Abstract
The ligaments are important tissues that connect the bones in the human body. The main function is to transmit the tensile load by playing an important role in maintaining the stability and restraint excessive joint motion in musculoskeletal system. Their unique composition and structure let ligaments to guide joints to articulate smoothly and to protect other soft tissues in and around the joints. These ligaments have biomechanical properties designed for this important function. As such, understanding the biomechanical behavior of ligaments is important. Also, these fundamental knowledges are helpful in preventing ligament injury and improving the treatment method. In this chapter, the ligament composition, structure, and function are introduced. Then the biomechanical properties of the ligaments and the method to obtain them are described by using the anterior cruciate ligament (ACL) of the knee as an example. And finally, injury, as well as current surgical treatment and postoperative rehabilitation, is reviewed.
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References
Woo SL, Abramowitch SD, Kilger R, Liang R. Biomechanics of knee ligaments: injury, healing, and repair. J Biomech. 2006;39(1):1–20.
Mienaltowski MJ, Birk DE. Structure, physiology, and biochemistry of collagens. In: Progress heritable soft connective tissue diseases, vol. 802. Dordrecht: Springer; 2014. p. 5–29.
Milz S, Jakob J, Buttner A, Tischer T, Putz R, Benjamin M. The structure of the coracoacromial ligament: fibrocartilage differentiation does not necessarily mean pathology. Scand J Med Sci Sports. 2008;18(1):16–22.
Smith SM, Thomas CE, Birk DE. Pericellular proteins of the developing mouse tendon: a proteomic analysis. Connect Tissue Res. 2012;53(1):2–13.
Quapp KM. Material characterization of human medical collateral. Ligament. 1997;
Mommersteeg TJ, Blankevoort L, Kooloos JG, Hendriks JC, Kauer JM, Huiskes R. Nonuniform distribution of collagen density in human knee ligaments. J Orthop Res. 1994;12(2):238–45.
Woo SL-Y, Hollis JM, Adams DJ, Lyon RM, Takai S. Tensile properties of the human femur-anterior cruciate ligament-tibia complex. The effects of specimen age and orientation. Am J Sports Med. 1991;19(3):217–25.
Pioletti DP, Rakotomanana LR, Leyvraz PF. Strain rate effect on the mechanical behavior of the anterior cruciate ligament-bone complex. Med Eng Phys. 1999;21(2):95–100.
Edwards JH, Ingham E, Herbert A. Decellularisation affects the strain rate dependent and dynamic mechanical properties of a xenogeneic tendon intended for anterior cruciate ligament replacement. J Mech Behav Biomed Mater. 2019;91:18–23.
Souryal TO, Freeman TR. Intercondylar notch size and anterior cruciate ligament injuries in athletes. A prospective study. Am J Sports Med. 1993;21(4):535–9.
Lund-Hanssen H, Gannon J, Engebretsen L, Holen KJ, Anda S, Vatten L. Intercondylar notch width and the risk for anterior cruciate ligament rupture. A case-control study in 46 female handball players. Acta Orthop Scand. 1994;65(5):529–32.
Souryal TO, Moore HA, Evans JP. Bilaterality in anterior cruciate ligament injuries: associated intercondylar notch stenosis. Am J Sports Med. 1988;16(5):449–54.
Hashemi J, Chandrashekar N, Mansouri H, Gill B, Slauterbeck JR, Schutt RC, et al. Shallow medial tibial plateau and steep medial and lateral tibial slopes new risk factors for anterior cruciate ligament injuries. Am J Sport Med. 2010;38(1):54–62.
Todd MS, Lalliss S, Garcia E, DeBerardino TM, Cameron KL. The relationship between posterior tibial slope and anterior cruciate ligament injuries. Am J Sport Med. 2010;38(1):63–7.
Khan MS, Seon JK, Song EK. Risk factors for anterior cruciate ligament injury: assessment of tibial plateau anatomic variables on conventional MRI using a new combined method. Int Orthop. 2011;35(8):1251–6.
Renstrom P, Ljungqvist A, Arendt E, Beynnon B, Fukubayashi T, Garrett W, et al. Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement. Br J Sport Med. 2008;42(6):394–412.
Orchard J, Seward H, McGivern J, Hood S. Rainfall, evaporation and the risk of non-contact anterior cruciate ligament injury in the Australian Football League. Med J Aust. 1999;170(7):304–6.
Olsen OE, Myklebust G, Engebretsen L, Holme I, Bahr R. Relationship between floor type and risk of ACL injury in team handball. Scand J Med Sci Sports. 2003;13(5):299–304.
Orchard JW, Powell JW. Risk of knee and ankle: sprains under various weather conditions in american football. Med Sci Sports Exerc. 2003;35(7):1118–23.
Orchard JW, Chivers I, Aldous D, Bennell K, Seward H. Rye grass is associated with fewer non-contact anterior cruciate ligament injuries than Bermuda grass. Br J Sport Med. 2005;39(10):704–9.
Lambson RB, Barnhill BS, Higgins RW. Football cleat design and its effect on anterior cruciate ligament injuries. A three-year prospective study. Am J Sports Med. 1996;24(2):155–9.
Woo SL-Y, Debski RE, Zeminski J, Abramowitch SD, Saw SS, Fenwick JA. Injury and repair of ligaments and tendons. Annu Rev Biomed Eng. 2000;2:83–118.
Acknowledgement
The authors would like to convey their appreciation to Prof. Savio L-Y. Woo for his precious suggestions.
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Yao, J., Lian, Z., Yang, B., Fan, Y. (2020). Biomechanics of Ligaments. In: Cheng, CK., Woo, S.LY. (eds) Frontiers in Orthopaedic Biomechanics. Springer, Singapore. https://doi.org/10.1007/978-981-15-3159-0_3
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DOI: https://doi.org/10.1007/978-981-15-3159-0_3
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