIVERSITY   (United States)

Author keywords

ACL injury; knee laxity; knee stiffness; muscle mass

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; FEMALE; HUMAN; JOINT INSTABILITY; KNEE; LEG; MALE; PATHOPHYSIOLOGY; PHYSIOLOGY; SEXUAL DEVELOPMENT; SKELETAL MUSCLE;

ADOLESCENT; FEMALE; HUMANS; JOINT INSTABILITY; KNEE JOINT; LOWER EXTREMITY; MALE; MUSCLE, SKELETAL; SEX CHARACTERISTICS; YOUNG ADULT;

EID: 84870538196     PISSN: 03635465     EISSN: 15523365     Source Type: Journal    
DOI: 10.1177/0363546512461744     Document Type: Article

References (50)

1. Ahmad CS, Clark AM, Heilmann N, et al. Effect of gender and maturity on quadriceps to hamstring strength ratio and anterior cruciate ligament laxity. Am J Sports Med. 2006 ; 34 (3). 370-374
2. Akagi R, Takai Y, Ohta M, et al. Muscle volume compared to cross-sectional area is more appropriate for evaluating muscle strength in young and elderly individuals. Age Ageing. 2009 ; 38 (5). 564-569
3. Beynnon BD, Bernstein I, Belisle A, et al. The effect of estradiol and progesterone on knee and ankle joint laxity. Am J Sports Med. 2005 ; 33 (9). 1298-1304
4. Blackburn JT, Bell DR, Norcross MF, Hudson JC, Kimsey MH. Sex comparison of hamstring structural and material properties. Clin Biomech. 2009 ; 24: 65-70
5. Branch TP, Browne JE, Campbell JD, et al. Rotational laxity greater in patients with contralateral anterior cruciate ligament injury than healthy volunteers. Knee Surg Sports Traumatol Arthrosc. 2010 ; 18 (10). 1379-1384
6. Elia M, Fuller NJ, Hardingham CR, et al. Modeling leg sections by bioelectrical impedance analysis, dual-energy X-ray absorptiometry, and anthropometry: assessing segmental muscle volume using magnetic resonance imaging as a reference. Ann N Y Acad Sci. 2000 ; 904: 298-305
7. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 ; 39 (2). 175-191
8. Folland JP, Williams AG. The adaptations to strength training: morphological and neurological contributions to increased strength. Sports Med. 2007 ; 37 (2). 145-168
9. Fuller NJ, Hardingham CR, Graves M, et al. Assessment of limb muscle and adipose tissue by dual-energy X-ray absorptiometry using magnetic resonance imaging for comparison. Int J Obes Relat Metab Disord. 1999 ; 23 (12). 1295-1302
10. Gilchrist J, Mandelbaum BR, Melancon H, et al. A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. Am J Sports Med. 2008 ; 36 (8). 1476-1483
11. Hashemi J, Chandrashekar N, Gill B, et al. The geometry of the tibial plateau and its influence on the biomechanics of the tibiofemoral joint. J Bone Joint Surg Am. 2008 ; 90 (12). 2724-2734
12. Hewett TE, Lindenfeld TN, Riccobene JV, Noyes RF. The effect of neuromuscular training on the incidence of knee injury in female athletes: a prospective study. Am J Sports Med. 1999 ; 27 (6). 699-705
13. Hewett TE, Lynch TR, Myer GD, et al. Multiple risk factors related to familial predisposition to anterior cruciate ligament injury: fraternal twin sisters with anterior cruciate ligament ruptures. Br J Sports Med. 2010 ; 44: 848-855
14. Highgenboten CL, Jackson AW, Jansson KA, Meske NB. KT-1000 arthrometer: conscious and unconscious test results using 15, 20, and 30 pounds of force. Am J Sports Med. 1992 ; 20: 450-454
15. Hsu W, Fisk JA, Yamamoto Y, Debski RE, Woo SL. Differences in torsional joint stiffness of the knee between genders: a human cadaveric study. Am J Sports Med. 2006 ; 34: 765-770
16. Kramer LC, Denegar CR, Buckley WE, Hertel J. Factors associated with anterior cruciate ligament injury: history in female athletes. J Sports Med Phys Fitness. 2007 ; 47: 446-454
17. Leardini A, Cappozzo A, Cantani F, et al. Validation of a functional method for the estimation of hip joint centre location. J Biomech. 1999 ; 32: 99-103
18. Levine JA, Abboud L, Barry M, et al. Measuring leg muscle and fat mass in humans: comparison of CT and dual-energy X-ray absorptiometry. J Appl Physiol. 2000 ; 88 (2). 452-456
19. Lloyd DG, Buchanan TS. Strategies of muscular support of varus and valgus isometric loads at the human knee. J Biomech. 2001 ; 34: 1257-1267
20. Loudon JK, Jenkins W, Loudon KL. The relationship between static posture and ACL injury in female athletes. J Orthop Sports Phys Ther. 1996 ; 24 (2). 91-97
21. Madigan ML, Pidcoe PE. Changes in landing biomechanics during a fatiguing landing activity. J Electromyogr Kinesiol. 2003 ; 13: 491-498
22. Mandlebaum BR, Silvers HJ, Watanabe DS, et al. Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes. Am J Sports Med. 2005 ; 33 (7). 1003-1010
23. Markolf KL, Graff-Radford A, Amstutz HC. In vivo knee stability: a quantitative assessment using an instrumented clinical testing apparatus. J Bone Joint Surg Am. 1978 ; 60 (5). 664-674
24. McLean SG, Lucey SM, Rohrer S, Brandon C. Knee joint anatomy predicts high-risk in vivo dynamic landing knee biomechanics. Clin Biomech. 2010 ; 25 (8). 781-788
