Screw Home Mechanism of The Knee Joint: Difference between revisions

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== Definition ==
== Definition ==
Screw home mechanism (SHM) of knee joint is a critical mechanism that play an important role in terminal extension (last 15 degress) of the knee <ref>[https://www.ncbi.nlm.nih.gov/pubmed/581081 Goodfellow] J, O'Connor J. The mechanics of the knee and prosthesis design. J Bone Joint Surg Br. 1978;60(3):358–369.</ref><ref>[https://www.ncbi.nlm.nih.gov/pubmed/24619388 Bytyqi] D, Shabani B, Lustig S, Cheze L, Karahoda Gjurgjeala N, Neyret P. Gait knee kinematic alterations in medial osteoarthritis: three dimensional assessment. Int Orthop. 2014;38(6):1191–1198.</ref><ref>[https://www.ncbi.nlm.nih.gov/pubmed/9345219 Ishii Y, Terajima K, Terashima S, Koga Y. Three-dimensional kinematics of the human knee with intracortical pin fixation. Clin Orthop Relat Res. 1997;(343):144–150.] </ref><ref>https://www.ncbi.nlm.nih.gov/pubmed/12135550</ref><ref>[https://www.ncbi.nlm.nih.gov/pubmed/11451115 Asano T, Akagi M, Tanaka K, Tamura J, Nakamura T. In vivo three-dimensional knee kinematics using a biplanar imagematching technique. Clin Orthop Relat Res. 2001;(388):157–166]</ref><ref name=":0">[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553277/# Kim, H. Y., Kim, K. J., Yang, D. S., Jeung, S. W., Choi, H. G., & Choy, W. S. (2015). Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis. ''Clinics in orthopedic surgery'', ''7''(3), 303–309. doi:10.4055/cios.2015.7.3.303]</ref>. Knee joint is a hingle type, uniaxial joint that alow flexion and extension movements. Hovewer there is a slight rotation in last 15 degrees of knee extention due to inequality of articlar surface of femur condlyles.  
Screw home mechanism (SHM) of knee joint is a critical mechanism that play an important role in terminal extension (last 15 degress) of the knee <ref>[https://www.ncbi.nlm.nih.gov/pubmed/581081 Goodfellow] J, O'Connor J. The mechanics of the knee and prosthesis design. J Bone Joint Surg Br. 1978;60(3):358–369.</ref><ref>[https://www.ncbi.nlm.nih.gov/pubmed/24619388 Bytyqi] D, Shabani B, Lustig S, Cheze L, Karahoda Gjurgjeala N, Neyret P. Gait knee kinematic alterations in medial osteoarthritis: three dimensional assessment. Int Orthop. 2014;38(6):1191–1198.</ref><ref>[https://www.ncbi.nlm.nih.gov/pubmed/9345219 Ishii Y, Terajima K, Terashima S, Koga Y. Three-dimensional kinematics of the human knee with intracortical pin fixation. Clin Orthop Relat Res. 1997;(343):144–150.] </ref><ref>https://www.ncbi.nlm.nih.gov/pubmed/12135550</ref><ref>[https://www.ncbi.nlm.nih.gov/pubmed/11451115 Asano T, Akagi M, Tanaka K, Tamura J, Nakamura T. In vivo three-dimensional knee kinematics using a biplanar imagematching technique. Clin Orthop Relat Res. 2001;(388):157–166]</ref><ref name=":0">[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553277/# Kim, H. Y., Kim, K. J., Yang, D. S., Jeung, S. W., Choi, H. G., & Choy, W. S. (2015). Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis. ''Clinics in orthopedic surgery'', ''7''(3), 303–309. doi:10.4055/cios.2015.7.3.303]</ref>. Knee joint is a hingle type, uniaxial joint that alows flexion and extension movements. Hovewer there is a slight rotation in last 15 degrees of knee extention due to inequality of articlar surface of femur condlyles.  


SHM is a result of Vasturm Medialis Obliquus and Vastus Lateralis Obliquus mucles. Functionally it increases the mechanical advantage of kneee joint to perform full terminal extention then locks the knee joint<ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1562433/ Bevilaqua-Grossi D1, Monteiro-Pedro V, de Vasconcelos RA, Arakaki JC, Bérzin F. The effect of hip abduction on the EMG activity of vastus medialis obliquus, vastus lateralis longus and vastus lateralis obliquus in healthy subjects. J Neuroeng Rehabil. 2006 3;3:13.]
SHM is a result of Vasturm Medialis Obliquus and Vastus Lateralis Obliquus mucle function. Functionally it increases the mechanical advantage of kneee joint to perform full terminal extention then locks the knee joint<ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1562433/ Bevilaqua-Grossi D1, Monteiro-Pedro V, de Vasconcelos RA, Arakaki JC, Bérzin F. The effect of hip abduction on the EMG activity of vastus medialis obliquus, vastus lateralis longus and vastus lateralis obliquus in healthy subjects. J Neuroeng Rehabil. 2006 3;3:13.]
</ref>. Popliteus muscle unloks the knee.
</ref>. Popliteus muscle unloks the knee.


