Does Medial Knee Position Reflect Dynamic Knee Valgus? Comparing Kinematic Timing and Magnitude During a Three-Task Movement Screen.
Ashley Erdman, Ben Randoing, James J McGinley and 2 others
PMID 42549198WHAT IT FOUND
Where the knee looks most collapsed is not where knee abduction peaks: in a jump and landing, collapse came 23% and 39% earlier, and 17% later in a single-leg squat.
Treat 2D video as a movement screen, not a measure of peak knee load.
Key findings
01The knee's most inward point and peak knee abduction happened at different times in most tasks: the inward point came 23% of the loading phase earlier in the double-leg jump (p = 0.005) and 39% earlier in its landing phase (p < 0.001), but 17% later in the single-leg squat (p = 0.022). The single-leg drop landing showed no significant timing difference (p = 0.567).
02Knee abduction was larger at peak knee abduction than at the knee's most inward point in every task, with the biggest gap, 3.6°, in the double-leg jump landing.
03Other valgus components also peaked at different moments: external tibial rotation was greater at the knee's most inward point in every task (p < 0.022), but the authors say the clinical meaning of these kinematic differences is unknown.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Everyone tested was a female volleyball player, so the results may not transfer to male athletes, players of other sports, or other age groups. The players ranged from 10.5 to 16.5 years, a span covering different stages of physical development, and movement patterns change during adolescence, which may add variability to the comparisons. The most inward knee position was calculated from 3D motion capture rather than filmed with an actual 2D camera, so real 2D video may add extra error depending on the camera angle. Each player had a single recorded attempt per task, so the authors could not check how repeatable the movement was within a person. The paper says 34 athletes were tested and nine were excluded because of errors on the second attempt, yet the analysed group is given as 26; the text does not explain the difference.
Declared interests
The conflict of interest statement says 'None'. The supplied text does not state a funding source or say who paid for or ran the study.
The easy way to misread this
Do not take the timing gaps as proof that 2D video misleads you about injury risk. The study recorded movement, not injuries, in 26 girls, and the authors themselves say the clinical meaning of these kinematic differences is unknown.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →