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The deterministic condition for the ground reaction force acting point on the combined knee valgus and tibial internal rotation moments in early phase of cutting maneuvers in female athletes

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Journal of Sport and Health Science 2024年第3期13卷 376-386页

作者： Issei Ogasawara Ken Ohta Gajanan S.Revankar Shoji Konda Yohei Shimokochi Hideyuki Koga Ken Nakata Department of Health and Sport Sciences Graduate School of MedicineOsaka UniversityToyonaka 560-0043Japan Sports Sensing Co. LTD.Fukuoka 815-0035Japan Department of Neurology Graduate School of MedicineOsaka UniversitySuita 565-0871Japan Department of Health and Sport Management Osaka University of Health and Sport SciencesSennan-gun 590-0496Japan Department of Joint Surgery and Sports Medicine Graduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityBunkyo-ku 113-8519Japan

Background:Combined knee valgus and tibial internal rotation(VL+IR)moments have been shown to stress the anterior cruciate ligament(ACL)in several in vitro cadaveric studies.To utilize this knowledge for non-contact ACL injury prevention in sports,it is necessary to elucidate how the ground reaction force(GRF)acting point(center of pressure(CoP))in the stance foot produces combined knee VL+IR moments in risky maneuvers,such as cuttings.However,the effects of the GRF acting point on the development of the combined knee VL+IR moment in cutting are still unknown.Methods:We first established the deterministic mechanical condition that the CoP position relative to the tibial rotational axis differentiates the GRF vector’s directional probability for developing the combined knee VL+IR moment,and theoretically predicted that when the CoP is posterior to the tibial rotational axis,the GRF vector is more likely to produce the combined knee VL+IR moment than when the CoP is anterior to the tibial rotational axis.Then,we tested a stochastic aspect of our theory in a lab-controlled in vivo experiment.Fourteen females performed 60˚cutting under forefoot/rearfoot strike conditions(10 trials each).The positions of lower limb markers and GRF data were measured,and the knee moment due to GRF vector was calculated.The trials were divided into anterior-and posterior-CoP groups depending on the CoP position relative to the tibial rotational axis at each 10 ms interval from 0 to 100 ms after foot strike,and the occurrence rate of the combined knee VL+IR moment was compared between trial groups.Results:The posterior-CoP group showed significantly higher occurrence rates of the combined knee VL+IR moment(maximum of 82.8%)at every time point than those of the anterior-CoP trials,as theoretically predicted by the deterministic mechanical condition.Conclusion:The rearfoot strikes inducing the posterior CoP should be avoided to reduce the risk of non-contact ACL injury associated with the combined knee VL+IR stress.

关键词： Center of pressure Deterministic condition Foot strike pattern injury mechanism Moment of ground reaction force

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“When you’re down, stay down”:A lesson for all competitive alpine skiers supported by an ACL rupture measured in vivo

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Journal of Sport and Health Science 2022年第1期11卷 14-20页

作者： Jörg Spöorri Erich Müller Josef Kröoll Sports Medical Research Group Department of OrthopaedicsBalgrist University HospitalUniversity of ZurichZurich 8008Switzerland University Centre for Prevention and Sports Medicine Department of OrthopaedicsBalgrist University HospitalUniversity of ZurichZurich 8008Switzerland Department of Sport Science and Kinesiology University of SalzburgHallein-Ri 5400Austria

Background:During an experiment,a ski racer equipped with various measurement devices suffered an anterior cruciate ligament(ACL)rupture in his right knee.The aim of this study was to describe the underlying injury mechanism from a functional perspective.Methods:Eight giant slalom turns(i.e.,4 left turns),followed by 1 left turn at which the ACL injury occurred,were recorded by 2 video cameras,electromyography of 4 relevant muscle groups,inertial measurement units to measure knee and hip angles,and pressure insoles to determine ground reaction forces.Results:Due to a loss of balance,the ski racer began to slide sideways at the apex of a left turn.During sliding,his right(outside)leg was actively abducted upward without touching the ground.The ski racer then attempted to stand up again by dropping his leg back towards the snow surface.The end of this dropping was accompanied by a decrease in electromyographic activity in the knee stabilizing muscles.Once the inside edge of the outer ski caught the snow surface,a rapidly increasing peak force,knee flexion,and an aggressive sudden activation of the vastus medialis muscle were observed,while biceps femoris and rectus femoris further decreased their activation levels.This likely resulted in excessive anterior translation of the tibia relative to the femur,causing damage to the ACL.Conclusion:Our example emphasizes that ski racers should not get up until they stop sliding.Remember:“When you’re down,stay down.”

