Automatic string generation for estimating in vivo length changes of the medial patellofemoral ligament during knee flexion.

Modeling ligaments as three-dimensional strings is a popular method for in vivo estimation of ligament length. The purpose of this study was to develop an algorithm for automated generation of non-penetrating strings between insertion points and to evaluate its feasibility for estimating length chan...

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Publicado en:Medical & Biological Engineering & Computing Vol. 52; no. 6; pp. 511 - 521
Autores principales: Graf, Matthias, Diether, Salomon, Vlachopoulos, Lazaros, Fucentese, Sandro, Fürnstahl, Philipp
Formato: research Journal Article
Publicado: Springer Nature Jun2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2014
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s11517-014-1156-8
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        atl: Automatic string generation for estimating in vivo length changes of the medial patellofemoral ligament during knee flexion.
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          Graf, Matthias
          Diether, Salomon
          Vlachopoulos, Lazaros
          Fucentese, Sandro
          Fürnstahl, Philipp
        affil: Computer Assisted Research and Development Group, University Hospital Balgrist, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.
      sug:
        subj:
          Imaging, Three-Dimensional Methods
          Ligaments Anatomy and Histology
          Knee Joint Anatomy and Histology
          Range of Motion Physiology
          Adult
          Kinematics Physiology
          Human
          Ligaments Physiology
          Ligaments Radiography
          Male
          Knee Joint Physiology
          Knee Joint Radiography
          Tomography, X-Ray Computed
          Weight-Bearing
          Adult: 19-44 years
          Male
      ab: Modeling ligaments as three-dimensional strings is a popular method for in vivo estimation of ligament length. The purpose of this study was to develop an algorithm for automated generation of non-penetrating strings between insertion points and to evaluate its feasibility for estimating length changes of the medial patellofemoral ligament during normal knee flexion. Three-dimensional knee models were generated from computed tomography (CT) scans of 10 healthy subjects. The knee joint under weight-bearing was acquired in four flexion positions (0°-120°). The path between insertion points was computed in each position to quantify string length and isometry. The average string length was maximal in 0° of flexion (64.5 ± 3.9 mm between femoral and proximal patellar point; 62.8 ± 4.0 mm between femoral and distal patellar point). It was minimal in 30° (60.0 ± 2.6 mm) for the proximal patellar string and in 120° (58.7 ± 4.3 mm) for the distal patellar string. The insertion points were considered to be isometric in 4 of the 10 subjects. The proposed algorithm appears to be feasible for estimating string lengths between insertion points in an automatic fashion. The length measurements based on CT images acquired under physiological loading conditions may give further insights into knee kinematics.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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