25. Monaco E, Labianca L, Maestri B, et al. Instrumented measurements of knee laxity: KT-1000 versus navigation. Knee Surg Sports Traumatol Arthrosc. 2009 ; 17: 617-621
26. Mouton C, Seil R, Agostinis H, Maas S, Theisen D. Influence of individual characteristics on static rotational knee laxity using the rotameter. Knee Surg Sports Traumatol Arthrosc. 2012 ; 20 (4). 645-651
27. Myer GD, Ford KR, Paterno MV, Nick TG, Hewett TE. The effects of generalized joint laxity on risk of anterior cruciate ligament injury in young female athletes. Am J Sports Med. 2008 ; 36 (6). 1073-1080
28. Nguyen AD, Shultz SJ. Sex differences in clinical measures of lower extremity alignment. J Orthop Sports Phys Ther. 2007 ; 37 (7). 389-398
29. Olmstead TG, Wevers HW, Bryant JT, Gouw GJ. Effect of musculature activity on valgus/varus laxity and stiffness of the knee. J Biomech. 1986 ; 19 (8). 565-577
30. Olsen OE, Myklebust G, Engebretsen L, Holme I, Bahr R. Exercises to prevent lower limb injuries in youth sports: cluster randomised controlled trial. BMJ. 2005 ; 330 (7489). 449
31. Rack PMH, Westbury DR. The short range stiffness of active mammalian muscle and its effect on mechanical properties. J Physiol. 1974 ; 240: 331-350
32. Ramesh R, Von Arx O, Azzopardi T, Schranz PJ. The risk of anterior cruciate ligament rupture with generalised joint laxity. J Bone Joint Surg Br. 2005 ; 87: 800-803
33. Ryan ED, Thompson BJ, Herda TJ, et al. The relationship between passive stiffness and evoked twitch properties: the influence of muscle CSA normalization. Physiol Meas. 2011 ; 32: 677-686
34. Scerpella TA, Stayer TJ, Makhuli BZ. Ligamentous laxity and non-contact anterior cruciate ligament tears: a gender based comparison. Orthopedics. 2005 ; 28 (7). 656-660
35. Schmitz RJ, Ficklin TK, Shimokochi Y, et al. Varus-valgus and internal-external torsional knee joint stiffness differs between sex. Am J Sports Med. 2008 ; 36 (7). 1380-1388
36. Sernert N, Kartus J, Ejerhed L, Karlsson J. Right and left knee laxity measurements: a prospective study of patients with anterior cruciate ligament injuries and normal control subjects. Arthroscopy. 2004 ; 20 (6). 564-571
37. Sharma L, Lou C, Felson DT, et al. Laxity in healthy and osteoarthritic knees. Arthritis Rheum. 1999 ; 42 (5). 861-870
38. Shultz SJ, Dudley WN, Kong Y. Identifying multiplanar knee laxity profiles and associated physical characteristics. J Athl Train. 2012 ; 47 (2). 159-169
39. Shultz SJ, Kirk SE, Johnson ML, Sander TC, Perrin DH. Relationship between sex hormones and anterior knee laxity across the menstrual cycle. Med Sci Sports Exerc. 2004 ; 36 (7). 1165-1174
40. Shultz SJ, Nguyen A, Schmitz RJ. Differences in lower extremity anatomical and postural characteristics in males and females between maturation groups. J Orthop Sports Phys Ther. 2008 ; 38 (3). 137-149
41. Shultz SJ, Schmitz RJ. Effects of transverse and frontal plane knee laxity on hip and knee neuromechanics during drop landings. Am J Sports Med. 2009 ; 37 (9). 1821-1830
42. Shultz SJ, Schmitz RJ, Beynnon BD. Variations in varus/valgus and internal/external rotational knee laxity and stiffness across the menstrual cycle. J Orthop Res. 2011 ; 29 (3). 318-325
43. Steiner ME, Grana WA, Chillag K, Schelberg-Karnes E. The effect of exercise on anterior-posterior knee laxity. Am J Sports Med. 1986 ; 14: 24-29
44. Uh BS, Beynnon BD, Churchill DL, et al. A new device to measure knee laxity during weightbearing and non-weight bearing conditions. J Orthop Res. 2001 ; 19: 1185-1191
45. Uhorchak JM, Scoville CR, Williams GN, et al. Risk factors associated with non-contact injury of the anterior cruciate ligament. Am J Sports Med. 2003 ; 31 (6). 831-842
46. Vauhnik R, Morrissey MC, Rutherford OM, et al. Correlates of knee anterior laxity in sportswomen. Knee. 2009 ; 16: 427-431
47. Visser M, Fuerst T, Lang T, Salamone L, Harris TB. Validity of fan-beam dual-energy X-ray absorptiometry for measuring fat-free mass and leg muscle mass: health, aging, and body composition study. Dual-Energy X-ray Absorptiometry and Body Composition Working Group. J Appl Physiol. 1999 ; 87 (4). 1513-1520
48. Wojtys EM, Ashton-Miller JA, Huston LJ. A gender-related difference in contribution of the knee musculature to sagittal-plane shear stiffness in subjects with similar knee laxity. J Bone Joint Surg Am. 2002 ; 84 (1). 10-16
49. Wojtys EM, Huston L, Schock HJ, Boylan JP, Ashton-Miller JA. Gender differences in muscular protection of the knee in torsion in size-matched athletes. J Bone Joint Surg Am. 2003 ; 85 (5). 782-789
50. Woodford-Rogers B, Cyphert L, Denegar CR. Risk factors for anterior cruciate ligament injury in high school and college athletes. J Athl Train. 1994 ; 29 (4). 343-346