In most knee musculoskeletal problems of knee loss of terminal extention is a common problem and SHM have a clinical importance<ref>[https://www.ncbi.nlm.nih.gov/pubmed/24925143 Udagawa K, Niki Y, Enomoto H, Toyama Y, Suda Y. Factors influencing graft impingement on the wall of the intercondylar notch after anatomic double-bundle anterior cruciate ligament reconstruction. Am J Sports Med. 2014;42(9):2219–2225.]</ref><ref>[https://www.ncbi.nlm.nih.gov/pubmed/24900891 Lee TQ. Biomechanics of hyperflexion and kneeling before and after total knee arthroplasty. Clin Orthop Surg. 2014;6(2):117–126.]</ref><ref name=":0" />.  
In most musculoskeletal problems of knee loss of terminal extention is a common problem and SHM have a clinical importance<ref>[https://www.ncbi.nlm.nih.gov/pubmed/24925143 Udagawa K, Niki Y, Enomoto H, Toyama Y, Suda Y. Factors influencing graft impingement on the wall of the intercondylar notch after anatomic double-bundle anterior cruciate ligament reconstruction. Am J Sports Med. 2014;42(9):2219–2225.]</ref><ref>[https://www.ncbi.nlm.nih.gov/pubmed/24900891 Lee TQ. Biomechanics of hyperflexion and kneeling before and after total knee arthroplasty. Clin Orthop Surg. 2014;6(2):117–126.]</ref><ref name=":0" />.  


== Clinical Relevelance ==
== Clinical Relevelance ==

Revision as of 14:48, 12 February 2020

Definition[edit | edit source]

Screw home mechanism (SHM) of knee joint is a critical mechanism that play an important role in terminal extension (last 15 degress) of the knee [1][2][3][4][5][6]. Knee joint is a hingle type, uniaxial joint that alows flexion and extension movements. Hovewer there is a slight rotation in last 15 degrees of knee extention due to inequality of articlar surface of femur condlyles.

SHM is a result of Vasturm Medialis Obliquus and Vastus Lateralis Obliquus mucle function. Functionally it increases the mechanical advantage of kneee joint to perform full terminal extention then locks the knee joint[7]. Popliteus muscle unloks the knee.

In most musculoskeletal problems of knee loss of terminal extention is a common problem and SHM have a clinical importance[8][9][6].

Clinical Relevelance[edit | edit source]

References[edit | edit source]

  1. ↑ Goodfellow J, O'Connor J. The mechanics of the knee and prosthesis design. J Bone Joint Surg Br. 1978;60(3):358–369.
  2. ↑ Bytyqi D, Shabani B, Lustig S, Cheze L, Karahoda Gjurgjeala N, Neyret P. Gait knee kinematic alterations in medial osteoarthritis: three dimensional assessment. Int Orthop. 2014;38(6):1191–1198.
  3. ↑ Ishii Y, Terajima K, Terashima S, Koga Y. Three-dimensional kinematics of the human knee with intracortical pin fixation. Clin Orthop Relat Res. 1997;(343):144–150. 
  4. ↑ https://www.ncbi.nlm.nih.gov/pubmed/12135550
  5. ↑ Asano T, Akagi M, Tanaka K, Tamura J, Nakamura T. In vivo three-dimensional knee kinematics using a biplanar imagematching technique. Clin Orthop Relat Res. 2001;(388):157–166
  6. ↑ 6.0 6.1 Kim, H. Y., Kim, K. J., Yang, D. S., Jeung, S. W., Choi, H. G., & Choy, W. S. (2015). Screw-Home Movement of the Tibiofemoral Joint during Normal Gait: Three-Dimensional Analysis. Clinics in orthopedic surgery, 7(3), 303–309. doi:10.4055/cios.2015.7.3.303
  7. ↑ Bevilaqua-Grossi D1, Monteiro-Pedro V, de Vasconcelos RA, Arakaki JC, Bérzin F. The effect of hip abduction on the EMG activity of vastus medialis obliquus, vastus lateralis longus and vastus lateralis obliquus in healthy subjects. J Neuroeng Rehabil. 2006 3;3:13.
  8. ↑ Udagawa K, Niki Y, Enomoto H, Toyama Y, Suda Y. Factors influencing graft impingement on the wall of the intercondylar notch after anatomic double-bundle anterior cruciate ligament reconstruction. Am J Sports Med. 2014;42(9):2219–2225.
  9. ↑ Lee TQ. Biomechanics of hyperflexion and kneeling before and after total knee arthroplasty. Clin Orthop Surg. 2014;6(2):117–126.
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