Comparison of side-cutting maneuvers versus low impact baseball swing on knee ligament loading in adolescent populations

Mallinos, Alexandria; Jones, Kerwyn C.; Davis, Brian L.

doi:10.1016/j.clinbiomech.2023.106004

Cited by 2 publications

(1 citation statement)

References 57 publications

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“…A greater range of knee flexion during the first contact could serve as a biomechanical strategy to absorb impact and reduce the load. In this sense, women have a higher relative risk of knee injury than men, as they exhibit more significant knee extension during changes of direction 29 .…”

Section: Kinematicsmentioning

confidence: 99%

Gender-based comparative analysis of knee injury risk during cutting maneuvers in non-professional athletes: a kinetic and kinematic perspective.

Feria-Madueño,

Hewett,

Sañudo

2024

Investigación Clínica

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This study aimed to compare the risk of knee injury between men and women by integrating kinetic and kinematic parameters in a non-professional athlete population. Two hundred non-professional athletes were re-cruited for the present study. Three change of direction tests were conducted, consisting of two open cuts at 30 (SC30) and 45 degrees (SC45) and one closed cut at 45 degrees (SC45cl). Kinetic variables, including three-dimensional force and accelerations in the three axes of movement and ground contact time, were assessed using force platform and accelerometers. The initial and maximum an-gles of the ankle, knee, hip, and trunk were analyzed by photogrammetry. The data was compared between males and females to examine gender differenc-es. Gender analysis demonstrated significant differences in force values, with women displaying higher medial-lateral (ML) force in SC30 and men exhibiting higher vertical ground reaction force (VGRF) and anterior-posterior (AP) force in SC45. Gender-specific analysis indicated higher partial knee accelerations in women during SC30 and SC45, with significant differences observed in accelera-tion in the vertical axe. Gender differences were observed in certain kinematic variables, with women displaying higher ankle flexion at initial contact in SC30and higher ankle flexion at maximum flexion and ankle dorsiflexion range in SC45. Men showed lower knee flexion angles in both SC45cl and SC45. These find-ings provide valuable insights into the kinetics and kinematics of change of direction movements and highlight gender-specific differences that may have implications for training and injury prevention strategies. Further research is needed to understand the underlying factors contributing to these differences and their impact on performance and injury risk.

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Section: Kinematicsmentioning

confidence: 99%

Gender-based comparative analysis of knee injury risk during cutting maneuvers in non-professional athletes: a kinetic and kinematic perspective.

Feria-Madueño,

Hewett,

Sañudo

2024

Investigación Clínica

View full text Add to dashboard Cite

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The Double-Edged Sword: Anterior Cruciate Ligament Reconstructions on Adolescent Patients—Growth Plate Surgical Challenges and Future Considerations

Mallinos,

Jones

2024

JCM

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The management of anterior cruciate ligament (ACL) injuries in pediatric patients presents unique challenges due to the presence of open growth plates in the proximal tibia and distal femur. Delaying ACL reconstruction until skeletal maturity may protect the physes but increases the risk of secondary injuries, such as meniscal tears and chondral damage, due to prolonged joint instability. Conversely, early surgical intervention restores knee stability but raises concerns about potential growth disturbances, including leg-length discrepancies and angular deformities. This narrative review examines current approaches to pediatric ACL management, highlighting the risks and benefits of both conservative and surgical treatments. Additionally, it explores the role of finite element modeling (FEM) as an innovative tool for pre-surgical planning. FEM offers a non-invasive method to optimize surgical techniques, minimize iatrogenic damage to growth plates, and improve patient outcomes. Despite its potential, FEM remains underutilized in clinical practice. This review underscores the need to integrate FEM into pediatric ACL care to enhance surgical precision, reduce complications, and improve long-term quality of life for young patients. By synthesizing available evidence, this review aims to provide clinicians with a comprehensive framework for decision-making and identify future directions for research in pediatric ACL reconstruction.

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Comparison of side-cutting maneuvers versus low impact baseball swing on knee ligament loading in adolescent populations

Cited by 2 publications

References 57 publications

Gender-based comparative analysis of knee injury risk during cutting maneuvers in non-professional athletes: a kinetic and kinematic perspective.

Gender-based comparative analysis of knee injury risk during cutting maneuvers in non-professional athletes: a kinetic and kinematic perspective.

The Double-Edged Sword: Anterior Cruciate Ligament Reconstructions on Adolescent Patients—Growth Plate Surgical Challenges and Future Considerations

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