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Example text
However, it may also be that valgus collapse is the result of the ACL being torn rather than a cause (Boden et al, 2010; Meyer & Haut, 2008). Biomechanics of Musculoskeletal Injury 25 6. Experimental methods for injury dynamics Our understanding of the dynamics of injury has progressed as a result of biomechanical studies, which have evolved from cadaveric, and laboratory studies in which mechanical injury is artificially produced, to finite element analysis where it is modeled quantitatively. Obvious ethical considerations have made difficult the study of actual injuries as they occur in real trauma situations, but techniques using video analysis of live injuries obtained from video clips posted freely by individuals (such as YouTube) are now becoming increasingly available.
Additionally, higher hip flexion angle at landing places the torso farther posterior to the knee, requiring that the quadriceps muscle must be activating during landing. The quadriceps muscle force provides anterior shear force on the proximal tibia which increases ACL strain (Boden et al, 2009; Yu & Garrett, 2007). Knee abduction (or knee valgus) also may play a role, particularly in female athletes, by potentially reducing the compression force threshold needed to produce ACL injury (Boden et al, 2010).
2009). Platelet-rich therapies in the treatment of orthopaedic sports injuries. Sports Medicine. 39(5): 345-354. Scalea TM, Boswell SA, Scott JD, Mitchell KA, Kramer ME & Pollak AN. (2000). External fixation as a bridge to intramedullary nailing for patients with multiple injuries and with femur fractures: damage control orthopaedics. The Journal of Trauma. 48(4): 613-623. Schaffler MD & Burr DB. (1988). Stiffness of compact bone: effects of porosity and density. Journal of Biomechanics. 21(1): 13-16.
