Feasibility of Using Orthogonal Fluoroscopic Images to Measure In Vivo Joint Kinematics

[+] Author and Article Information
Guoan Li, Thomas H. Wuerz, Louis E. DeFrate

Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA

J Biomech Eng 126(2), 313-318 (May 04, 2004) (6 pages) doi:10.1115/1.1691448 History: Received June 03, 2003; Revised October 27, 2003; Online May 04, 2004
Copyright © 2004 by ASME
Your Session has timed out. Please sign back in to continue.


Georgoulis,  A. D., , 2003. Three-dimensional tibiofemoral kinematics of the anterior cruciate ligament-deficient and reconstructed knee during walking. Am. J. Sports Med., 31(1), pp. 75–79.
Andriacchi,  T. P., 1993. Functional analysis of pre and post-knee surgery: total knee arthroplasty and ACL reconstruction. J. Biomech. Eng., 115(4B), pp. 575–581.
Lafortune,  M. A., , 1992. Three-dimensional kinematics of the human knee during walking. J. Biomech., 25(4), pp. 347–357.
van Dijk,  R., Huiskes,  R., and Selvik,  G., 1979. Roentgen stereophotogrammetric methods for the evaluation of the three dimensional kinematic behavior and cruciate ligament length patterns of the human knee joint. J. Biomech., 12(9), pp. 727–731.
Karrholm,  J., , 1989. Chronic anterolateral instability of the knee. A roentgen stereophotogrammetric evaluation. Am. J. Sports Med., 17(4), pp. 555–563.
de Lange,  A., Huiskes,  R., and Kauer,  J. M., 1990. Measurement errors in roentgen-stereophotogrammetric joint-motion analysis. J. Biomech., 23(3), pp. 259–269.
Selvik,  G., 1989. Roentgen stereophotogrammetry. A method for the study of the kinematics of the skeletal system. Acta Orthop. Scand. Suppl., 232, pp. 1–51.
Andriacchi,  T. P., , 1998. A point cluster method for in vivo motion analysis: applied to a study of knee kinematics. J. Biomech. Eng., 120(6), pp. 743–749.
Banks,  S. A., and Hodge,  W. A., 1996. Accurate measurement of three-dimensional knee replacement kinematics using single-plane fluoroscopy. IEEE Trans. Biomed. Eng., 43(6), pp. 638–649.
Stiehl,  J. B., , 1995. Fluoroscopic analysis of kinematics after posterior-cruciate-retaining knee arthroplasty. J. Bone Joint Surg. Br., 77(6), pp. 884–889.
You,  B. M., , 2001. In vivo measurement of 3-D skeletal kinematics from sequences of biplane radiographs: application to knee kinematics. IEEE Trans. Med. Imaging, 20(6), pp. 514–525.
Komistek,  R. D., Dennis,  D. A., and Mahfouz,  M., 2003. In vivo fluoroscopic analysis of the normal human knee. Clin. Orthop., (410), pp. 69–81.
Li,  G., , 1999. A validated three-dimensional computational model of a human knee joint. J. Biomech. Eng., 121(6), pp. 657–662.
Asano,  T., , 2001. In vivo three-dimensional knee kinematics using a biplanar image-matching technique. Clin. Orthop., (388), pp. 157–166.
Li,  G., , 2002. Biomechanics of posterior-substituting total knee arthroplasty: an in vitro study. Clin. Orthop., (404), pp. 214–225.
Dennis,  D. A., , 1996. In vivo knee kinematics derived using an inverse perspective technique. Clin. Orthop., (331), pp. 107–117.
Freeman,  M. A., and Pinskerova,  V., 2003. The movement of the knee studied by magnetic resonance imaging. Clin. Orthop., (410), pp. 35–43.


Grahic Jump Location
The 3-D fluoroscopy system: (a) 3-D scanning of the knee; and (b) acquisition of 2-D images with the knee positioned inside the C-arm.
Grahic Jump Location
(a) Reproduction of the relative position of the ball and cylinder using two orthogonal images taken from the 3-D fluoroscope; (b) Determination of knee positions using 3-D knee models and orthogonal images of the knee from anteromedial and posteromedial views.
Grahic Jump Location
This figure shows the effects of slightly mismatching the diameter of the ball in one plane on the position of the ball in the orthogonal plane. A slight mismatch of the position of the ball in plane (a) results in a large error in the position of the ball in the orthogonal plane (b).
Grahic Jump Location
The change in diameter of the ball’s projection on the image intensifier as the ball’s position is changed in perpendicular direction (“−” moving towards and “+” moving away from the orthogonal image intensifier). The center position refers to varying the position of the ball relative to a position located at the isocenter of the fluoroscope, and the close position refers to a position 100 mm closer to the image intensifier.
Grahic Jump Location
(a) Tibiofemoral contact points at different flexion angles during in-vivo weight-bearing lunge of a typical subject; (b) Tibiofemoral contact points of the three subjects versus flexion angle during in-vivo weight bearing lunge (mean±standard deviation). Positive values are anterior to the midline of the medial/lateral tibial plateaus and negative values are posterior to the midline.
Grahic Jump Location
Internal tibial rotation of the three subjects versus flexion angle during in-vivo weight bearing lunge (mean±standard deviation)



Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging and repositioning the boxes below.

Related Journal Articles
Related eBook Content
Topic Collections

Sorry! You do not have access to this content. For assistance or to subscribe, please contact us:

  • TELEPHONE: 1-800-843-2763 (Toll-free in the USA)
  • EMAIL: asmedigitalcollection@asme.org
Sign In