38
ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

ACL anatoomia ja biomehaanika

Reedik Paumlaumlsuke 5a arst-resident ortopeedia erialal

23042015 EASTS Potildelvekursus

ACL traumamehhanism

Youtube variant

bull httpsyoutubeycUE7UWciBI

Millest raumlaumlgime

bull Anatoomia

bull Mitu komponenti (kimpu)

bull Uumllesanne

bull Kust kuhu

bull Elu ilma temata

bull Votilderdlus loomariigiga

Uumllesanne

bull Piirata saumlaumlre ettelibisemist reie suhtes

bull Teatav rotatsioonistabilisaator

bull Tagada normaalne potildelve liikumismuster ja kinemaatika

Koosneb kahest kimbust

bull AM ndash Saumlaumlre interkonduumllaaralalt reie lateraalse konduumluumlli

sisepinna tagaservani ndash Pinges kogu potildelveliigese liikumisulatuse juures ndash Piirab eesmist libisemist ndash Stabiliseerib mediaalse ja lateraalse rotatsiooni

ajal ndash Eesmine sahtel

bull PL ndash Alguspunkt saumlaumlrel AM-st veidi tagapool

lateraalsemal ndash Pinges ekstensioonis kerges fleksioonis ja

mediaalsel rotatsioonil ndash Piirab eesmist libisemist huumlperekstensiooni ja

rotatsiooni ndash Lachmann

ndash Kotildeige vaumliksem pinge sidemele vahemikus 30-60

kraadi flex

Artroskoopiline anatoomia

bull Oluline aumlra tunda

bull Residentrsquos ridge

Charles Brown Jr ANATOMIC ACL RECONSTRUCTION ASPETAR 2013 december

ACL anatoomia MRT-s

bull Norm

bull Rebend

Kuid tegelikult mitu kimpu

bull 1 2 3 bull 1779 kirjeldati esmakordselt raamatus bdquoSyndesmologieldquo

ACL-i bull 1836 vennad Weberid kirjeldasid ACL-i kahe osa ebdquoacaldquo ja

bdquoccldquo uumlksteisest erinevat funktsiooni fleksiooni ja ekstensiooni ajal

bull 2014 Tantisricharoenkul et al (KSSTA) kinnitasid et ACL koosneb paljudel loomaliikidel ka Inimesel kolmest kimbust AM IM PL ndash Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8 Anterior cruciate

ligament an anatomical exploration in humans and in a selection of animal species Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH

bull 2014 Smigielski et al (KSSTA) leidsid et ACL omab linditaolist kuju ning selget eristust kimpudeks ei esine ndash Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print] Ribbon like appearance of the midsubstance fibres of the anterior cruciate

ligament close to its femoral insertion site a cadaveric study including 111 knees Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 2: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

ACL traumamehhanism

Youtube variant

bull httpsyoutubeycUE7UWciBI

Millest raumlaumlgime

bull Anatoomia

bull Mitu komponenti (kimpu)

bull Uumllesanne

bull Kust kuhu

bull Elu ilma temata

bull Votilderdlus loomariigiga

Uumllesanne

bull Piirata saumlaumlre ettelibisemist reie suhtes

bull Teatav rotatsioonistabilisaator

bull Tagada normaalne potildelve liikumismuster ja kinemaatika

Koosneb kahest kimbust

bull AM ndash Saumlaumlre interkonduumllaaralalt reie lateraalse konduumluumlli

sisepinna tagaservani ndash Pinges kogu potildelveliigese liikumisulatuse juures ndash Piirab eesmist libisemist ndash Stabiliseerib mediaalse ja lateraalse rotatsiooni

ajal ndash Eesmine sahtel

bull PL ndash Alguspunkt saumlaumlrel AM-st veidi tagapool

lateraalsemal ndash Pinges ekstensioonis kerges fleksioonis ja

mediaalsel rotatsioonil ndash Piirab eesmist libisemist huumlperekstensiooni ja

rotatsiooni ndash Lachmann

ndash Kotildeige vaumliksem pinge sidemele vahemikus 30-60

kraadi flex

Artroskoopiline anatoomia

bull Oluline aumlra tunda

bull Residentrsquos ridge

Charles Brown Jr ANATOMIC ACL RECONSTRUCTION ASPETAR 2013 december

ACL anatoomia MRT-s

bull Norm

bull Rebend

Kuid tegelikult mitu kimpu

bull 1 2 3 bull 1779 kirjeldati esmakordselt raamatus bdquoSyndesmologieldquo

ACL-i bull 1836 vennad Weberid kirjeldasid ACL-i kahe osa ebdquoacaldquo ja

bdquoccldquo uumlksteisest erinevat funktsiooni fleksiooni ja ekstensiooni ajal

bull 2014 Tantisricharoenkul et al (KSSTA) kinnitasid et ACL koosneb paljudel loomaliikidel ka Inimesel kolmest kimbust AM IM PL ndash Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8 Anterior cruciate

