Functional Anatomy of the Cruciate Ligaments

  • N. F. Friederich
  • W. R. O’Brien

Abstract

The cruciate ligaments are the nucleus of knee joint kinematics (We. Müller 1977). In addition, they are the primary restraints to anterior-posterior translation of the tibia (Butler et al. 1980). Their momentary biomechanical efficiency depends on the flexion angle of the knee joint, because their functional angle of insertion on the tibial plateau varies with the degree of knee flexion.

Keywords

Milton Femo 

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References

  1. Blankevoort L, Huiskes R, de Lange A (1986) Helical axes along the envelope of passive knee joint motion. Trans Orthop Res Soc ll:410Google Scholar
  2. Brantigan OC, Voshell AF (1941) The mechanics of the ligaments and menisci of the knee joint. J Bone Joint Surg [Am] 23:44–66Google Scholar
  3. Brantigan OC, Voshell AF (1946) Ligaments of the knee joint. The relationship of the ligament of Humphry to the ligament of Wrisberg. J Bone Joint Surg [Am] 28: 66–67Google Scholar
  4. Butler DL, Noyes FR, Grood ES (1980) Ligamentous restraints to anterior-posterior drawer in the human knee. A biomechanical study. J Bone Joint Surg [Am] 62: 259–270Google Scholar
  5. Butler DL, Martin ET, Kaiser AD, Grood ES, Chun KJ, Sodd AN (1988) The effects of flexion and tibial rotation on the 3-D orientations and lengths of human anterior cruciate ligament bundles. Trans Orthop Res Soc 13: 59Google Scholar
  6. Cabaud HE, Feagin JA, Rodkey WG (1980) Acute anterior cruciate ligament injury augmented repair. Experimental studies. Am J Sports Med 8: 395–401PubMedCrossRefGoogle Scholar
  7. Clancy WG Jr, Nelson DA, Reider B, Narechana RG (1982) Anterior cruciate ligament reconstruction using one-third of the patellar ligament augmented by extra-articular tendon transfers. J Bone Joint Surg [Am] 64: 352–359Google Scholar
  8. Clancy WG Jr, Shelbourne KD, Zoellner GB, Keene JS, Reider B, Rosenberg TD (1983) Treatment of knee joint instability secondary to rupture of the posterior cruciate ligament. Report of a new procedure. J Bone Joint Surg [Am] 65: 310–322Google Scholar
  9. Crowninshield R, Pope MH, Johnson RJ (1976) An analytical model of the knee. J Biomech 9: 397–405PubMedCrossRefGoogle Scholar
  10. de Lange A, van Dijk R, Huiskes R (1983) Three-dimensional experimental assessment of knee ligament length patterns in vitro. Trans Orthop Res Soc 8: 10Google Scholar
  11. Dye SF (1987) An evolutionary perspective of the knee. J Bone Joint Surg [Am] 69: 976–983Google Scholar
  12. Frankel VH, Burstein AH, Brooks DB (1971) Biomechanics of internal derangement of the knee: Pathomechanics as determined by analysis of the instant center of motion. J Bone Joint Surg [Am] 53: 945–962Google Scholar
  13. Friederich NF, O’Brien WR (1989b) Isometricity measurements in arterior cruciate ligament reconstruction. Vortrag AOSSM Annual Meeting, Las Vegas, NEGoogle Scholar
  14. Friederich NF, O’Brien WR, Müller We, Henning CE (1989 a) Anterior cruciate ligament fiber tension patterns during knee motion. Proceedings of the 6th ISK Congress. Am J Sports Med 17: 699Google Scholar
  15. Friederich NF, O’Brien WR, Müller We, Henning CE, Jackson RW (1988) Functional anatomy of the cruciate ligaments and their substitutes. Part II: The posterior cruciate ligament. Vortrag, 3. ESKA-Kongress AmsterdamGoogle Scholar
  16. Furman W, Marshall JL, Girgis FG (1976) The anterior cruciate ligament. A functional analysis based on postmortem studies. J Bone Joint Surg [Am] 58: 179–185Google Scholar
  17. Gerber C, Matter P (1983) Biomechanical analysis of the knee after rupture of the anterior cruciate ligament and its primary repair. An instant-center analysis of function. J Bone Joint Surg [Am] 65: 391–399Google Scholar
