[EMG-assisted functional analysis within the scope of follow-up of arthroscopically managed injuries of the anterior cruciate ligament].
The rehabilitative course of anterior cruciate ligament ruptures was followed up at 16.6 months postoperatively be measuring clinical parameters, isokinetic power values and by means of electromyographic leads. The injured side has significantly looser ligaments than the non-injured one (p = < 0.01). The circumferential measures differ from each other, pointing to a reduction in muscular circumference at the measuring points 10 cm and 20 cm above the medial joint cavity (p = < 0.05). The isokinetic measurements had selective deficits of the knee-joint extensor at 60 degrees W/S (p = < 0.01) and at 180 degrees W/S (p = < 0.05), whereas the flexors did not show any difference, irrespective of the side. EMG measurements after 16.6 months via superficial leads applied to the synergistic compound of the extensors of the knee joint did not confirm any weakness of the m. vastus medialis although such weakness has often been claimed to exist. Laterally changed electromechanical coupling was seen, as well as a changed muscular fatigue pattern. The changed synergistic functional capacity of the m. quadriceps femoris could be of pathogenetic importance for further, e.g. retropatellar, subsequent damage. The author discusses the question whether laterally equal muscular conditions based on traumatically changed conditions in the joints should be treated at all.
Freiwald
J
J
Stiftung Friedrichsheim, Orthopädische Universitätsklinik Frankfurt.
Jäger
A
A
Starker
M
M
D000328:Adult; D016118:Anterior Cruciate Ligament / Q000503:physiopathology / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D004576:Electromyography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007537:Isometric Contraction / Q000502:physiology*; D007593:Joint Instability / Q000503:physiopathology / Q000601:surgery; D007718:Knee Injuries / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D009132:Muscles / Q000503:physiopathology; D011183:Postoperative Complications / Q000503:physiopathology*; D013709:Tendon Transfer
EMG-gestützte Funktionsanalyse im Rahmen einer Nachuntersuchung nach arthroskopisch versorgten vorderen Kreuzbandverletzungen.