ligament an anatomical exploration in humans and in a selection of animal species Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH

bull 2014 Smigielski et al (KSSTA) leidsid et ACL omab linditaolist kuju ning selget eristust kimpudeks ei esine ndash Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print] Ribbon like appearance of the midsubstance fibres of the anterior cruciate

ligament close to its femoral insertion site a cadaveric study including 111 knees Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 3: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Youtube variant

bull httpsyoutubeycUE7UWciBI

Millest raumlaumlgime

bull Anatoomia

bull Mitu komponenti (kimpu)

bull Uumllesanne

bull Kust kuhu

bull Elu ilma temata

bull Votilderdlus loomariigiga

Uumllesanne

bull Piirata saumlaumlre ettelibisemist reie suhtes

bull Teatav rotatsioonistabilisaator

bull Tagada normaalne potildelve liikumismuster ja kinemaatika

Koosneb kahest kimbust

bull AM ndash Saumlaumlre interkonduumllaaralalt reie lateraalse konduumluumlli

sisepinna tagaservani ndash Pinges kogu potildelveliigese liikumisulatuse juures ndash Piirab eesmist libisemist ndash Stabiliseerib mediaalse ja lateraalse rotatsiooni

ajal ndash Eesmine sahtel

bull PL ndash Alguspunkt saumlaumlrel AM-st veidi tagapool

lateraalsemal ndash Pinges ekstensioonis kerges fleksioonis ja

mediaalsel rotatsioonil ndash Piirab eesmist libisemist huumlperekstensiooni ja

rotatsiooni ndash Lachmann

ndash Kotildeige vaumliksem pinge sidemele vahemikus 30-60

kraadi flex

Artroskoopiline anatoomia

bull Oluline aumlra tunda

bull Residentrsquos ridge

Charles Brown Jr ANATOMIC ACL RECONSTRUCTION ASPETAR 2013 december

ACL anatoomia MRT-s

bull Norm

bull Rebend

Kuid tegelikult mitu kimpu

bull 1 2 3 bull 1779 kirjeldati esmakordselt raamatus bdquoSyndesmologieldquo

ACL-i bull 1836 vennad Weberid kirjeldasid ACL-i kahe osa ebdquoacaldquo ja

bdquoccldquo uumlksteisest erinevat funktsiooni fleksiooni ja ekstensiooni ajal

bull 2014 Tantisricharoenkul et al (KSSTA) kinnitasid et ACL koosneb paljudel loomaliikidel ka Inimesel kolmest kimbust AM IM PL ndash Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8 Anterior cruciate

ligament an anatomical exploration in humans and in a selection of animal species Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH

bull 2014 Smigielski et al (KSSTA) leidsid et ACL omab linditaolist kuju ning selget eristust kimpudeks ei esine ndash Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print] Ribbon like appearance of the midsubstance fibres of the anterior cruciate

ligament close to its femoral insertion site a cadaveric study including 111 knees Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 4: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Millest raumlaumlgime

bull Anatoomia

bull Mitu komponenti (kimpu)

bull Uumllesanne

bull Kust kuhu

bull Elu ilma temata

bull Votilderdlus loomariigiga

Uumllesanne

bull Piirata saumlaumlre ettelibisemist reie suhtes

bull Teatav rotatsioonistabilisaator

bull Tagada normaalne potildelve liikumismuster ja kinemaatika

Koosneb kahest kimbust

bull AM ndash Saumlaumlre interkonduumllaaralalt reie lateraalse konduumluumlli

sisepinna tagaservani ndash Pinges kogu potildelveliigese liikumisulatuse juures ndash Piirab eesmist libisemist ndash Stabiliseerib mediaalse ja lateraalse rotatsiooni

