Advertisement

Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 21, Issue 8, pp 1876–1881 | Cite as

Biomechanical evaluation of the side-cutting manoeuvre associated with ACL injury in young female handball players

  • Jesper BenckeEmail author
  • Derek Curtis
  • Christina Krogshede
  • Line Klemmensen Jensen
  • Thomas Bandholm
  • Mette Kreutzfeldt Zebis
Knee

Abstract

Purpose

The purpose of the study was to investigate the biomechanics of the knee and hip joint during handball-specific side-cutting on the dominant and non-dominant leg. Understanding the sports-specific biomechanics may improve prevention measures and post-injury treatment.

Methods

Twenty-four young female elite handball players performed 5 handball side-cutting manoeuvres on the dominant and non-dominant legs. The local maxima of the joint moments in each plane, during the initial 100 ms following foot contact, were collected.

Results

External knee moments of flexion, outward rotation and valgus—along with external hip moments of extension, abduction and internal rotation—were observed, coincidentally 30–40 ms after foot contact. No side-to-side asymmetries were found. The external moments observed support the injury mechanisms previously described in case studies of handball injuries.

Conclusion

The results underline the importance of implementing preventive exercises that increase activity of medial hamstrings, to match the external outward rotating knee moments and knee valgus moments, and increase activity of hip external rotators to match the external hip inward-rotating moment. Furthermore, the results may yield further information to the graft selection decision before ACL surgery.

Level of evidence

Diagnostic studies, Level II.

