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Journal of Athletic Training logoLink to Journal of Athletic Training
. 1999 Apr-Jun;34(2):93–98.

Anterior Tibial Translation in Collegiate Athletes with Normal Anterior Cruciate Ligament Integrity

John M Rosene *, Tracey D Fogarty
PMCID: PMC1322896  PMID: 16558565

Abstract

Objective:

To examine differences in anterior tibial translation (ATT) among sports, sex, and leg dominance in collegiate athletes with normal anterior cruciate ligament integrity.

Design and Setting:

Subjects from various athletic teams were measured for ATT in right and left knees.

Subjects:

Sixty subjects were measured for ATT with a KT-1000 knee arthrometer.

Measurements:

Statistical analyses were computed for each sex and included a 2 × 3 × 4 mixed-factorial analysis of variance (ANOVA) for anterior cruciate ligament displacement, right and left sides, and force and sport. A 2 × 2 × 3 mixed-factorial ANOVA was computed to compare means for sex and force. A 2 × 3 mixed-factorial ANOVA was computed to compare sex differences across 3 forces.

Results:

For males and females, no significant interactions were found among leg, force, and sport for mean ATT, for leg and sport or leg and force, or for translation values between dominant and nondominant legs. Males had a significant interaction for force and sport, and a significant difference was found for side of body, since the right side had less translation than the left side. Females had greater ATT than males at all forces.

Conclusions:

Sex differences exist for ATT, and differences in ATT exist among sports for both sexes. Differences between the right and left sides of the body should be expected when making comparisons of ligamentous laxity.

