Cruciate injury patterns in knee hyperextension: A cadaveric model

Robert C. Schenck, Ian S. Kovach, Animesh Agarwal, Russell Brummett, Robert A. Ward, Dan Lanctot, Kyriacos A. Athanasiou

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

We created an experimental model to evaluate the effects of strain rate on the mechanism of combined cruciate ligament injuries in knee hyperextension. Using straight knee hyperextension to rupture the anterior and posterior cruciates, two strain rates (approximately 100% per second and 5400% per second) were applied to reproduce two clinical injury patterns of the knee: low energy (sporting) and high energy (pedestrian-motor vehicle accident). Ten pairs of fresh-frozen cadaveric knees were injured to 45° of hyperextension. Strain rate sensitivity of the posterior cruciate ligament was shown in this model, with midsubstance tears occuring in specimens tested at a low rate and avulsion "stripping" injuries from the femoral side occuring at a high rate. A variable pattern of anterior cruciate ligament tears at both high and low rates suggests that the specific injury mechanism may also involve other factors including notch morphology. We present a simplified mathematic model used to estimate posterior cruciate ligament strain during knee hyperextension.

Original languageEnglish (US)
Pages (from-to)489-495
Number of pages7
JournalArthroscopy - Journal of Arthroscopic and Related Surgery
Volume15
Issue number5
DOIs
StatePublished - 1999

Keywords

  • Cruciate ligament
  • Hyperextension
  • Knee
  • Strain rate

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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