关键词： Alpine skiing Athletes injury mechanism injury prevention Knee injuries

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Identification of injury type using somatosensory and motor evoked potentials in a rat spinal cord injury model

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Neural Regeneration Research 2023年第2期18卷 422-427页

作者： Rong Li Han-Lei Li Hong-Yan Cui Yong-Can Huang Yong Hu Department of Orthopedics and Traumatology The University of Hong Kong-Shenzhen HospitalShenzhenGuangdong ProvinveChina Department of Neurosurgery Neuroscience CenterIntegrated Hospital of Traditional Chinese MedicineSouthern Medical UniversityGuangzhouGuangdong ProvinveChina Institute of Biomedical Engineering Chinese Academy of Medical Sciences and Peking Union Medical CollegeTianjinChina Shenzhen Engineering Laboratory of Orthopedic Regenerative Technologies Department of Spine SurgeryPeking University Shenzhen HospitalShenzhenGuangdong ProvinveChina Department of Orthopedics and Traumatology The University of Hong KongPokfulamHong Kong Special Administrative RegionChina

The spinal cord is at risk of injury during spinal surgery.If intraoperative spinal co rd injury is identified early,irreve rsible impairment or loss of neurological function can be prevented.Different types of spinal cord injury result in damage to diffe rent spinal cord regions,which may cause diffe rent somatosensory and motor evoked potential signal res ponses.In this study,we examined electrophysiological and histopathological changes between contusion,distra ction,and dislocation spinal cord injuries in a rat model.We found that contusion led to the most severe dorsal white matter injury and caused considerable attenuation of both somatosensory and motor evoked potentials.Dislocation resulted in loss of myelinated axons in the lateral region of the injured spinal cord along the rostrocaudal axis.The amplitude of attenuation in motor evoked potential responses caused by dislocation was greater than that caused by contusion.After distraction injury,extracellular spaces were slightly but not significantly enlarged;somatosensory evoked potential res ponses slightly decreased and motor evoked potential responses were lost.Correlation analysis showed that histological and electrophysiological findings we re significantly correlated and related to injury type.Intraope rative monitoring of both somatosensory and motor evoked potentials has the potential to identify iatrogenic spinal cord injury type during surgery.

关键词： contusion injury dislocation injury distraction injury electropnysiology heterogeneity histopathology injury mechanism motor evoked potential somatosensory evoked potential spinal cord injury

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Effects of flexibility and strength training on peak hamstring musculotendinous strains during sprinting

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Journal of Sport and Health Science 2021年第2期10卷 222-229页

作者： Xianglin Wan Shangxiao Li Thomas M.Best Hui Liu Hanjun Li Bing Yu Biomechanics Laboratory Beijing Sport UniversityBeijing 100084China UHealth Sports Medicine Institute University of MiamiMiamiFL 33136USA Center for Human Movement Science University of North Carolina at Chapel HillChapel HillNC 27599-7135USA

Background:Hamstring injury is one of the most common injuries in sports involving sprinting.Hamstring flexibility and strength are often considered to be modifiable risk factors in hamstring injury.Understanding the effects of hamstring flexibility or strength training on the biomechanics of the hamstring muscles during sprinting could assist in improving prevention strategies and rehabilitation related to these injuries.The purpose of this study was to determine the effects of altering hamstring flexibility or strength on peak hamstring musculotendinous strain during sprinting.Methods:A total of 20 male college students(aged 18-24 years)participated and were randomly assigned to either a flexibility intervention group or a strength intervention group.Each participant executed exercise training 3 times a week for 8 weeks.Flexibility,sprinting,and isokinetic strength testing were performed before and after the 2 interventions.Paired t tests were performed to determine hamstring flexibility or strength intervention effects on optimal hamstring musculotendinous lengths and peak hamstring musculotendinous strains during sprinting.Results:Participants in the flexibility intervention group significantly increased the optimal musculotendinous lengths of the semimembranosus and biceps long head(pinjury during sprinting for recreational male athletes.