ajal ndash Eesmine sahtel

bull PL ndash Alguspunkt saumlaumlrel AM-st veidi tagapool

lateraalsemal ndash Pinges ekstensioonis kerges fleksioonis ja

mediaalsel rotatsioonil ndash Piirab eesmist libisemist huumlperekstensiooni ja

rotatsiooni ndash Lachmann

ndash Kotildeige vaumliksem pinge sidemele vahemikus 30-60

kraadi flex

Artroskoopiline anatoomia

bull Oluline aumlra tunda

bull Residentrsquos ridge

Charles Brown Jr ANATOMIC ACL RECONSTRUCTION ASPETAR 2013 december

ACL anatoomia MRT-s

bull Norm

bull Rebend

Kuid tegelikult mitu kimpu

bull 1 2 3 bull 1779 kirjeldati esmakordselt raamatus bdquoSyndesmologieldquo

ACL-i bull 1836 vennad Weberid kirjeldasid ACL-i kahe osa ebdquoacaldquo ja

bdquoccldquo uumlksteisest erinevat funktsiooni fleksiooni ja ekstensiooni ajal

bull 2014 Tantisricharoenkul et al (KSSTA) kinnitasid et ACL koosneb paljudel loomaliikidel ka Inimesel kolmest kimbust AM IM PL ndash Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8 Anterior cruciate

ligament an anatomical exploration in humans and in a selection of animal species Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH

bull 2014 Smigielski et al (KSSTA) leidsid et ACL omab linditaolist kuju ning selget eristust kimpudeks ei esine ndash Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print] Ribbon like appearance of the midsubstance fibres of the anterior cruciate

ligament close to its femoral insertion site a cadaveric study including 111 knees Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 5: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Uumllesanne

bull Piirata saumlaumlre ettelibisemist reie suhtes

bull Teatav rotatsioonistabilisaator

bull Tagada normaalne potildelve liikumismuster ja kinemaatika

Koosneb kahest kimbust

bull AM ndash Saumlaumlre interkonduumllaaralalt reie lateraalse konduumluumlli

sisepinna tagaservani ndash Pinges kogu potildelveliigese liikumisulatuse juures ndash Piirab eesmist libisemist ndash Stabiliseerib mediaalse ja lateraalse rotatsiooni

ajal ndash Eesmine sahtel

bull PL ndash Alguspunkt saumlaumlrel AM-st veidi tagapool

lateraalsemal ndash Pinges ekstensioonis kerges fleksioonis ja

mediaalsel rotatsioonil ndash Piirab eesmist libisemist huumlperekstensiooni ja

rotatsiooni ndash Lachmann

ndash Kotildeige vaumliksem pinge sidemele vahemikus 30-60

kraadi flex

Artroskoopiline anatoomia

bull Oluline aumlra tunda

bull Residentrsquos ridge

Charles Brown Jr ANATOMIC ACL RECONSTRUCTION ASPETAR 2013 december

ACL anatoomia MRT-s

bull Norm

bull Rebend

Kuid tegelikult mitu kimpu

bull 1 2 3 bull 1779 kirjeldati esmakordselt raamatus bdquoSyndesmologieldquo

ACL-i bull 1836 vennad Weberid kirjeldasid ACL-i kahe osa ebdquoacaldquo ja

bdquoccldquo uumlksteisest erinevat funktsiooni fleksiooni ja ekstensiooni ajal

bull 2014 Tantisricharoenkul et al (KSSTA) kinnitasid et ACL koosneb paljudel loomaliikidel ka Inimesel kolmest kimbust AM IM PL ndash Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8 Anterior cruciate

ligament an anatomical exploration in humans and in a selection of animal species Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH

bull 2014 Smigielski et al (KSSTA) leidsid et ACL omab linditaolist kuju ning selget eristust kimpudeks ei esine ndash Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print] Ribbon like appearance of the midsubstance fibres of the anterior cruciate

ligament close to its femoral insertion site a cadaveric study including 111 knees Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 6: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Koosneb kahest kimbust

bull AM ndash Saumlaumlre interkonduumllaaralalt reie lateraalse konduumluumlli

sisepinna tagaservani ndash Pinges kogu potildelveliigese liikumisulatuse juures ndash Piirab eesmist libisemist ndash Stabiliseerib mediaalse ja lateraalse rotatsiooni

ajal ndash Eesmine sahtel

bull PL ndash Alguspunkt saumlaumlrel AM-st veidi tagapool

lateraalsemal ndash Pinges ekstensioonis kerges fleksioonis ja

mediaalsel rotatsioonil ndash Piirab eesmist libisemist huumlperekstensiooni ja

rotatsiooni ndash Lachmann

ndash Kotildeige vaumliksem pinge sidemele vahemikus 30-60

kraadi flex

Artroskoopiline anatoomia

bull Oluline aumlra tunda

bull Residentrsquos ridge

Charles Brown Jr ANATOMIC ACL RECONSTRUCTION ASPETAR 2013 december

ACL anatoomia MRT-s

bull Norm

bull Rebend

Kuid tegelikult mitu kimpu

bull 1 2 3 bull 1779 kirjeldati esmakordselt raamatus bdquoSyndesmologieldquo

ACL-i bull 1836 vennad Weberid kirjeldasid ACL-i kahe osa ebdquoacaldquo ja

bdquoccldquo uumlksteisest erinevat funktsiooni fleksiooni ja ekstensiooni ajal

bull 2014 Tantisricharoenkul et al (KSSTA) kinnitasid et ACL koosneb paljudel loomaliikidel ka Inimesel kolmest kimbust AM IM PL ndash Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8 Anterior cruciate

