Abstract
Model-based image-matching (MBIM) technique has enabled detailed video analysis of injury situations that previously had been limited to simple visual inspection. We have analyzed anterior cruciate ligament (ACL) injury situations from ten analogue and one HD video sequences using the MBIM technique. The knee kinematical patterns were remarkably consistent, with immediate valgus and internal rotation (IR) motion occurring within 40 ms after initial contact (IC), and then external rotation was observed. Peak vertical ground reaction force (GRF) occurred at 40 ms after IC. Based on these results, it is likely that the ACL injury occurred approximately 40 ms after IC. In the one HD video available, 9 mm of abrupt anterior tibial translation at the time of injury was also detected. On the other hand, the hip kinematics were constant with an abducted, flexed and IR position during 40 ms after IC. Based on these results and other previous studies, we propose a new hypothesis for ACL injury mechanisms that valgus loading and lateral compression generate IR motion and anterior translation of the tibia, due to the joint geometry, result in ACL rupture. Moreover, it seems that the hip is relatively ‘locked’ at IC, cannot absorb energy from GRF and thus the knee is exposed to a larger force, which leads to ACL injury. These results suggest that prevention programs should focus on acquiring a good cutting and landing technique promoting knee flexion and avoiding knee valgus and foot internal rotation, and with greater hip flexion to absorb energy from GRF. Moreover, the fact that the ACL injury occurs within 40 ms after IC suggests that “feed-forward” strategies before landing may be critical, as reflex-based “feed-back” strategies are too slow to prevent ACL injuries.
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References
Boden BP, Dean GS, Feagin JA Jr, Garrett WE Jr (2000) Mechanisms of anterior cruciate ligament injury. Orthopedics 23:573–578
Boden BP, Torg JS, Knowles SB, Hewett TE (2009) Video analysis of anterior cruciate ligament injury: abnormalities in hip and ankle kinematics. Am J Sports Med 37:252–259
Brandon ML, Haynes PT, Bonamo JR, Flynn MI, Barrett GR, Sherman MF (2006) The association between posterior-inferior tibial slope and anterior cruciate ligament insufficiency. Arthroscopy 22:894–899
Caraffa A, Cerulli G, Projetti M, Aisa G, Rizzo A (1996) Prevention of anterior cruciate ligament injuries in soccer. A prospective controlled study of proprioceptive training. Knee Surg Sports Traumatol Arthrosc 4:19–21
Cochrane JL, Lloyd DG, Buttfield A, Seward H, McGivern J (2007) Characteristics of anterior cruciate ligament injuries in Australian football. J Sci Med Sport 10:96–104
Decker MJ, Torry MR, Wyland DJ, Sterett WI, Richard SJ (2003) Gender differences in lower extremity kinematics, kinetics and energy absorption during landing. Clin Biomech (Bristol, Avon) 18:662–9
DeMorat G, Weinhold P, Blackburn T, Chudik S, Garrett W (2004) Aggressive quadriceps loading can induce noncontact anterior cruciate ligament injury. Am J Sports Med 32:477–483
Ebstrup JF, Bojsen-Moller F (2000) Anterior cruciate ligament injury in indoor ball games. Scand J Med Sci Sports 10:114–116
Gilchrist J, Mandelbaum BR, Melancon H et al (2008) A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. Am J Sports Med 36:1476–1483
Hashemi J, Chandrashekar N, Jang T, Karpat F, Oseto M, Ekwaro-Osire S (2007) An alternative mechanism of non-contact anterior cruciate ligament injury during jump-landing: in-vitro simulation. Exp Mech 47:347–354
Hashemi J, Chandrashekar N, Mansouri H et al (2010) Shallow medial tibial plateau and steep medial and lateral tibial slopes: new risk factors for anterior cruciate ligament injuries. Am J Sports Med 38:54–62
Hashemi J, Breighner R, Chandrashekar N et al (2011) Hip extension, knee flexion paradox: a new mechanism for non-contact ACL injury. J Biomech 44:577–585
Hewett TE, Myer GD, Ford KR et al (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 33:492–501
Jakob RP, Staubli HU, Deland JT (1987) Grading the pivot shift. Objective tests with implications for treatment. J Bone Joint Surg Br 69:294–299
Krosshaug T, Bahr R (2005) A model-based image-matching technique for three-dimensional reconstruction of human motion from uncalibrated video sequences. J Biomech 38:919–929
Krosshaug T, Andersen TE, Olsen OE, Myklebust G, Bahr R (2005) Research approaches to describe the mechanisms of injuries in sport: limitations and possibilities. Br J Sports Med 39:330–339
