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How Isometric Are the Medial Patellofemoral, Superficial Medial Collateral, and Lateral Collateral Ligaments of the Knee?

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How Isometric Are the Medial Patellofemoral, Superficial Medial Collateral, and Lateral Collateral Ligaments of the Knee?

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GROUND: Ligament isometry is a cornerstone in the description of normal knee function and thorough knowledge is mandatory for successful repair of torn ligaments. PURPOSE: This study was undertaken to validate a novel experimental model for the study of ligament strains and to determine the length changes in the superficial medial collateral, lateral collateral, and medial patellofemoral ligaments. STUDY DESIGN: Descriptive laboratory study. METHODS: Passive motions and loaded squats of 12 cadaveric specimens were performed while controlling ankle load and optically tracking the motion of the bones. Preexperiment and postexperiment computed axial tomography scans allow the transformation of rigid body motion to relative motion of relevant anatomic landmarks on the femur, tibia, and patella. RESULTS: The superficial medial collateral ligament is a near-isometric ligament with a strain of less than 2%. The ligament is a little more slack in midflexion (30 degrees to 50 degrees ) and in d

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