Development of Electromagnetic Tracking for the Pivot Shift View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2016-09-28

AUTHORS

Ryosuke Kuroda , Yuichi Hoshino , Takehiko Matsushita , Kouki Nagamune , Masahiro Kurosaka

ABSTRACT

Anterior cruciate ligament (ACL) insufficiency is clinically diagnosed by manual tests, such as the pivot-shift and the Lachman tests. These manual tests are used not only for diagnosing a primary ACL injury but also as an outcome measure after ACL reconstruction. The pivot-shift examination has significant associations with both patient satisfaction and overall knee function and may be a better measure of “functional instability.” Residual laxity can be detected by the pivot-shift test in ACL-reconstructed knees in which anterior laxity has been successfully restored. Given of the ability to evaluate a dynamic and a rotational component of the knee laxity, a postoperative stability evaluation should include the pivot-shift test. An electromagnetic tracking device can measure the 6 degrees-of-freedom knee kinematics during the pivot-shift test providing dynamic 3D tibial displacement relative to the femur. This device detected the increase of the tibial anterior translation by about 8 mm and the increase of tibial posterior acceleration by about 1 m/sec2 in ACL-deficient knees compared to the contralateral intact knees. This in vivo measurement can be applied for quantitative evaluation of the dynamic laxity during the pivot-shift test. More... »

PAGES

269-276

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-319-32070-0_22

DOI

http://dx.doi.org/10.1007/978-3-319-32070-0_22

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1013494332


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