The effect of anterior cruciate ligament deficiency on the in vivo elongation of the medial and lateral collateral ligaments.
BACKGROUND
Although anterior cruciate ligament deficiency has been shown to lead to joint degeneration, few quantitative data have been reported on its effect on soft tissue structures surrounding the knee joint.


OBJECTIVE
Anterior cruciate ligament deficiency will alter the deformation of both collateral ligaments during in vivo weight-bearing knee function from 0 degrees to 90 degrees.


METHODS
Controlled laboratory study.


METHODS
Six patients who had acute anterior cruciate ligament injury in 1 knee with the contralateral side intact participated in this study. Using magnetic resonance and dual orthogonal fluoroscopic imaging techniques, we measured the length of the fiber bundles of the superficial medial collateral ligament, deep medial collateral ligament, and lateral collateral ligament of the 6 patients; the healthy contralateral knee of each patient served as a control.


RESULTS
Anterior cruciate ligament injury caused a significant elongation of the fiber bundles of the superficial and deep medial collateral ligament at every flexion angle. In contrast, the lateral collateral ligament fiber bundles shortened after anterior cruciate ligament injury.


CONCLUSIONS
The altered deformations of the collateral ligaments associated with the changes in tibiofemoral joint kinematics after anterior cruciate ligament injury demonstrate that deficiency of 1 of the knee joint structures upsets the in vivo knee homeostasis.


CONCLUSIONS
Restoring normal knee kinematics after anterior cruciate ligament reconstruction is critical to restore the normal function of the collateral ligaments.
Van de Velde
Samuel K
SK
Bioengineering Laboratory, Department of Orthopedic Surgery, Massachusetts General Hospital/Harvard Medical School, Boston, Massachusetts 02114, USA.
DeFrate
Louis E
LE
Gill
Thomas J
TJ
Moses
Jeremy M
JM
Papannagari
Ramprasad
R
Li
Guoan
G
D000328:Adult; D000070598:Anterior Cruciate Ligament Injuries; D001696:Biomechanical Phenomena; D016022:Case-Control Studies; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D017888:Medial Collateral Ligament, Knee / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology*; D009068:Movement / Q000502:physiology*; D016059:Range of Motion, Articular / Q000502:physiology