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  • Summary of measurement of Patellofemoral joint

    Hi, Everyone on Biomch-l:

    I posted a request on patellofemoral joint one week ago. Thanks to many
    replies I received that a more complete picture of current state of research
    on the issue has been revealed. Following is a collection of replies and
    my original request. Thank you again to those who replied.

    Songning Zhang
    Doctoral Candidate
    Biomechanics/Sports Medicine Lab
    University of Oregon
    (503) 346-1033
    zhsn@oregon.uoregon.edu

    *************** Summary Starts From Here *****************

    My original request:

    I am recently working on a biomechanics model of the patellofemeral joint
    in dynamic motion and its relevence to injury of the joint. My questions
    are related to the measurement of moment arms of quadriceps and patellar
    tendon in vivo (X-ray or MRI), contact area of the joint (in vivo or
    in vitro). Any suggestion and reference are welcome and greatly
    appreciated. I will post a summary if enough information is generated.
    Thanks in advance.


    Here are all the replies:
    -------------------------------------------------------------
    >From ORDWAYN@VAX.CS.HSCSYR.EDU Thu Nov 10 09:32:52 1994

    Nat Ordway wrote:

    Check the work of Hefzy, MS et al. They have published papers on
    using the 3Space tracker to measure the 3D patello-femoral motion. They
    also published a paper in the J. Biomed. Eng. concerning P-F contact areas
    (Vol 14, p329-43, July 1992). This paper has a lengthy reference list that
    would be of some help to you also.
    Also check the work of A. van Kampen and R. Huiskes. They did a study
    involving 3D tracking of the patella and might help to answer your question
    concerning moment arms (JOR, 8:372-382, 1990). Good luck.

    -------------------------------------------------------------
    >From YUB@rcf.mayo.edu Thu Nov 10 09:33:14 1994

    Dr. Bing Yu wrote:

    Dr. John Chow at the Department of Kinesiology of the University of Illinois
    measured moment arms of quadriceps and patellar tendon in vivo using MRI and
    x-ray data. You can get the details from him. His e-mail address is
    jchow@ux1.cso.uiuc.edu
    Good luck

    -------------------------------------------------------------
    >From nduncan@ortho1.ucsf.edu Thu Nov 10 09:33:30 1994

    Neil Duncan wrote:

    I would suggest the work of the following authors:

    1) A. M. Ahmed et al

    2) van Kampen et al

    3) Blankevoort et al


    -------------------------------------------------------------
    >From WEIJS@AMC.UVA.NL Thu Nov 10 09:33:44 1994

    Dr. T.M.G.J. van Eijden wrote:

    See T. van Eijden et al.
    J. Biomech.18,803-809 (1985)
    J. Biomech.19,219-229 (1986)
    Acta Othop Scand 58, 560-566 (1987)
    Int Ortop 11,215-221 (1987)
    Acta anat 129, 310-314 (1987)


    -------------------------------------------------------------
    >From stergiou@phed.ucalgary.ca Thu Nov 10 09:34:00 1994

    Pro Stergiou (stergiou@phed.ucalgary.ca) wrote:

    My name is Pro Stergiou, and I am a graduate student at the University of
    Calgary in Canada. I am presently doing my thesis on biomechanical factors
    which are associated with patellofemoral pain syndrome. I will be using
    certain static and dynamic variables in order to try and find some factors
    that may be associated with this running injury. In part of my theis I will
    be modeling the force on the patellofemoral joint and I have come across some
    interesting literature that you may find interesting. Here is a list:

    van Eijden TMGJ et al. (1987) Forces acting on the patella during maximal
    voluntary contraction of the quadriceps femoris muscle at different knee
    flexion/extension angles. Acta. Anat 129:310-314.

    van Eijden TMGJ et al. (1985) The orientation of the distal part of the
    quadriceps femoris muscle as a function of the knee flexion/extension
    angle. Journal of Biomechanics 18(10):803-809.

    Visser et al. (1990) Length and moment arm of human leg muscles as a function
    of knee and hip-joint angles. European Journal of Applied Physiology
    61:453-460.

    Huberti et al. (1984) Force ratios in the quadriceps tendon and ligamentum
    patellae. Journal of Orthopaedic Research 2(1):49-54.

    Spoor et al. (1992) Knee muscle moment arms from MRI and from tendon travel.
    Journal of Biomechanics 25(2):201-206.

    Spoor et al. (1990) Estimation of instantaneous moment arms of lower-leg
    muscles. Journal of Biomenchanics 23(12):1247-1259.