Keywords: knee, displacement, arthrometry

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Selected References

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  1. Aagaard P., Simonsen E. B., Trolle M., Bangsbo J., Klausen K. Specificity of training velocity and training load on gains in isokinetic knee joint strength. Acta Physiol Scand. 1996 Feb;156(2):123–129. doi: 10.1046/j.1365-201X.1996.438162000.x. [DOI] [PubMed] [Google Scholar]
  2. Arendt E., Dick R. Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med. 1995 Nov-Dec;23(6):694–701. doi: 10.1177/036354659502300611. [DOI] [PubMed] [Google Scholar]
  3. Arms S. W., Pope M. H., Johnson R. J., Fischer R. A., Arvidsson I., Eriksson E. The biomechanics of anterior cruciate ligament rehabilitation and reconstruction. Am J Sports Med. 1984 Jan-Feb;12(1):8–18. doi: 10.1177/036354658401200102. [DOI] [PubMed] [Google Scholar]
  4. Beynnon B. D., Fleming B. C., Johnson R. J., Nichols C. E., Renström P. A., Pope M. H. Anterior cruciate ligament strain behavior during rehabilitation exercises in vivo. Am J Sports Med. 1995 Jan-Feb;23(1):24–34. doi: 10.1177/036354659502300105. [DOI] [PubMed] [Google Scholar]
  5. Burnie J., Brodie D. A. Isokinetic measurement in preadolescent males. Int J Sports Med. 1986 Aug;7(4):205–209. doi: 10.1055/s-2008-1025759. [DOI] [PubMed] [Google Scholar]
  6. Croce R. V., Pitetti K. H., Horvat M., Miller J. Peak torque, average power, and hamstrings/quadriceps ratios in nondisabled adults and adults with mental retardation. Arch Phys Med Rehabil. 1996 Apr;77(4):369–372. doi: 10.1016/s0003-9993(96)90086-6. [DOI] [PubMed] [Google Scholar]
  7. Daniel D. M., Stone M. L., Sachs R., Malcom L. Instrumented measurement of anterior knee laxity in patients with acute anterior cruciate ligament disruption. Am J Sports Med. 1985 Nov-Dec;13(6):401–407. doi: 10.1177/036354658501300607. [DOI] [PubMed] [Google Scholar]
  8. Delitto A., McKowen J. M., McCarthy J. A., Shively R. A., Rose S. J. Electrically elicited co-contraction of thigh musculature after anterior cruciate ligament surgery. A description and single-case experiment. Phys Ther. 1988 Jan;68(1):45–50. doi: 10.1093/ptj/68.1.45. [DOI] [PubMed] [Google Scholar]
  9. Feagin J. A., Jr, Lambert K. L. Mechanism of injury and pathology of anterior cruciate ligament injuries. Orthop Clin North Am. 1985 Jan;16(1):41–45. [PubMed] [Google Scholar]
  10. Forster I. W., Warren-Smith C. D., Tew M. Is the KT1000 knee ligament arthrometer reliable? J Bone Joint Surg Br. 1989 Nov;71(5):843–847. doi: 10.1302/0301-620X.71B5.2584257. [DOI] [PubMed] [Google Scholar]
  11. Gray J., Taunton J. E., McKenzie D. C., Clement D. B., McConkey J. P., Davidson R. G. A survey of injuries to the anterior cruciate ligament of the knee in female basketball players. Int J Sports Med. 1985 Dec;6(6):314–316. doi: 10.1055/s-2008-1025861. [DOI] [PubMed] [Google Scholar]
  12. Gross M. T., Tyson A. D., Burns C. B. Effect of knee angle and ligament insufficiency on anterior tibial translation during quadriceps muscle contraction: a preliminary report. J Orthop Sports Phys Ther. 1993 Mar;17(3):133–143. doi: 10.2519/jospt.1993.17.3.133. [DOI] [PubMed] [Google Scholar]
  13. Hanten W. P., Pace M. B. Reliability of measuring anterior laxity of the knee joint using a knee ligament arthrometer. Phys Ther. 1987 Mar;67(3):357–359. doi: 10.1093/ptj/67.3.357. [DOI] [PubMed] [Google Scholar]
  14. Harrison E. L., Duenkel N., Dunlop R., Russell G. Evaluation of single-leg standing following anterior cruciate ligament surgery and rehabilitation. Phys Ther. 1994 Mar;74(3):245–252. doi: 10.1093/ptj/74.3.245. [DOI] [PubMed] [Google Scholar]
  15. Huston L. J., Wojtys E. M. Neuromuscular performance characteristics in elite female athletes. Am J Sports Med. 1996 Jul-Aug;24(4):427–436. doi: 10.1177/036354659602400405. [DOI] [PubMed] [Google Scholar]
  16. Hutchinson M. R., Ireland M. L. Knee injuries in female athletes. Sports Med. 1995 Apr;19(4):288–302. doi: 10.2165/00007256-199519040-00006. [DOI] [PubMed] [Google Scholar]
  17. Jenkins W. L., Munns S. W., Jayaraman G., Wertzberger K. L., Neely K. A measurement of anterior tibial displacement in the closed and open kinetic chain. J Orthop Sports Phys Ther. 1997 Jan;25(1):49–56. doi: 10.2519/jospt.1997.25.1.49. [DOI] [PubMed] [Google Scholar]
  18. Kalenak A., Morehouse C. A. Knee stability and knee ligament injuries. JAMA. 1975 Dec 15;234(11):1143–1145. [PubMed] [Google Scholar]
  19. Kannus P. Ratio of hamstring to quadriceps femoris muscles' strength in the anterior cruciate ligament insufficient knee. Relationship to long-term recovery. Phys Ther. 1988 Jun;68(6):961–965. doi: 10.1093/ptj/68.6.961. [DOI] [PubMed] [Google Scholar]
  20. Kowalk D. L., Duncan J. A., McCue F. C., 3rd, Vaughan C. L. Anterior cruciate ligament reconstruction and joint dynamics during stair climbing. Med Sci Sports Exerc. 1997 Nov;29(11):1406–1413. doi: 10.1097/00005768-199711000-00003. [DOI] [PubMed] [Google Scholar]
  21. Kramer J., Nusca D., Fowler P., Webster-Bogaert S. Knee flexor and extensor strength during concentric and eccentric muscle actions after anterior cruciate ligament reconstruction using the semitendinosus tendon and ligament augmentation device. Am J Sports Med. 1993 Mar-Apr;21(2):285–291. doi: 10.1177/036354659302100220. [DOI] [PubMed] [Google Scholar]
  22. Liu S. H., al-Shaikh R., Panossian V., Yang R. S., Nelson S. D., Soleiman N., Finerman G. A., Lane J. M. Primary immunolocalization of estrogen and progesterone target cells in the human anterior cruciate ligament. J Orthop Res. 1996 Jul;14(4):526–533. doi: 10.1002/jor.1100140405. [DOI] [PubMed] [Google Scholar]
  23. Lund-Hanssen H., Gannon J., Engebretsen L., Holen K. J., Anda S., Vatten L. Intercondylar notch width and the risk for anterior cruciate ligament rupture. A case-control study in 46 female handball players. Acta Orthop Scand. 1994 Oct;65(5):529–532. doi: 10.3109/17453679409000907. [DOI] [PubMed] [Google Scholar]
  24. Nisell R., Németh G., Ohlsén H. Joint forces in extension of the knee. Analysis of a mechanical model. Acta Orthop Scand. 1986 Feb;57(1):41–46. doi: 10.3109/17453678608993213. [DOI] [PubMed] [Google Scholar]
  25. Paulos L., Noyes F. R., Grood E., Butler D. L. Knee rehabilitation after anterior cruciate ligament reconstruction and repair. Am J Sports Med. 1981 May-Jun;9(3):140–149. doi: 10.1177/036354658100900303. [DOI] [PubMed] [Google Scholar]
  26. Renström P., Arms S. W., Stanwyck T. S., Johnson R. J., Pope M. H. Strain within the anterior cruciate ligament during hamstring and quadriceps activity. Am J Sports Med. 1986 Jan-Feb;14(1):83–87. doi: 10.1177/036354658601400114. [DOI] [PubMed] [Google Scholar]
  27. Sakai H., Tanaka S., Kurosawa H., Masujima A. The effect of exercise on anterior knee laxity in female basketball players. Int J Sports Med. 1992 Oct;13(7):552–554. doi: 10.1055/s-2007-1024562. [DOI] [PubMed] [Google Scholar]
  28. Schenck R. C., Jr, Blaschak M. J., Lance E. D., Turturro T. C., Holmes C. F. A prospective outcome study of rehabilitation programs and anterior cruciate ligament reconstruction. Arthroscopy. 1997 Jun;13(3):285–290. doi: 10.1016/s0749-8063(97)90022-0. [DOI] [PubMed] [Google Scholar]
  29. Seto J. L., Orofino A. S., Morrissey M. C., Medeiros J. M., Mason W. J. Assessment of quadriceps/hamstring strength, knee ligament stability, functional and sports activity levels five years after anterior cruciate ligament reconstruction. Am J Sports Med. 1988 Mar-Apr;16(2):170–180. doi: 10.1177/036354658801600215. [DOI] [PubMed] [Google Scholar]
  30. Shelbourne K. D., Wilckens J. H. Current concepts in anterior cruciate ligament rehabilitation. Orthop Rev. 1990 Nov;19(11):957–964. [PubMed] [Google Scholar]
  31. Steiner M. E., Grana W. A., Chillag K., Schelberg-Karnes E. The effect of exercise on anterior-posterior knee laxity. Am J Sports Med. 1986 Jan-Feb;14(1):24–29. doi: 10.1177/036354658601400105. [DOI] [PubMed] [Google Scholar]
  32. Tegner Y., Lysholm J., Lysholm M., Gillquist J. A performance test to monitor rehabilitation and evaluate anterior cruciate ligament injuries. Am J Sports Med. 1986 Mar-Apr;14(2):156–159. doi: 10.1177/036354658601400212. [DOI] [PubMed] [Google Scholar]
  33. Wroble R. R., Van Ginkel L. A., Grood E. S., Noyes F. R., Shaffer B. L. Repeatability of the KT-1000 arthrometer in a normal population. Am J Sports Med. 1990 Jul-Aug;18(4):396–399. doi: 10.1177/036354659001800411. [DOI] [PubMed] [Google Scholar]
  34. Zavatsky A. B., Beard D. J., O'Connor J. J. Cruciate ligament loading during isometric muscle contractions. A theoretical basis for rehabilitation. Am J Sports Med. 1994 May-Jun;22(3):418–423. doi: 10.1177/036354659402200320. [DOI] [PubMed] [Google Scholar]

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