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Investigators identify cleat/natural grass combination may be less likely to result in ACL injury
Date:1/20/2010

models to test how the shoe-surface interface impacts loading conditions at the level of the foot, but no studies have investigated how the interface directly impacts the knee.

To fill this knowledge gap, investigators at HSS used a cadaveric model to test various shoe-surface interactions; they used the lower extremities (knee, foot, and ankle) from eight cadavers. One at a time, each specimen was positioned in a box-like structure, rigged to be in a standing position. The knee was positioned at a 30 degree angle, the flexion angle where the anterior cruciate ligament is most sensitive to strain. Investigators constructed an apparatus that placed weight on the leg, to simulate the weight of a body. Underneath the foot was a turf box that housed whatever turf they wanted to test and underneath the turf box, they placed a force plate that registered how much load was being placed on the shoe-surface interface. A lazy Susan was placed underneath the force plate that allowed the force plate and turf box to rotate. In this way, researchers could simulate a cut or a person pivoting in, for example, a soccer game.

"Our model looks at how forces travel up the kinetic chain, and that is something that should be looked at more closely, meaning you can't just look at the knee injuries by looking at the knee in isolation," Dr. Drakos said.

The investigators found that the natural grass/cleat combination placed a statistically lower maximum strain on the leg than any of the remaining three groups. All other combinations placed a greater amount of strain compared to the natural/grass cleat combination. The Astroturf shoe was 80.2 percent greater, modern playing turf/turf shoe was 47.5 percent greater, and the modern playing turf/cleat was 45.1 percent greater.

"As a former football player. I was always curious about why I was more sore after playing on artificial surfaces than playing on grass, and I wanted to find out the reasons behind th
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Contact: Phyllis Fisher
fisherp@hss.edu
212-606-1197
Hospital for Special Surgery
Source:Eurekalert

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