Optimal measurement of clinical rotational test for evaluating anterior cruciate ligament insufficiency View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-08-18

AUTHORS

Yuichi Hoshino, Ryosuke Kuroda, Kouki Nagamune, Daisuke Araki, Seiji Kubo, Motoi Yamaguchi, Masahiro Kurosaka

ABSTRACT

PurposeRotational instability in ACL insufficient knee addresses the symptom or the abnormal motion which can be reproduced and subjectively evaluated in the clinical exam. Clinically available quantitative measurement for this instability has not been established due to mixed testing maneuvers and complex kinematics. The purpose was to measure knee kinematics during three manually performed rotational tests and to determine the optimal method to detect the abnormality in ACL deficient knees.MethodThirteen unilateral ACL deficient patients were tested by internal and external pure rotational stress tests and pivot shift test under anesthesia before scheduled ACL reconstructions. Rotation and coupled motion, i.e., tibial anteroposterior translation, were measured using an electromagnetic measurement system. Additionally, the acceleration of the tibial posterior translation during pivot shift test was calculated. The differences of these parameters between ACL intact and deficient knees were tested.ResultsKnee rotation is not different between ACL intact and deficient during both pure rotational stress test and pivot shift test. The coupled anterior tibial translation during pivot shift test was significantly different between ACL intact, 13.5 ± 4.1 mm, and deficient knees, 23.1 ± 4.4 mm, (P < 0.01) as well as the acceleration of the tibial posterior translation (1.1 ± 0.4 m/sec2 in intact knees, 3.2 ± 1.5 m/sec2 in deficient knees; P < 0.01). The coupled motion during pure rotational stress tests was similar regardless of ACL condition.ConclusionThe rotational instability of the ACL deficiency was reproduced only by the pivot shift test and detected only by measuring the tibial anteroposterior translation and acceleration of the tibial posterior reduction.Level of evidence Diagnostic study, Level III. More... »

PAGES

1323-1330

References to SciGraph publications

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-011-1643-5

    DOI

    http://dx.doi.org/10.1007/s00167-011-1643-5

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1001275138

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/21850429


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    33 schema:description PurposeRotational instability in ACL insufficient knee addresses the symptom or the abnormal motion which can be reproduced and subjectively evaluated in the clinical exam. Clinically available quantitative measurement for this instability has not been established due to mixed testing maneuvers and complex kinematics. The purpose was to measure knee kinematics during three manually performed rotational tests and to determine the optimal method to detect the abnormality in ACL deficient knees.MethodThirteen unilateral ACL deficient patients were tested by internal and external pure rotational stress tests and pivot shift test under anesthesia before scheduled ACL reconstructions. Rotation and coupled motion, i.e., tibial anteroposterior translation, were measured using an electromagnetic measurement system. Additionally, the acceleration of the tibial posterior translation during pivot shift test was calculated. The differences of these parameters between ACL intact and deficient knees were tested.ResultsKnee rotation is not different between ACL intact and deficient during both pure rotational stress test and pivot shift test. The coupled anterior tibial translation during pivot shift test was significantly different between ACL intact, 13.5 ± 4.1 mm, and deficient knees, 23.1 ± 4.4 mm, (P < 0.01) as well as the acceleration of the tibial posterior translation (1.1 ± 0.4 m/sec2 in intact knees, 3.2 ± 1.5 m/sec2 in deficient knees; P < 0.01). The coupled motion during pure rotational stress tests was similar regardless of ACL condition.ConclusionThe rotational instability of the ACL deficiency was reproduced only by the pivot shift test and detected only by measuring the tibial anteroposterior translation and acceleration of the tibial posterior reduction.Level of evidence Diagnostic study, Level III.
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    41 ACL condition
    42 ACL deficiency
    43 ACL reconstruction
    44 ACL-deficient knee
    45 ACL-deficient patients
    46 ACL-insufficient knees
    47 abnormal motion
    48 abnormalities
    49 acceleration
    50 anesthesia
    51 anterior cruciate ligament insufficiency
    52 anterior tibial translation
    53 anteroposterior translation
    54 available quantitative measurements
    55 clinical exam
    56 complex kinematics
    57 conditions
    58 cruciate ligament insufficiency
    59 deficiency
    60 deficient knee
    61 deficient patients
    62 diagnostic studies
    63 differences
    64 electromagnetic measurement system
    65 exam
    66 instability
    67 insufficiency
    68 kinematics
    69 knee
    70 knee kinematics
    71 level III
    72 levels
    73 ligament insufficiency
    74 maneuvers
    75 measurement system
    76 measurements
    77 method
    78 motion
    79 optimal measurement
    80 optimal method
    81 parameters
    82 patients
    83 pivot shift test
    84 posterior reduction
    85 posterior translation
    86 purpose
    87 quantitative measurements
    88 reconstruction
    89 reduction
    90 rotation
    91 rotational instability
    92 rotational test
    93 shift test
    94 stress test
    95 study
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    100 tibial anteroposterior translation
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