期刊
JOURNAL OF BIOMECHANICS
卷 40, 期 8, 页码 1716-1722出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.jbiomech.2006.08.009
关键词
patellar tendon; tendon; ligament; patellar kinematics; patellar tracking; in-vivo kinematics; tendon biomechanics
资金
- NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES [R01AR052408] Funding Source: NIH RePORTER
- NIAMS NIH HHS [R01 AR052408-02, R01 AR052408-01, R01 AR052408-03, R01 AR052408] Funding Source: Medline
Few studies have investigated the function of the patellar tendon in-vivo. This study quantified the three-dimensional (31)) kinematics of the patellar tendon during weight-bearing flexion. Eleven subjects were imaged using magnetic resonance (MR). Sagittal plane images were outlined to create a 3D model of the patella, tibia, and femur and included the attachment sites of the patellar tendon. Each attachment site was divided into central, medial, and lateral thirds. Next, the subjects were imaged using fluoroscopy from two orthogonal directions while performing a single-leg lunge. The models and fluoroscopic images were used to reproduce the motion of the patella, tibia, and femur. The apparent elongation, sagittal plane angle, and coronal plane angle of each third of the patellar tendon were measured from the relative motion of the attachment sites. All three portions of the patellar tendon deformed similarly with flexion. The length of the patellar tendon significantly from full extension to 30 degrees. From 30 degrees-10 degrees, no significant change in the length of the patellar tendon was observed. The patellar tendon was oriented anteriorly at flexion angles less than 60 degrees and posteriorly thereafter. From full extension to 60 degrees, the medial orientation of the patellar tendon decreased significantly with flexion. These data may have important implications for anterior cruciate ligament reconstruction using patellar tendon autografts and for the design of rehabilitation regimens for patients of patellar tendon repair. (C) 2006 Published by Elsevier Ltd.
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