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Cumulative knee adduction moment during jogging causes temporary medial meniscus extrusion in healthy volunteers

  • Original Article–orthopedics
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Abstract

Purpose

The cumulative knee adduction moment (KAM) is a key parameter evaluated for the prevention of overload knee injuries on the medial compartment. Medial meniscus extrusion (MME), typical in hoop dysfunctions, is a measure for the cumulative mechanical stress in individual knees; however, its correlation with cumulative KAM is unknown. The aim of this study was to investigate the effect of temporary overload stress on MME and its correlation with cumulative KAM.

Methods

Thirteen healthy asymptomatic volunteers (13 knees) were recruited for a cohort study (mean age, 23.1 ± 3.3 years; males: n = 8). The cumulative KAM was calculated using a three-dimensional motion analysis system, in addition to the number of steps taken while jogging uphill or downhill. MME was evaluated using ultrasound performed in the standing position. The evaluations were performed four times: at baseline (T0), before and after (T1 and T2, respectively) jogging uphill or downhill, and 1 day after (T3) jogging. Additionally, the Δ-value was calculated using the change of meniscus after efforts as the difference in MME between T1 and T2.

Results

The MME in T2 was significantly greater than those in T0 and T1. Conversely, the MME in T3 was significantly lesser than that in T2. No significant difference was found between those in T0 and T1, and T3. ΔMME exhibited a significant positive correlation with the cumulative KAM (r = 0.68, p = 0.01), but not for peak KAM.

Conclusion

The temporary reaction of MME observed in ultrasound correlates with the cumulative stress of KAM.

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Data availability

The data that support the findings of this study are available on request from the corresponding author on reasonable request.

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Acknowledgements

The authors would like to thank Editage (www.editage.com) for English language editing.

Funding

This study was supported with a grant from the Clinical Research Promotion Foundation 2022 (award number: 0G41402).

Author information

Authors and Affiliations

  1. Department of Biomechanics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan

    Yosuke Ishii, Takato Hashizume, Saeko Okamoto, Yoshitaka Iwamoto & Makoto Takahashi

  2. Department of Orthopaedic Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan

    Masakazu Ishikawa

  3. Department of Musculoskeletal Ultrasound in Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan

    Yuko Nakashima

  4. Department of Orthopedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan

    Naofumi Hashiguchi & Nobuo Adachi

  5. Ultrasound Business Operations, Healthcare Business Headquarters, KONICA MINOLTA, INC, Tokyo, Japan

    Kaoru Okada & Kazuya Takagi

Authors
  1. Yosuke Ishii
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  2. Takato Hashizume
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  4. Yoshitaka Iwamoto
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  5. Masakazu Ishikawa
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  11. Makoto Takahashi
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Contributions

YI: acquisition and analysis of data, conception and design, and drafting the article. TH: acquisition of data. SO: acquisition of data. YI: interpretation of the results. MI: interpretation of data and drafting the article. YN: obtaining the established method. NH: obtaining the established method and interpretation of data. KO: obtaining ethical approval and image reconstruction. KT: obtaining the established method and image reconstruction. NA: interpretation of data. MT: obtaining ethical approval and final approval of the manuscript.

Corresponding author

Correspondence to Yosuke Ishii.

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Conflict of interest

Yosuke Ishii, Takato Hashizume, Saeko Okamoto, Yoshitaka Iwamoto, Masakazu Ishikawa, Yuko Nakashima, Naofumi Hashiguchi, Kaoru Okada, Kazuya Takagi, Nobuo Adachi, and Makoto Takahashi declare that they have no conflicts of interest.

Human rights statement and informed consent

The study was approved by the Research Ethics Committee of Hiroshima University (Approval Number: E-2495-1). It was conducted in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions. Informed consent was obtained from each participant in this study.

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Ishii, Y., Hashizume, T., Okamoto, S. et al. Cumulative knee adduction moment during jogging causes temporary medial meniscus extrusion in healthy volunteers. J Med Ultrasonics 50, 229–236 (2023). https://doi.org/10.1007/s10396-023-01288-w

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  • DOI: https://doi.org/10.1007/s10396-023-01288-w

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