Keywords

Handball side-cut Kinetics Injury prevention Side-to-side differences 

References

  1. 1.
    Armour T, Forwell L, Litchfield R, Kirkley A, Amendola N, Fowler PJ (2004) Isokinetic evaluation of internal/external tibial rotation strength after the use of hamstring tendons for anterior cruciate ligament reconstruction. Am J Sports Med 32:1639–1643PubMedCrossRefGoogle Scholar
  2. 2.
    Barrett AM, Craft JA, Replogle WH, Hydrick JM, Barrett GR (2011) Anterior cruciate ligament graft failure: a comparison of graft type based on age and Tegner activity level. Am J Sports Med 39:2194–2198PubMedCrossRefGoogle Scholar
  3. 3.
    Besier TF, Lloyd DG, Ackland TR, Cochrane JL (2001) Anticipatory effects on knee joint loading during running and cutting maneuvers. Med Sci Sports Exerc 33:1176–1181PubMedGoogle Scholar
  4. 4.
    Besier TF, Lloyd DG, Cochrane JL, Ackland TR (2001) External loading of the knee joint during running and cutting maneuvers. Med Sci Sports Exerc 33:1168–1175PubMedGoogle Scholar
  5. 5.
    Boden BP, Dean GS, Feagin JA Jr, Garrett WE Jr (2000) Mechanisms of anterior cruciate ligament injury. Orthopedics 23:573–578PubMedGoogle Scholar
  6. 6.
    Dempsey AR, Lloyd DG, Elliott BC, Steele JR, Munro BJ, Russo KA (2007) The effect of technique change on knee loads during sidestep cutting. Med Sci Sports Exerc 39:1765–1773PubMedCrossRefGoogle Scholar
  7. 7.
    Ford KR, Myer GD, Smith RL, Vianello RM, Seiwert SL, Hewett TE (2006) A comparison of dynamic coronal plane excursion between matched male and female athletes when performing single leg landings. Clin Biomech (Bristol, Avon) 21:33–40CrossRefGoogle Scholar
  8. 8.
    Hewett TE, Lindenfeld TN, Riccobene JV, Noyes FR (1999) The effect of neuromuscular training on the incidence of knee injury in female athletes. A prospective study. Am J Sports Med 27:699–706PubMedGoogle Scholar
  9. 9.
    Hewett TE, Myer GD, Ford KR, Heidt RS Jr, Colosimo AJ, McLean SG, van den Bogert AJ, Paterno MV, Succop P (2005) Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med 33:492–501PubMedCrossRefGoogle Scholar
  10. 10.
    Jacobs CA, Uhl TL, Mattacola CG, Shapiro R, Rayens WS (2007) Hip abductor function and lower extremity landing kinematics: sex differences. J Athl Train 42:76–83PubMedGoogle Scholar
  11. 11.
    Kadaba MP, Ramakrishnan HK, Wootten ME (1990) Measurement of lower extremity kinematics during level walking. J Orthop Res 8:383–392PubMedCrossRefGoogle Scholar
  12. 12.
    Krosshaug T, Slauterbeck JR, Engebretsen L, Bahr R (2007) Biomechanical analysis of anterior cruciate ligament injury mechanisms: three-dimensional motion reconstruction from video sequences. Scand J Med Sci Sports 17:508–519PubMedCrossRefGoogle Scholar
  13. 13.
    Lind M, Menhert F, Pedersen AB (2009) The first results from the Danish ACL reconstruction registry: epidemiologic and 2 year follow-up results from 5,818 knee ligament reconstructions. Knee Surg Sports Traumatol Arthrosc 17:117–124PubMedCrossRefGoogle Scholar
  14. 14.
    Matava MJ, Freehill AK, Grutzner S, Shannon W (2002) Limb dominance as a potential etiologic factor in noncontact anterior cruciate ligament tears. J Knee Surg 15:11–16PubMedGoogle Scholar
  15. 15.
    McLean SG, Huang X, van den Bogert AJ (2005) Association between lower extremity posture at contact and peak knee valgus moment during sidestepping: implications for ACL injury. Clin Biomech (Bristol, Avon) 20:863–870CrossRefGoogle Scholar
  16. 16.
    Myklebust G, Engebretsen L, Braekken IH, Skjolberg A, Olsen OE, Bahr R (2003) Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clin J Sport Med 13:71–78PubMedCrossRefGoogle Scholar
  17. 17.
    Myklebust G, Maehlum S, Holm I, Bahr R (1998) A prospective cohort study of anterior cruciate ligament injuries in elite Norwegian team handball. Scand J Med Sci Sports 8:149–153PubMedCrossRefGoogle Scholar
  18. 18.
    Negrete RJ, Schick EA, Cooper JP (2007) Lower-limb dominance as a possible etiologic factor in noncontact anterior cruciate ligament tears. J Strength Cond Res 21:270–273PubMedCrossRefGoogle Scholar
  19. 19.
    Olsen OE, Myklebust G, Engebretsen L, Bahr R (2004) Injury mechanisms for anterior cruciate ligament injuries in team handball: a systematic video analysis. Am J Sports Med 32:1002–1012PubMedCrossRefGoogle Scholar
  20. 20.
    Reckling C, Zantop T, Petersen W (2003) Epidemiology of injuries in juvenile handball players. Sportverletz Sportschaden 17:112–117PubMedCrossRefGoogle Scholar
  21. 21.
    Renstrom P, Ljungqvist A, Arendt E, Beynnon B, Fukubayashi T, Garrett W, Georgoulis T, Hewett TE, Johnson R, Krosshaug T, Mandelbaum B, Micheli L, Myklebust G, Roos E, Roos H, Schamasch P, Shultz S, Werner S, Wojtys E, Engebretsen L (2008) Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement. Br J Sports Med 42:394–412PubMedCrossRefGoogle Scholar
  22. 22.
    Strand T, Tvedte R, Engebretsen L, Tegnander A (1990) Anterior cruciate ligament injuries in handball playing. Mechanisms and incidence of injuries]. [Norwegian]. Tidsskr Nor Laegeforen 110:2222–2225PubMedGoogle Scholar
  23. 23.
    Wren TAL, Do KP, Hara R, Rethlefsen SA (2008) Use of a patella marker to improve tracking of dynamic hip rotation range of motion. Gait Posture 27:530–534PubMedCrossRefGoogle Scholar
  24. 24.
    Zebis MK, Bencke J, Andersen LL, Dossing S, Alkjaer T, Magnusson SP, Kjaer M, Aagaard P (2008) The effects of neuromuscular training on knee joint motor control during sidecutting in female elite soccer and handball players. Clin J Sport Med 18:329–337PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Jesper Bencke
    • 1
    Email author
  • Derek Curtis
    • 1
  • Christina Krogshede
    • 2
  • Line Klemmensen Jensen
    • 2
  • Thomas Bandholm
    • 1
    • 3
  • Mette Kreutzfeldt Zebis
    • 1
    • 4
  1. 1.The Gait Analysis Laboratory, Department of Orthopaedic SurgeryCopenhagen University Hospital HvidovreHvidovreDenmark
  2. 2.Faculty of PhysiotherapyMetropolitan University CollegeCopenhagenDenmark
  3. 3.Clinical Research Centre, Department of Physical TherapyCopenhagen University Hospital HvidovreHvidovreDenmark
  4. 4.Institute of Sport Sciences and Clinical BiomechanicsUniversity of Southern DenmarkOdenseDenmark

Personalised recommendations