The effect of tibial rotation on the presence of instability in the anterior cruciate ligament deficient knee

J Sport Rehabil. 2007 Feb;16(1):2-17. doi: 10.1123/jsr.16.1.2.

Abstract

Context: The effects of tibial rotation after ACL injury have not yet been well determined.

Objective: To show whether clinical outcomes such as the amount of tibial rotation can affect functional outcomes in normal and ACL deficient knees.

Design: Case control study.

Setting: Research laboratory.

Participants: Twenty normal subjects (Control) and 20 subjects with ACL deficient knees (ACL).

Main outcome measures: Tibial rotation at 30 and 90 degrees of knee flexion was measured using an inclinometer. One-legged hop, crossover hop, figure-of-eight running and 10-m running tests were used and determined the effect(s) of tibial rotation on the outcome of the functional tests.

Results: There were significant between-group differences in internal and external rotation. The relationship between external tibial rotation and the figure-of-eight index was significantly negatively correlated.

Conclusions: The amount of tibial rotation is greater in ACL ruptured knees than in uninjured knees, and these greater amounts of tibial rotation affected the figure-of-eight running index.

MeSH terms

  • Adolescent
  • Anterior Cruciate Ligament Injuries*
  • Case-Control Studies
  • Exercise Test
  • Female
  • Humans
  • Joint Instability / physiopathology*
  • Knee Joint / physiopathology*
  • Male
  • Rotation*
  • Tibia / physiopathology*