ligament an anatomical exploration in humans and in a selection of animal species Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH

bull 2014 Smigielski et al (KSSTA) leidsid et ACL omab linditaolist kuju ning selget eristust kimpudeks ei esine ndash Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print] Ribbon like appearance of the midsubstance fibres of the anterior cruciate

ligament close to its femoral insertion site a cadaveric study including 111 knees Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 7: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Artroskoopiline anatoomia

bull Oluline aumlra tunda

bull Residentrsquos ridge

Charles Brown Jr ANATOMIC ACL RECONSTRUCTION ASPETAR 2013 december

ACL anatoomia MRT-s

bull Norm

bull Rebend

Kuid tegelikult mitu kimpu

bull 1 2 3 bull 1779 kirjeldati esmakordselt raamatus bdquoSyndesmologieldquo

ACL-i bull 1836 vennad Weberid kirjeldasid ACL-i kahe osa ebdquoacaldquo ja

bdquoccldquo uumlksteisest erinevat funktsiooni fleksiooni ja ekstensiooni ajal

bull 2014 Tantisricharoenkul et al (KSSTA) kinnitasid et ACL koosneb paljudel loomaliikidel ka Inimesel kolmest kimbust AM IM PL ndash Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8 Anterior cruciate

ligament an anatomical exploration in humans and in a selection of animal species Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH

bull 2014 Smigielski et al (KSSTA) leidsid et ACL omab linditaolist kuju ning selget eristust kimpudeks ei esine ndash Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print] Ribbon like appearance of the midsubstance fibres of the anterior cruciate

ligament close to its femoral insertion site a cadaveric study including 111 knees Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 8: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

ACL anatoomia MRT-s

bull Norm

bull Rebend

Kuid tegelikult mitu kimpu

bull 1 2 3 bull 1779 kirjeldati esmakordselt raamatus bdquoSyndesmologieldquo

ACL-i bull 1836 vennad Weberid kirjeldasid ACL-i kahe osa ebdquoacaldquo ja

bdquoccldquo uumlksteisest erinevat funktsiooni fleksiooni ja ekstensiooni ajal

bull 2014 Tantisricharoenkul et al (KSSTA) kinnitasid et ACL koosneb paljudel loomaliikidel ka Inimesel kolmest kimbust AM IM PL ndash Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8 Anterior cruciate

ligament an anatomical exploration in humans and in a selection of animal species Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH

bull 2014 Smigielski et al (KSSTA) leidsid et ACL omab linditaolist kuju ning selget eristust kimpudeks ei esine ndash Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print] Ribbon like appearance of the midsubstance fibres of the anterior cruciate

ligament close to its femoral insertion site a cadaveric study including 111 knees Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 9: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Kuid tegelikult mitu kimpu

bull 1 2 3 bull 1779 kirjeldati esmakordselt raamatus bdquoSyndesmologieldquo

ACL-i bull 1836 vennad Weberid kirjeldasid ACL-i kahe osa ebdquoacaldquo ja

bdquoccldquo uumlksteisest erinevat funktsiooni fleksiooni ja ekstensiooni ajal

bull 2014 Tantisricharoenkul et al (KSSTA) kinnitasid et ACL koosneb paljudel loomaliikidel ka Inimesel kolmest kimbust AM IM PL ndash Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8 Anterior cruciate

ligament an anatomical exploration in humans and in a selection of animal species Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH

bull 2014 Smigielski et al (KSSTA) leidsid et ACL omab linditaolist kuju ning selget eristust kimpudeks ei esine ndash Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print] Ribbon like appearance of the midsubstance fibres of the anterior cruciate

ligament close to its femoral insertion site a cadaveric study including 111 knees Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 10: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 11: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

2014 Tantisricharoenkul et al

2014 Tantisricharoenkul et al

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 12: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

2014 Tantisricharoenkul et al

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 13: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

2014 Smigielski et al

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 14: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