关键词： Hamstring injury injury mechanism injury prevention Modifiable risk factors Muscle biomechanics

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Detailed description of Division I ice hockey concussions:Findings from the NCAA and Department of Defense CARE Consortium

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Journal of Sport and Health Science 2021年第2期10卷 162-171页

作者： Kathryn L.Van Pelt Jaclyn B.Caccese James T.Eckner Margot Putukian MAlison Brooks Kenneth L.Cameron Megan N.Houston Matthew A.Posner Jonathan C.Jackson Gerald T.McGinty Cameron J.Hillis Thomas W.McAllister Michael A.McCrea Steven P.Broglio Thomas A.Buckley Sanders-Brown Center on Aging University of KentuckyLexingtonKY 40536-0230USA College of Medicine School of Health and Rehabilitation Sciences The Ohio State UniversityColumbusOH 43210USA Department of Physical Medicine and Rehabilitation Michigan MedicineUniversity of MichiganAnn ArborMI 48108USA University Health Services Princeton UniversityMcCosh Health CenterPrincetonNJ 08544USA Department of Orthopedics and Rehabilitation Department of PediatricsUniversity of Wisconsin School of Medicine and Public HealthMadisonWI 53705-2281USA Keller Army Hospital United States Military AcademyWest PointNY 10996USA th Medical Group United States Air Force AcademyColorado SpringsCO 80840-4000USA Sports Medicine Athletic DepartmentUnited States Air Force AcademyU.S.Air Force AcademyCO 80840-9500USA Novant Health Charlotte Independence Soccer ClubCorneliusNC 28031USA Department of Psychiatry Indiana UniversityIndianapolisIN 46202USA Neurosurgery Medical College of WisconsinMilwaukeeWI 53226USA Michigan Concussion Center University of MichiganAnn ArborMI 48109USA Kinesiology and Applied Physiology University of DelawareNewarkDE 19713USA

Objective:Since concussion is the most common injury in ice hockey,the objective of the current study was to elucidate risk factors,specific mechanisms,and clinical presentations of concussion in men’s and women’s ice hockey.Methods:Ice hockey players from 5 institutions participating in the Concussion Assessment,Research,and Education Consortium were eligible for the current study.Participants who sustained a concussion outside of this sport were excluded.There were 332(250 males,82 females)athletes who participated in ice hockey,and 47(36 males,11 females)who sustained a concussion.Results:Previous concussion(odds ratio(OR)=2.00;95%confidence interval(95%CI):1.02‒3.91)was associated with increased incident concussion odds,while wearing a mouthguard was protective against incident concussion(OR=0.43;95%CI:0.22‒0.85).Overall,concussion mechanisms did not significantly differ between sexes.There were specific differences in how concussions presented clinically across male and female ice hockey players,however.Females(9.09%)were less likely than males(41.67%)to have a delayed symptom onset(p=0.045).Additionally,females took significantly longer to reach asymptomatic(p=0.015)and return-to-play clearance(p=0.005).Within the first 2 weeks post-concussion,86.11%of males reached asymptomatic,while only 45.50%of females reached the same phase of recovery.Most males(91.67%)were cleared for return to play within 3 weeks of their concussion,compared to less than half(45.50%)of females.Conclusion:The current study proposes possible risk factors,mechanisms,and clinical profiles to be validated in future concussions studies with larger female sample sizes.Understanding specific risk factors,concussion mechanisms,and clinical profiles of concussion in collegiate ice hockey may generate ideas for future concussion prevention or intervention studies.

