McCaig Institute for Bone & Joint Health, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Schulich School of Engineering, University of Calgary, Calgary, AB, Canada.
Ann Biomed Eng. 2019 Mar;47(3):790-801. doi: 10.1007/s10439-019-02203-6. Epub 2019 Jan 17.
Little effort has been directed towards the consequence of an injury on joint angular velocity. We hypothesized that the magnitude of knee joint angular velocity would be decreased after injury. Four injury groups were investigated in an ovine model: (1) anterior cruciate ligament (ACL) and medial collateral ligament (MCL) transection (ACL/MCL Tx) (n = 5), (2) lateral meniscectomy (Mx) (n = 5), (3) partial ACL transection (p-ACL Tx) (n = 5), and (4) partial-ACL and MCL transection (p-ACL/MCL Tx) (n = 5). The magnitude of the angular velocities decreased in the subjects of all groups at multiple points of the gait cycle. The maximum angular velocities during stance and the maximum extension angular velocities during swing were decreased in 15/20 and 17/20 subjects, respectively. There were strong correlations between morphological osteoarthritis scores and the reduction in the maximum extension angular velocities during swing 40 weeks post-p-ACL Tx and 20 weeks post-ACL/MCL Tx. There was no correlation between the decrease of the angular velocity and morphological osteoarthritis scores in the Mx group and the p-ACL/MCL Tx group. The reduction in angular velocity may be a helpful addition as a surrogate measure of OA risk after ACL injury, and could have clinical significance after further investigation in humans.
人们很少关注损伤对关节角速度的影响。我们假设膝关节角速度会在损伤后减小。在绵羊模型中研究了四个损伤组:(1)前交叉韧带(ACL)和内侧副韧带(MCL)切断(ACL/MCL Tx)(n = 5),(2)外侧半月板切除术(Mx)(n = 5),(3)部分 ACL 切断(p-ACL Tx)(n = 5)和(4)部分 ACL 和 MCL 切断(p-ACL/MCL Tx)(n = 5)。在步态周期的多个点,所有组的受试者的角速度幅度都减小。在支撑期的最大角速度和摆动期的最大伸展角速度分别在 15/20 和 17/20 名受试者中减小。在 p-ACL Tx 后 40 周和 ACL/MCL Tx 后 20 周,最大伸展角速度的减小与形态性骨关节炎评分之间存在很强的相关性。在 Mx 组和 p-ACL/MCL Tx 组中,角速度的减小与形态性骨关节炎评分之间没有相关性。角速度的减小可能是 ACL 损伤后 OA 风险的替代测量指标,在进一步的人体研究中可能具有临床意义。