Abstract

The knee is one of the most frequently injured joints in the body, between 100 000 and 400 000 Anterior Cruciate Ligament (ACL) injuries occur in the United States each year. This investigation explores the impact of wipe- or spray-on sneaker products used to increase traction between shoes and hardwood courts on the loading of the ACL. Specifically, the maximum torque achieved prior to the sneaker slipping on the court surface is measured using a servo-hydraulic bi-axial load frame. A prosthetic foot fitted into a sneaker was fixed to the load cell and a piece of hardwood court was fixed to the actuator of the load frame. Axial loads were applied to simulate an athlete's body weight and torques were applied to simulate an athlete pivoting on a hardwood surface. The maximum torque achieved prior to the sneaker slipping on the hardwood surface was measured. The investigation finds that the application of the wipe- or spray-on sneaker products increases the maximum torque achieved prior to the sneaker slipping by 164%. This increase in torque exceeds prior published levels of torque that resulted in ACL failure in a cadaveric model.

Highlights

  • The knee is one of the most frequently injured joints; Hootman et al (2002) estimates the knee accounts for 19%-23% of all musculoskeletal injuries

  • Anterior Cruciate Ligament (ACL) tears are one of the most costly sports injuries with 100 000 ACL reconstruction surgeries performed in the United States per year (Racine, 2014) costing an estimated $1 billion (CDCP, 2006)

  • The experimental Torque versus Rotational Displacement curves were used to determine the maximum values of torque for each of the 54 combinations of load applied to the sneaker (Load), Rate, Orientation and Spray

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Summary

Introduction

The knee is one of the most frequently injured joints; Hootman et al (2002) estimates the knee accounts for 19%-23% of all musculoskeletal injuries. ACL tears are one of the most costly sports injuries with 100 000 ACL reconstruction surgeries performed in the United States per year (Racine, 2014) costing an estimated $1 billion (CDCP, 2006). The advertised benefits of traction enhancing products include decreased slipping, increased ability to stop short and the ability to change direction quickly. These maneuvers often result in compressive, valgus and rotational forces about the knee joint. There has been little discussion about increased stress on the ACL and potential for increased risk of injury to the ACL with application of an anti-slip sneaker product

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