title: Motion of the femoral condyles in flexion and extension during a continuous lunge.
abstract: Numerous studies have reported on in-vivo posterior femoral condyle translations during various activities of the knee. However, no data has been reported on the knee motion during a continuous flexion-extension cycle. Further, few studies have investigated the gender variations on the knee kinematics. This study quantitatively determined femoral condylar motion of 10 male and 10 female knees during a continuous weightbearing flexion-extension cycle using two-dimensional to three-dimensional fluoroscopic tracking technique. The knees were CT-scanned to create three-dimensional models of the tibia and femur. Continuous images of each subject were taken using a single-fluoroscopic imaging system. The knee kinematics were measured along the motion path using geometric center axis of the femur. The results indicated that statistical differences between the flexion and extension motions were only found in internal-external tibial rotation and lateral femoral condylar motion at the middle range of flexion angles. At low flexion angles, male knees have greater external tibial rotation and more posteriorly positioned medial femoral condyle than females. The knee did not show a specific pivoting type of rotation with flexion. Axial rotation center varied from lateral to medial compartments of the knee. These data could provide useful information for understanding physiological motion of normal knees.
authors: Department of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Shanghai, 200233, China; Department of Orthopaedic Surgery, Bioengineering Laboratory, Massachusetts General Hospital/Harvard Medical School, 55 Fruit Street, GRJ 1215, Boston, Massachusetts, 02114.
authors: Yong
authors: Y
authors: Feng
authors: Tsung-Yuan
authors: TY
authors: Tsai
authors: Jing-Sheng
authors: JS
authors: Li
authors: Shaobai
authors: S
authors: Wang
authors: Hai
authors: H
authors: Hu
authors: Changqing
authors: C
authors: Zhang
authors: Harry E
authors: HE
authors: Rubash
authors: Guoan
authors: G
authors: Li
mesh_terms: D000328:Adult; D001696:Biomechanical Phenomena; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000502:physiology*; D006801:Humans; D021621:Imaging, Three-Dimensional; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000502:physiology*; D008297:Male; D009068:Movement / Q000502:physiology*; D011187:Posture / Q000502:physiology*; D016059:Range of Motion, Articular; D012016:Reference Values; D012399:Rotation; D012727:Sex Characteristics; D013977:Tibia / Q000502:physiology*; D014057:Tomography, X-Ray Computed; D016474:Weight-Bearing / Q000502:physiology*
keywords: condylar motion; continuous flexion-extension; gender difference; in vivo knee kinematics