Journal
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
Volume 20, Issue 11, Pages 2270-2274Publisher
SPRINGER
DOI: 10.1007/s00167-012-1888-7
Keywords
Muscle volume; Torque; ACL injury; Muscle weakness; Hamstrings
Categories
Funding
- Yamaha Motor Foundation for Sports
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This study was conducted to identify factors other than morphological muscle strength factors that affect injured and uninjured sides of knee flexors with anterior cruciate ligament (ACL) lesions. The study population consisted of 22 patients with ACL lesions. Their hamstring muscle volume was measured on MRI, and muscle torque per muscle volume was calculated as the peak torque of knee flexion divided by hamstring muscle volume. The mean muscle torque per unit volume of hamstrings in patients with ACL rupture was 0.09 +/- A 0.02 Nm/cm(3) at 60A degrees/s and 0.08 +/- A 0.01 Nm/cm(3) at 180A degrees/s on the injured side, and 0.11 +/- A 0.02 Nm/cm(3) at 60A degrees/s and 0.08 +/- A 0.01 Nm/cm(3) at 180A degrees/s on the uninjured side. The mean muscle torque per unit volume of hamstrings in control subjects was 0.11 +/- A 0.02 Nm/cm(3) at 60A degrees/s and 0.08 +/- A 0.03 Nm/cm(3) at 180A degrees/s. One-factor ANOVA analysis found no significant differences between the three groups at either flexion velocity. Neurological dysfunction does not appear to exist in knee flexor muscles after ACL injury, unlike the quadriceps. Since the mechanism of muscle weakness will differ depending on the muscle, it is important for clinicians to take this discrepancy into consideration. II.
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