Background Quadriceps weakness may reduce sagittal plane shock absorption during landing, shifting load toward the frontal plane and increasing knee abduction moment (KAM), a biomechanical risk factor for anterior cruciate ligament (ACL) injuries.

Purpose The purpose of this study was to evaluate the association between isokinetic quadriceps strength and peak KAM during drop vertical jump landing in adolescent athletes.

Study Design Secondary analysis of previously collected data.

Methods Healthy adolescent athletes completed quadriceps strength testing using an isokinetic dynamometer and a biomechanical assessment during a drop vertical jump task. Quadriceps strength was quantified as peak concentric torque and the peak external KAM was calculated during the landing phase on the dominant limb. Both strength and KAM were normalized to body mass. Linear regression was used to examine the association between normalized quadriceps strength and peak external KAM on the dominant limb.

Results The association between quadriceps strength and peak normalized KAM on the dominant limb was not statistically significant (β = −0.053 (95% CI [−0.137 to 0.030]), F(1,119) = 1.62, R2 = 0.013, p = 0.206). Quadriceps strength explained only 1.3% of the variance in peak KAM, indicating a negligible association between these variables in this cohort.

Discussion Quadriceps strength was not associated with peak normalized KAM during landing, suggesting that frontal-plane knee loading during a drop vertical jump is not meaningfully explained by maximal concentric quadriceps strength alone. KAM appears to be driven more by multi-joint movement strategy and neuromuscular coordination than by the capacity of a single muscle group.

The authors have declared no competing interest.

This study did not receive any funding.

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The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

The Sanford Health Institutional Review Board gave ethical approval for this work.

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Conflict of Interest: The authors report no conflicts of interest.

Ethical Statement: The Sanford Health Institutional Review Board gave ethical approval for this work (Study ID: 2976).

Data Availability: Data produced in the present study are available upon reasonable request to the authors.

Funding: This study did not receive any funding.

Data produced in the present study are available upon reasonable request to the authors.