  18. Girgis FG, Marshall JL, Al Monajem ARS (1983) The cruciate ligaments of the knee joint. Clin Orthop 106: 216–231Google Scholar
  19. Gollehon DL, Torzilli PA, Warren RF (1978) The role of the posterolateral and cruciate ligaments in the stability of the human knee. J Bone Joint Surg [Am] 69: 233–242Google Scholar
  20. Goodfellow J, O’Connor J (1978) The mechanics of the knee and prosthesis design. J Bone Joint Surg [Br] 60: 358–369Google Scholar
  21. Graf B, Simon T, Jackson DW (1987) Isometric placement of substitutes for the anterior cruciate ligament. In: Jackson DW, Drez D Jr (eds) The anterior cruciate deficient knee. Mosby, St. Louis, pp 102–113Google Scholar
  22. Grood ES, Hefzy DL, Butler WJ (1983) On the placement and the initial tension of anterior cruciate ligament substitutes. Trans Orthop Res Soc 9: 145Google Scholar
  23. Haines RW (1941) A note on the actions of the cruciate ligaments of the knee joint. J Anat 75: 373PubMedGoogle Scholar
  24. Hassenpflug J, Blauth W, Rose D (1985) Zum Spannungsverhalten von Transplantaten zum Ersatz des vorderen Kreuzbandes. Zugleich ein Beitrag zur Kritik an der „over-the-top“- Technik. Unfallchirurg 88: 151–158PubMedGoogle Scholar
  25. Haus J, Refior HJ (1987) A study of the synovial and ligamentous structure of the anterior cruciate ligament. Int Orthop 11: 117–124PubMedCrossRefGoogle Scholar
  26. Haus J, Refior HJ (1988) Zur Anatomie und Histologie des vorderen Kreuzbandes. Orthop Prax 5: 296–298Google Scholar
  27. Hefzy MS, Grood ES, Lindenfeld TL (1986) The posterior cruciate ligament: A new look at length patterns. Trans Orthop Res Soc 11: 128Google Scholar
  28. Hefzy MS, Grood ES, Noyes FR (1987) ACL intra-articular reconstruction: Factors affecting the region of most isometric attachments. Trans Orthop Res Soc 12: 267Google Scholar
  29. Heller L, Langman J (1964) The meniscofemoralligaments of the human knee. J Bone Joint Surg [Br] 46: 307–313Google Scholar
  30. Hoogland T, Hillen B (1984) Intra-articular reconstruction of the anterior cruciate ligament. Clin Orthop 185: 197–202PubMedGoogle Scholar
  31. Huiskes R, Blankvoort L, van Dijk R, de Lange A, van Rens TJG (1984) Ligament deformation patterns in passive knee-joint motions. Adv Bioeng: 53–54Google Scholar
  32. Huson A (1974) The functional anatomy of the knee joint. The closed kinematic chain as a model of the knee joint. In: Ingwersen OS (ed) The knee joint: Recent advances in basis research and clinical aspects. Excerpta Medica, Amsterdam, pp 163 - 168Google Scholar
  33. Kapandji IA (1970) The physiology of the joints, vol 2: Lower limbs, 2nd edn. Churchill-Livingstone, London, pp 72–135Google Scholar
  34. Kinzel GL, Hall AS, Hillberry BM (1972) Measurement of the total motion between two body segments 1. Analytical development. J Biomech 5: 93–105PubMedCrossRefGoogle Scholar
  35. Kummer B, Yamamoto M (1988) Morphologie und Funktion des Kreuzbandapparates des Kniegelenks. Arthroskopie 1: 2–10Google Scholar
  36. Last RJ (1948) Some anatomical details of the knee joint. J Bone Joint Surg [Br] 30: 683–688Google Scholar
  37. Lew WD, Lewis JL (1978) A technique for calculating in vivo ligament lengths with application to the human knee joint. J Biomech 11: 365–377PubMedCrossRefGoogle Scholar
  38. Menschik A (1974a) Mechanik des Kniegelenkes. 1. Teil. Z Orthop 112: 481–495Google Scholar
  39. Menschik A 1974b Mechanik des Kniegelenkes. 3. Teil. Sailer, WienGoogle Scholar
  40. Menschik A (1975) Mechanik des Kniegelenkes. II . Teil. Schlußrotation. Z Orthop 113: 388–400PubMedGoogle Scholar
  41. Menschik A (1988) Biometrie. Springer, Berlin Heidelberg New York TokyoGoogle Scholar
  42. Meyer H (1853) Die Mechanik des Kniegelenkes. Arch Anat Physiol Wiss Med: 497–547Google Scholar