关键词： Concussion risk injury mechanism Recovery

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An analytical poroelastic model for laboratorial mechanical testing of the articular cartilage (AC)

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Applied Mathematics and Mechanics(English Edition) 2018年第6期39卷 813-828页

作者： Xiaogang WU Kuijun CHEN Zhaowei WANG Ningning WANG Teng ZHAO Yanan XUE Yanqin WANG Weiyi CHEN shanxi Key Laboratory of Material Strength & Structural Impact College of Mechanics Taiyuan University of Technology Taiyuan 030024 China

The articular cartilage （AC） can be seen as a biphasic poroelastic material. The cartilage deformation under compression mainly leads to an interstitial fluid flow in the porous solid phase. In this paper, an analytical poroelastic model for the AC under laboratorial mechanical testing is developed. The solutions of interstitial fluid pressure and velocity are obtained. The results show the following facts. （i） Both the pressure and fluid velocity amplitudes are proportional to the strain loading amplitude. （ii） Both the amplitudes of pore fluid pressure and velocity in the AC depend more on the loading amplitude than on the frequency. Thus, in order to obtain the considerable fluid stimulus for the AC cell responses, the most effective way is to increase the loading amplitude rather than the frequency. （iii） Both the interstitiM fluid pressure and velocity are strongly affected by permeability variations. This model can be used in experimental tests of the parameters of AC or other poroelastic materials, and in research of mechanotransduction and injury mechanism involved interstitial fluid flow.

关键词： articular cartilage （AC） poroelasticity interstitial fluid flow laboratorialmechanical test injury mechanism

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mechanisms of mid-thoracic spine fracture/dislocation due to falls during horse racing:A report of two cases

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Chinese Journal of Traumatology 2021年第6期24卷 397-400页

作者： Paul C.Ivancic North Haven Connecticut06473USA

We reported two cases of jockeys who sustained fracture/dislocation of the mid-thoracic spine due to traumatic falls during horse racing.We examined the injury mechanism based upon the patients’diagnostic images and video footage of races,in which the accidents occurred.Admission imaging of patient 1(a 42 years old male)revealed T5 burst fracture with bony retropulsion of 7 mm causing complete paralysis below T5/6.There existed 22°focal kyphosis at T5/6,anterolisthesis of T5 relative to T6,T5/6 disc herniation,cord edema and epidural hemorrhage from T4 through T6,and cord injury from C3 through C6.Admission imaging of patient 2(a 23 years old male)revealed T4/5 fracture/dislocation causing incomplete paralysis below spinal level.There existed compression fractures at T5,T6,and T7;4 mm anterior subluxation of T4 on T5;diffuse cord swelling from T3 through T5;comminuted fracture of the C1 right lateral mass;right frontal traumatic subarachnoid hemorrhage;and extensive diffuse axonal injury.The injuries were caused by high energy flexion-compression of the mid-thoracic spine with a flexed posture upon impact.Our results suggest that substantially greater cord compression occurred transiently during trauma as compared to that documented from admission imaging.Video footage of the accidents indicated that the spine buckled and failed due to abrupt pocketing and deceleration of the head,neck and shoulders upon impact with the ground combined with continued forward and downward momentum of the torso and lower extremities.While a similar mechanism is well known to cause fracture/dislocation of the cervical spine,it is less common and less understood for mid-thoracic spine injuries.Our study provides insight into the etiology of fracture/dislocation patterns of the mid-thoracic spine due to falls during horse racing.

关键词： Fracture/dislocation Thoracic spine injury mechanism Biomechanics Horse racing

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Achilles Tendon Rupture with Isolated Medial Malleolar Fracture in Ipsilateral Ankle:A Case Report

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Open Journal of Orthopedics 2013年第5期3卷 224-226页

作者： Fatih Turkmensoy Ismail Turkmen Yalcin Turhan Korhan Ozkan Mehmet Akif Akcal Department of Orthopaedics and Traumatology Goztepe Training and Research HospitalIstanbul Medeniyet UniversityIstanbulTurkey Department of Orthopaedics and Traumatology Düzce Atatürk State HospitalDüzceTurkey Department of Ortho-paedics and Traumatology Kilis State HospitalKilisTurkey

Achilles tendon ruptures and malleol fractures are commonly seen injuries in orthopaedic and traumatology practice, but what is rare is their concomitant. In this report, we aimed to present a rare case of a patient who has isolated medial malleolar fracture and achilles tendon rupture in ipsilateral ankle after an ankle sprain due to a fall from stairs and mechanism of injury.

关键词： Achilles Tendon Rupture and Malleol Fracture injury mechanism

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