Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis

Clinics in Orthopedic Surgery
Ha Yong KimWon Sik Choy

Abstract

The purpose of this study was to evaluate the screw-home movement at the tibiofemoral joint during normal gait by utilizing the 3-dimensional motion capture technique. Fifteen young males and fifteen young females (total 60 knee joints) who had no history of musculoskeletal disease or a particular gait problem were included in this study. Two more markers were attached to the subject in addition to the Helen-Hayes marker set. Thus, two virtual planes, femoral coronal plane (P f ) and tibial coronal plane (P t ), were created by Skeletal Builder software. This study measured the 3-dimensional knee joint movement in the sagittal, coronal, and transverse planes of these two virtual planes (P f and P t ) during normal gait. With respect to kinematics and kinetics, both males and females showed normal adult gait patterns, and the mean difference in the temporal gait parameters was not statistically significant (p > 0.05). In the transverse plane, the screw-home movement occurred as expected during the pre-swing phase and the late-swing phase at an angle of about 17°. However, the tibia rotated externally with respect to the femur, rather than internally, while the knee joint started to flex during the loading response (paradoxical s...Continue Reading

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Citations

Sep 5, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Mohammad Kamal AbdelnasserSamih Tarabichi
Aug 28, 2019·Sensors·Przemysław LisińskiJagoda Goślińska
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Nov 26, 2020·Journal of Sport Rehabilitation·Alexandre H NowotnyRubens A da Silva
Jan 24, 2021·The Journal of Knee Surgery·David YeroushalmiRan Schwarzkopf
Feb 9, 2021·Journal of Back and Musculoskeletal Rehabilitation·Jeong Woo Jeon, Jiheon Hong
Nov 21, 2020·The Journal of Arthroplasty·Lauren A SmithRichard D Komistek
May 16, 2021·The Journal of Knee Surgery·Tomofumi KinoshitaHiromasa Miura
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Jan 7, 2020·The Journal of Knee Surgery·Maximiliano BarahonaUNKNOWN Collaborating Authors
Aug 17, 2021·Journal of Biomechanics·Tara F NagleRobb W Colbrunn

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Software Mentioned

EvaRT
Orthotrak
Skeletal Builder
excel
Eva Real Time ( EvaRT
SKB

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