Evaluation of a simulated pivot shift test: a biomechanical study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-11-05

AUTHORS

Lars Engebretsen, Coen A. Wijdicks, Colin J. Anderson, Benjamin Westerhaus, Robert F. LaPrade

ABSTRACT

PurposeDouble-bundle anterior cruciate reconstructions have led to an increased interest in quantifying anterolateral rotatory stability. The application of combined internal rotation and valgus torques to the knee can more nearly recreate the anterolateral subluxation that occurs in the pivot shift test in vitro compared to coupled internal rotation torque and anterior tibial loads.MethodsTwelve non-paired cadaveric knees were biomechanically tested with the ACL intact and sectioned. For each test state, six-degree-of-freedom positional data were collected for two simulated pivot shift loads consisting of a 5-Nm internal rotation torque coupled with either a 10-Nm valgus torque or an 88 N anterior tibial load at 0°, 20°, 30°, 60°, and 90° of knee flexion.ResultsThe coupled internal rotation and valgus torques produced a significant increase in anterolateral subluxation between the ACL intact and sectioned states at all tested angles except 90º (5.9 ± 0.4 mm at 0°, 4.3 ± 0.6 mm at 20°, 3.5 ± 0.6 mm at 30°, 2.1 ± 0.6 mm at 60°). The coupled internal rotation and an anterior tibial load produced significant increases between the ACL intact and sectioned states at all tested angles except 30º (5.4 ± 0.5 mm at 0°, 3.7 ± 0.5 mm at 20°, 2.1 ± 0.8 mm at 60°, 1.4 ± 0.3 mm at 90°).ConclusionsWe found that the coupled internal rotation and valgus torques best recreated the anterolateral subluxation that occurs in the pivot shift in vitro. This study describes an anterolateral subluxation test for ACL integrity in the laboratory setting. More... »

PAGES

698-702

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00167-011-1744-1

DOI

http://dx.doi.org/10.1007/s00167-011-1744-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1053211089

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22057355


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