ACL-i erinevate osade pinguldumine sotildeltuvalt paindenurgast (helikaalne vaumlaumlne)

Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24 Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 15: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Potildelve biomehaanika

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 16: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Kinemaatika

Fig 2 Anteroposterior translation of medial and lateral femoral condyles right knee weight-bearing males neutral rotation

meanplusmn95 CI The broken lines depict adjusted values for rotation around a more anterior extension facet centre (see text)

P Johal A Williams P Wragg D Hunt W Gedroyc

Tibio-femoral movement in the living knee A study of weight bearing and non-weight bearing knee kinematics using

lsquointerventionalrsquo MRI

Journal of Biomechanics Volume 38 Issue 2 2005 269 - 276

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 17: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

ACL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Apr-May32(3)720-6 Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 18: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

PCL vigastusega potildelve kinemaatika

Am J Sports Med 2004 Dec32(8)1915-22 The effect of posterior cruciate ligament deficiency on knee kinematics Logan M1 Williams A Lavelle J Gedroyc W Freeman M

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 19: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Meniskide kaumlitumine taumliskuumlkil

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 20: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

bull httporthobroadcastmedcom5104videosjourney-ii-cruciate-retaining-cr-knee-system-with-visionaire-cutting-blocks1

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 21: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Ekstraartikulaarsed stabilisaatorid

bull 2013 S Claes avastas ALL-i (anterolateraalligamendi)

bull Kinnituskohad ndash Reiel LCL kotilderval

ndash Saumlaumlrel LCL kinnituskoha ja Tuberculum Gerdy vahel

bull Uumllesanne piirata tibia siserotatsiooni

bull Laumlbilotildeigatud ALL-iga kadaveridel suurenes pivot-shift test uumlhe astme votilderra

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 22: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Votilderdlus loomariigiga

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 23: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Miks on oluline tunda anatoomiat Sest mida Juku ei otildepi seda Juhan ei tea

bull Otildeigete struktuuride identifitseerimine ndash ACL koumlnt PCL kinnituskohad

bull Puurida otildeigest kohast otildeiges suunas tunnelid

bull Fikseerida otildeiges asendis et tagada kotildeige loomulikum funktsioon

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 24: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Kokkuvotildete

bull Olgugi et me teame ACL-ist oluliselt rohkem kui kunagi varem kaumlime me endiselt uumlmber palava pudru ndash Mitu kimpu

ndash Mis on kimpude funktsioon

ndash ALL-i roll

ndash Potildelve funktsionaalsuse taastamiseks vajalikud alused

bull Olgugi et me kaumlime uumlmber palava pudru saime taumlna ACL-ist oluliselt rohkem teada kui teadsime varem

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 25: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Kasutatud kirjandus

bull Smigielski R1 Zdanowicz U Drwięga M Ciszek B Ciszkowska-Łysoń B Siebold R Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site a cadaveric study including 111 knees Knee Surg Sports Traumatol Arthrosc 2014 Jun 28 [Epub ahead of print]

bull Tantisricharoenkul G1 Linde-Rosen M Araujo P Zhou J Smolinski P Fu FH Anterior cruciate ligament an anatomical exploration in humans and in a selection of animal species Knee Surg Sports Traumatol Arthrosc 2014 May22(5)961-71 doi 101007s00167-013-2463-6 Epub 2013 Mar 8

bull Mochizuki T1 Fujishiro H Nimura A Mahakkanukrauh P Yasuda K Muneta T Akita K Anatomic and histologic analysis of the mid-substance and fan-like extension fibres of the anterior cruciate ligament during knee motion with special reference to the femoral attachment Knee Surg Sports Traumatol Arthrosc 2014 Feb22(2)336-44 doi 101007s00167-013-2404-4 Epub 2013 Jan 24

bull Logan M1 Dunstan E Robinson J Williams A Gedroyc W Freeman M Tibiofemoral kinematics of the anterior cruciate ligament (ACL)-deficient weightbearing living knee employing vertical access open interventional multiple resonance imaging Am J Sports Med 2004 Apr-May32(3)720-6

bull Logan M1 Williams A Lavelle J Gedroyc W Freeman M The effect of posterior cruciate ligament deficiency on knee kinematics Am J Sports Med 2004 Dec32(8)1915-22

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh

Page 26: ACL anatoomia ja biomehaanika - EASTS · ACL anatoomia ja biomehaanika Reedik Pääsuke 5.a arst-resident ortopeedia erialal 23.04.2015 EASTS Põlvekursus

Taumlnan taumlhelepanu eest

Kuumlsimusi Kommentaare Aitaumlh