    Yamaguchi et al. (1989) A planar model of the knee joint to characterize the
    knee extensor mechanism. Journal of Biomechanics 22(1):1-10.

    I hope this reference list helps you. I would like to keep in contact with
    you about what you are doing. Can you give me a more detailed description
    of your project?


    -------------------------------------------------------------
    >From yroy@sfu.ca Thu Nov 10 09:34:09 1994

    Yves Roy wrote:

    Look for these articles...

    Spoor and van Leeuwen, (1992) "Knee muscle moment arms from MRI and
    from tendon travel". Jour. of Biom. 25 pp. 201-206

    and also for a complete description of the methods

    Rugg et al. (1990) "In vivo moment arm calculation at the ankle using
    magnetic resonance imaging (MRI)". Jour. of Biom. 23 pp. 494-501.

    Please let me know what you will get from others...

    -------------------------------------------------------------
    >From anafm@ssa.bristol.ac.uk Thu Nov 10 09:34:41 1994

    Anne F. Mannion wrote:

    I was interested to read your letter concerning the biomechanics of the
    PFJ. Please would you send me a copy of your replies, if you are not
    intending to mail them to the list.


    -------------------------------------------------------------
    >From bmccorm@ccvax.ucd.ie Thu Nov 10 09:34:48 1994

    Brendan wrote:

    There was some work done in this area at the University of Leeds, UK, in
    the period 1978-82. The names on the papers would be Malcolm Ellis, Bahaa
    Seedhom, Verna Wright. Unfortunately, I do not have any specific references
    to hand.

    -------------------------------------------------------------
    >From jchow@ux1.cso.uiuc.edu Thu Nov 10 09:34:30 1994

    Dr. John Chow wrote:

    The following is an excerpt from my dissertation. I hope that you will
    find it useful. I used Grood et al. method to obtain the effective moment
    arm of the quadriceps tendon. It is difficult to go through the
    methodology here. It you want to know the detials, you can borrow a copy
    of my dissertation ("A Method for the Determination of the Force-Length-
    Velocity Relation of Human Skeletal Muscles", University of Iowa, Iowa
    City, 1994) through inter-library loan. Let me know if I can be of any
    further assistance.

    -----BEGIN-----

    Effective Moment Arm of the Quadriceps

    Over the years, several methods have been used by researchers to determine
    the effective moment arm of the quadriceps (de), and lateral radiographs of
    the knee joint were commonly used. For example, Smidt (1973) determined the
    instant centers of rotation of the knee joint at different knee angles using
    the method of Reuleaux and de was assumed to be the perpendicular distance
    between the instant center and the longitudinal axis of the patellar
    ligament. The tendon-joint excursion method (An et al., 1983) determines the
    instantaneous moment arm at a specific joint configuration from the slope
    of the plot of tendon excursion (E) versus joint angle (*k)
    [i.e., dE/d*k = de]. This is the only method that allows estimation of the
    moment arm without knowledge of the joint center or bony contact locations.
    Grood et al. (1984) defined de as the product of the actual moment arm
    (perpendicular distance from the center of the tibiofemoral contact to the
    longitudinal axis of the patellar ligament) and the ratio of force in the
    patellar ligament to the force in the quadriceps tendon. Herzog (1985) used
    the shortest distance from the knee joint center (assumed to be located
    midway between medial and lateral femoral condyles) to the line of action
    of the quadriceps muscles as the effective moment arm.

    Recently, Yamaguchi and Zajac (1989) developed a simple planar model of
    the knee joint to calculate de for the quadriceps muscle. In this model,
    elliptical curves were used to represent the distal femur and the patella was
    modeled as a rectangle. The model demonstrated that the patella functioned
    both as a spacer and as a lever.


    Reference

    An, K.N., Ueba, Y., Chao, E.Y., Cooney, W.P., & Linscheid, R.L. (1983).
    Tendon excursion and moment arm of index finger muscles. Journal of
    Biomechanics, 16(6), 419-425.

    Grood, E.S., & Suntay, W.J. (1984). Biomechanics of the knee-extension
    exercise. Journal of Bone and Joint Surgery, 66-A(5), 725-734.

    Herzog, W.H. (1985). Individual Muscle Force Prediction in Athletic
    Movements. Unpublished doctoral dissertation, University of Iowa,
    Iowa City, IA.

    Smidt, G.L. (1973). Biomechanical analysis of knee flexion and extension.
    Journal of Biomechanics, 6, 79-92.

    Yamaguchi, G. T., & Zajac, F.E. (1989). A planar model of the knee joint to
    characterize the knee extensor mechanism. Journal of Biomechanics, 22(1),
    1-10.

    -----END-----
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