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Dynamic activity dependence of in vivo normal knee kinematics
Author(s) -
Morooka Takaaki,
Hamai Satoshi,
Miura Hiromasa,
Shimoto Takeshi,
Higaki Hidehiko,
Fregly Benjamin J.,
Iwamoto Yukihide,
Banks Scott A.
Publication year - 2008
Publication title -
journal of orthopaedic research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.041
H-Index - 155
eISSN - 1554-527X
pISSN - 0736-0266
DOI - 10.1002/jor.20488
Subject(s) - kinematics , squat , femur , rotation (mathematics) , knee joint , biomechanics , anatomy , range of motion , condyle , orthodontics , physics , computer science , mathematics , medicine , geometry , physical medicine and rehabilitation , surgery , classical mechanics
Dynamic knee kinematics were analyzed for normal knees in three activities, including two different types of maximum knee flexion. Continuous X‐ray images of kneel, squat, and stair climb motions were taken using a large flat panel detector. CT‐derived bone models were used for model registration‐based 3D kinematic measurement. Three‐dimensional joint kinematics and contact locations were determined using three methods: bone‐fixed coordinate systems, interrogation of CT‐based bone model surfaces, and interrogation of MR‐based articular cartilage model surfaces. The femur exhibited gradual external rotation throughout the flexion range. Tibiofemoral contact exhibited external rotation, with contact locations translating posterior while maintaining 15° to 20° external rotation from 20° to 80° of flexion. From 80° to maximum flexion, contact locations showed a medial pivot pattern. Kinematics based on bone‐fixed coordinate systems differed from kinematics based on interrogation of CT and MR surfaces. Knee kinematics varied significantly by activity, especially in deep flexion. No posterior subluxation occurred for either femoral condyle in maximum knee flexion. Normal knees accommodate a range of motions during various activities while maintaining geometric joint congruency. © Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 26:428–434, 2008