Krosshaug T, Nakamae A, Boden BP et al (2007a) Mechanisms of anterior cruciate ligament injury in basketball: video analysis of 39 cases. Am J Sports Med 35:359–367
Krosshaug T, Nakamae A, Boden B et al (2007b) Estimating 3D joint kinematics from video sequences of running and cutting maneuvers–assessing the accuracy of simple visual inspection. Gait Posture 26:378–385
Krosshaug T, Slauterbeck JR, Engebretsen L, Bahr R (2007c) Biomechanical analysis of anterior cruciate ligament injury mechanisms: three-dimensional motion reconstruction from video sequences. Scand J Med Sci Sports 17:508–519
Mandelbaum BR, Silvers HJ, Watanabe DS et al (2005) Effectiveness of a neuromuscular and proprioceptive training program in preventing anterior cruciate ligament injuries in female athletes: 2-year follow-up. Am J Sports Med 33:1003–1010
Matsumoto H (1990) Mechanism of the pivot shift. J Bone Joint Surg Br 72:816–821
Matsumoto H, Suda Y, Otani T, Niki Y, Seedhom BB, Fujikawa K (2001) Roles of the anterior cruciate ligament and the medial collateral ligament in preventing valgus instability. J Orthop Sci 6:28–32
Mazzocca AD, Nissen CW, Geary M, Adams DJ (2003) Valgus medial collateral ligament rupture causes concomitant loading and damage of the anterior cruciate ligament. J Knee Surg 16:148–151
McLean SG, Huang X, Su A, Van Den Bogert AJ (2004) Sagittal plane biomechanics cannot injure the ACL during sidestep cutting. Clin Biomech (Bristol, Avon) 19:828–38
McLean SG, Andrish JT, van den Bogert AJ (2005) Aggressive quadriceps loading can induce noncontact anterior cruciate ligament injury. Am J Sports Med 33:1106; author reply −7
Meyer EG, Haut RC (2008) Anterior cruciate ligament injury induced by internal tibial torsion or tibiofemoral compression. J Biomech 41:3377–3383
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 13:71–78
Oiestad BE, Engebretsen L, Storheim K, Risberg MA (2009) Knee osteoarthritis after anterior cruciate ligament injury: a systematic review. Am J Sports Med 37:1434–1443
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 32:1002–1012
Olsen OE, Myklebust G, Engebretsen L, Holme I, Bahr R (2005) Exercises to prevent lower limb injuries in youth sports: cluster randomised controlled trial. BMJ 330:449
Quatman CE, Hewett TE (2009) The anterior cruciate ligament injury controversy: is “valgus collapse” a sex-specific mechanism? Br J Sports Med 43:328–335
Schmitz RJ, Kulas AS, Perrin DH, Riemann BL, Shultz SJ (2007) Sex differences in lower extremity biomechanics during single leg landings. Clin Biomech (Bristol, Avon) 22:681–8
Shin CS, Chaudhari AM, Andriacchi TP (2007) The influence of deceleration forces on ACL strain during single-leg landing: a simulation study. J Biomech 40:1145–1152
Shin CS, Chaudhari AM, Andriacchi TP (2009) The effect of isolated valgus moments on ACL strain during single-leg landing: a simulation study. J Biomech 42:280–285
Speer KP, Spritzer CE, Bassett FH 3rd, Feagin JA Jr, Garrett WE Jr (1992) Osseous injury associated with acute tears of the anterior cruciate ligament. Am J Sports Med 20:382–389
Stijak L, Herzog RF, Schai P (2008) Is there an influence of the tibial slope of the lateral condyle on the ACL lesion? A case-control study. Knee Surg Sports Traumatol Arthrosc 16:112–117
Withrow TJ, Huston LJ, Wojtys EM, Ashton-Miller JA (2006) The effect of an impulsive knee valgus moment on in vitro relative ACL strain during a simulated jump landing. Clin Biomech (Bristol, Avon) 21:977–83
Yamazaki J, Muneta T, Ju YJ, Morito T, Okuwaki T, Sekiya I (2011) Hip acetabular dysplasia and joint laxity of female anterior cruciate ligament-injured patients. Am J Sports Med 39:410–414
Yu B, Garrett WE (2007) Mechanisms of non-contact ACL injuries. Br J Sports Med 41(Suppl 1):i47–i51
Yu B, Lin CF, Garrett WE (2006) Lower extremity biomechanics during the landing of a stop-jump task. Clin Biomech (Bristol, Avon) 21:297–305
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Koga, H., Muneta, T., Bahr, R., Engebretsen, L., Krosshaug, T. (2015). Video Analysis of ACL Injury Mechanisms Using a Model-Based Image-Matching Technique. In: Kanosue, K., Ogawa, T., Fukano, M., Fukubayashi, T. (eds) Sports Injuries and Prevention. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55318-2_9
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DOI: https://doi.org/10.1007/978-4-431-55318-2_9
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