  43. Montgomery RD, Milton JL, Terry GC, McLeod WD, Madson N (1988) Comparison of over-the-top and tunnel techniques for anterior cruciate ligament replacement. Clin Orthop 231: 144–153PubMedGoogle Scholar
  44. Müller We (1977) Verletzungen der Kreuzbänder. Zentralbl Chir 102: 974–981PubMedGoogle Scholar
  45. Müller We (1982) Das Knie. Form, Funktion und ligamentäre Wiederherstellungschirurgie. Springer, Berlin Heidelberg New York TokyoGoogle Scholar
  46. Norwood LA, Cross MJ (1979) Anterior cruciate ligament: Functional anatomy of its bundles in rotatory instabilities. Am J Sports Med 7: 23–26PubMedCrossRefGoogle Scholar
  47. O’Brien WR, Henning CE, Eriksson E (1987) Femoral intercondylar notch impingement on anterior cruciate ligament substitutes. Vortrag, 13th Annual Meeting AOSSM, Orlando/FLGoogle Scholar
  48. O’Brien WR, Friederich NF, Müller We, Henning C (1989) Functional anatomy of the cruciate ligaments and their substitutes. Scientific Exhibit, 56th Annual Meeting AAOS, Las VegasGoogle Scholar
  49. Odensten M, Gillquist J (1985) Functional anatomy of the anterior cruciate ligament and a rationale for reconstruction. J Bone Joint Surg [Am] 67: 257 -262Google Scholar
  50. Penner DA, Daniel DM, Wood P (1986) An in vitro study of anterior cruciate ligament graft orientation and isometry.12th Annual Meeting AOSSM, Sun Valley/CAGoogle Scholar
  51. Poirier P, Charpy A (1911) Traité: de l’anatomie humaine,Masson, Paris, pp 1892–1904Google Scholar
  52. Reuleaux F (1876) The kinematics of machinery: Outlines of a theory of machines. Kennedy ABW (ed and transl) Macmillan, New YorkGoogle Scholar
  53. Sapega AA, Moyer RA, Schneck C, Goldstein S, Komaiahiranya N (1989) The biomechanics of intra-operative „isometry“ testing during anterior cruciate ligament reconstruction.Trans Orthop Res Soc 14: 130Google Scholar
  54. Schabus R (1988) Die Bedeutung der Augmentation für die Rekonstruktion des vorderen Kreuzbandes. Acta Chir Aust [Suppl76]Google Scholar
  55. Sidles JA, Larson RV, Garbini JL, Downey DJ, Matson FA (1988) Ligament length relationships in the moving knee. J Orthop Res 6/4: 593–610PubMedCrossRefGoogle Scholar
  56. Strasser H (1917) Lehrbuch der Muskel- und Gelenksmechanik. Springer, BerlinGoogle Scholar
  57. Trent PS, Walker PS, Wolf B (1976) Ligament length patterns, strength, and rotational axes of the knee joint. Clin Orthop 117: 263–270PubMedGoogle Scholar
  58. van Dijk R (1983) The behaviour of the cruciate the cruciate ligaments in the human knee. Dissertation, University of Nijmegen, The NetherlandsGoogle Scholar
  59. van Dijk R, Huiskes R, Selvik G (1979) Roentgen stereophotogrammetric methods for the evaluation of the three-dimensional kinematic behaviour and cruciate ligament length patterns of the human knee joint. J Biomech 12:727–731PubMedCrossRefGoogle Scholar
  60. van Dommelen BA, Fowler PJ (1989) Anatomy of the posterior cruciate ligament. A review. Am J Sports Med 17: 24–29PubMedCrossRefGoogle Scholar
  61. Wang CJ, Walker PS, Wolf B (1973) The effects of flexion and rotation on the length patterns of the ligaments of the knee. J Biomech 6: 587–596PubMedCrossRefGoogle Scholar
  62. Weber W, Weber E (1836) Mechanik der menschlichen Gehwerkzeuge. Dieterich, GöttingenGoogle Scholar
  63. Wirth CJ, Artmann M (1974) Verhalten der Roll-Gleitbewegung des belasteten Kniegelenks bei Verlust und Ersatz des vorderen Kreuzbandes. Arch Orthop Unfallchir 78: 356–361PubMedCrossRefGoogle Scholar
  64. Wismans J, Veldpaus F, Janssen J (1980) A three-dimensional mathematical model of the knee-joint. J Biomech 13: 677–685PubMedCrossRefGoogle Scholar
  65. Zuppinger H (1904) Die aktive Flexion im unbelasteten Kniegelenk. Bergmann, WiesbadenGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • N. F. Friederich
  • W. R. O’Brien

There are no affiliations available

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