Abstract
Proprioception of the knee joint was tested in 30 healthy volunteers with clinically inconspicuous knee joints. To examine proprioception, an angle reproduction test was performed. We could not document any differences between the left and the right knee joint or between men and women. At the mid-range, proprioception was worse compared with the end range of motion. In addition, 25 patients with an isolated rupture of the anterior cruciate ligament were evaluated, 14 before and 11 after operative anterior cruciate ligament (ACL) reconstruction. Preoperatively, there was a significant deterioration of proprioception compared with the control group. We were able to show a positive influence of a knee bandage on the proprioception of the injured knee. Patients after ACL reconstruction showed no significantly better proprioception compared with the preoperative group.
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References
Avila GA de, O'Connor BL, Visco DM, Sisk TD (1989) The mechanoreceptor innervation of the human fibular collateral ligament. J Anat 162:1–7
Barrett DS (1991) Proprioception and function after anterior cruciate reconstruction. J Bone Joint Surg [Br] 73:883–837
Barrett DS, Cobb AG, Bentley G (1991) Joint proprioception in normal, osteoarthritic and replaced knees. J Bone Joint Surg [Br] 73:53–56
Barrack RL, Skinner HB, Brunet ME, Cook SD (1983) Joint laxity and proprioception in the knee. Physician Sports Med 11:130–135
Barrack RL, Skinner HB, Brunet ME, Cook SD (1984) Joint kinesthesia in the highly trained knee. J Sports Med 24:18–20
Barrack RL, Skinner HB, Cook SD (1984) Proprioception of the knee joint, paradoxical effect of training. Am J Phys Med 63:175–181
Barrack RL, Skinner HB, Buckley SL (1989) Proprioception in the anterior cruciate deficient knee.Am J Sports Med 17:1–6
Beard DJ, Kyberg PJ, Fergusson CM, Dodd CAF (1993) Proprioception after rupture of the anterior cruciate ligament. An objective indication in the need of surgery? J Bone Joint Surg [Br] 75:311–315
Beard DJ, Kyberg PJ, Fergusson CM, Dodd CAF (1994) Reflex hamstring contraction latency in anterior cruciate ligament deficiency. J Orthop Res 12:219–228
Blauth W, Schuckardt E (1986) Orthopädisch-chirurgische Operationen am Knie. Thieme, Stuttgart, pp 18.38–18.43
Branch TP, Hunter R, Donath M (1989) Dynamic EMG analysis of anterior cruciate deficient legs with an without bracing during cutting. Am J Sports Med 17:35–41
Co FH, Skinner HB, Cannon WD (1993) Effect of the anterior cruciate ligament on proprioception of the knee and the heel strike transient. J Orthop Res 11:696–704
Corrigan JP, Cashman WF, Brady MP (1992) Proprioception in the cruciate deficient knee. J Bone Joint Surg [Br] 74:247–250
Crenshaw AH (1987) Campbell's operative orthopaeidcs, Vol. 3, 7th edn. Mosby, St. Louis, pp 2357–2367
Fink C, Hoser C, Benedetto KP, Judmaier W (1994) (Neuro) Muskuldre Veränderungen der kniegelenksstabilisierenden Muskulatur nach Ruptur des vorderen Kreuzbandes. Sportverl Sportschad 8:25–30
Harter RA, Osterning LR, Singer KM, James SL, Larson RL, Jones DC (1988) Long-term evaluation of knee stability and function following surgical reconstruction for anterior cruciate ligament insufficiency. Am J Sports Med 16:434–443
Hans J, Halata Z, Refior HJ (1992) Propriozeption im vorderen Kreuzband des menschlichen Kniegelenks — morphologische Grundlagen. Z Orthop 130:484–494
Jackson DW, Drez D Jr (1987) The anterior cruciate deficient knee. New concepts in ligament repair. Mosby, St. Louis, pp 124–125, 142–167
Kennedy JC, Weinberg HW, Wilson AS (1974) The anatomy and function of the anterior cruciate ligament. J Bone Joint Surg [Am] 56:223–235
Müller W (1982) Das Knie. Form, Funktion und ligamentare Wiederherstellungschirurgie. Springer, Berlin Heidelberg New York, pp 246–256
O'Connor BL, McConnaughey JS (1978) The structure and innervation of cat knee menisci, and their relation to a “sensory hypothesis” of meniscal function. J Anat 153:431–442
Parisien JS, Burman MS (1988) Arthroscopic surgery. McGraw-Hill, St. Louis, pp 206–209, 213–220
Sell S, Zacher J, Lack S (1993) Propriozeptionsstörung am arthrotischen Kniegelenk. Z Rheumatol 52:150–155
Skinner HB, Barrack RL, Cook SD, Haddad RJ Jr (1984) Joint position sense in total knee arthroplasty. J Orthop Res 1:276–283
Wilson AS, Lee HB (1986) Hypothesis relevant to defective position sense in a damaged knee. J Neurol Neurosurg Psychiatry 49:1462–1463
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Jerosch, J., Prymka, M. Knee joint proprioception in normal volunteers and patients with anterior cruciate ligament tears, taking special account of the effect of a knee bandage. Arch Orthop Trauma Surg 115, 162–166 (1996). https://doi.org/10.1007/BF00434546
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DOI: https://doi.org/10.1007/BF00434546