Knee-Flexion Torque and Morphology of the Semitendinosus after ACL Reconstruction

NISHINO, AKIE1; SANADA, AKIKO2; KANEHISA, HIROAKI1; FUKUBAYASHI, TORU3

Medicine & Science in Sports & Exercise:
doi: 10.1249/01.mss.0000230344.71623.51
CLINICAL SCIENCES: Clinically Relevant
Abstract

Purpose: The present study aimed to clarify the relationship between deficits in knee-flexion torque and morphological changes in the semitendinosus muscle-tendon complex after harvesting the semitendinosus tendon for anterior cruciate ligament (ACL) reconstruction.

Methods: Isometric knee-flexion torque at 45 and 90° of knee flexion was measured in limbs of 23 patients (22 ± 4 yr) who underwent unilateral ACL reconstruction (12-43 months postoperation) using ipsilateral semitendinosus tendon. Magnetic resonance imaging scans were used to calculate the muscle volume and the muscle length of the semitendinosus and to confirm the presence of the regenerated semitendinosus tendon.

Results: The percentage of the knee-flexion torque of the ACL-reconstructed limb compared with that of the contralateral limb was lower at 90° than at 45°. The regeneration of the semitendinosus tendon-like structure was confirmed in 21 of the 23 patients. However, muscle volume and muscle length of the semitendinosus in the ACL-reconstructed limb were significantly smaller compared with in the contralateral limb.

Conclusion: Deficits in knee-flexion torque at deep knee flexion were associated with the atrophy and shortening of the semitendinosus after harvesting the semitendinosus tendon for ACL reconstruction.

Author Information

1Department of Life Sciences, Graduate School of Arts and Sciences, University of Tokyo, Tokyo, JAPAN; 2Graduate School of Human Sciences, Waseda University, Mikajima, Tokorozawa, Saitama, JAPAN; and 3Faculty of Sport Sciences, Waseda University, Mikajima, Tokorozawa, Saitama, JAPAN

Address for correspondence: Akie Nishino, Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, 3-8-1 Komaba, Meguro-ku, Tokyo 153-8902, Japan; E-mail: cc57721@mail.ecc.u-tokyo.ac.jp.

Submitted for publication December 2005.

Accepted for publication May 2006.

©2006The American College of Sports Medicine