No difference in postoperative rotational laxity after ACL reconstruction in patients with and without anterolateral capsule injury: quantitative evaluation of ... View Full Text


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Article Info

DATE

2019-08-14

AUTHORS

Yuji Hiroshima, Yuichi Hoshino, Nobuaki Miyaji, Toshikazu Tanaka, Daisuke Araki, Noriyuki Kanzaki, Takehiko Matsushita, Ryosuke Kuroda

ABSTRACT

PurposeTo compare rotational laxity in anterior cruciate ligament (ACL)-reconstructed knees retrospectively with and without concomitant anterolateral capsule (ALC) injury confirmed by magnetic resonance imaging (MRI) prior to ACL reconstruction.MethodsSixty-two ACL-reconstructed knees (26 men, 36 women; median age 20 (range 13–59)) were included. Pivot-shift test was performed before ACL reconstruction and 1 year postoperatively under anesthesia with both clinical grading and quantitative measurement simultaneously. Clinical grading was determined according to the International Knee Documentation Committee (IKDC) criteria (none, glide, clunk, or gross), and an electromagnetic measurement system was used to provide tibial acceleration as a quantitative parameter. The resence of concomitant ALC injury was confirmed retrospectively by MRI. The pivot-shift test was compared between ACL-reconstructed knees with and without ALC injury test for clinical grading and the independent t test for quantitative evaluation.ResultsALC injury was identified in 26 of 62 (42%) knees. Before ACL reconstruction, there was no difference in the pivot-shift test results between the ACL-deficient knees with and without ALC injury in IKDC grading (n.s.) or tibial acceleration (1.1 ± 0.7 m/s2 and 1.4 ± 1.1 m/s2, respectively, n.s.). At 1 year postoperatively, no difference was observed between groups (IKDC, p = 0.90; tibial acceleration, 0.6 ± 0.3 m/s2 and 0.8 ± 0.6 m/s2, n.s.).ConclusionsConcomitant ALC injury at the time of ACL injury had no effect on the rotational laxity of the knee in the postoperative course after ACL reconstruction. Therefore, additional treatment for ALC injury may not be warranted.Level of evidenceIV. More... »

PAGES

489-494

References to SciGraph publications

  • 2018-07-25. The anterolateral complex of the knee: results from the International ALC Consensus Group Meeting in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
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  • 2010-08-24. A prospective randomised study of anatomical single-bundle versus double-bundle anterior cruciate ligament reconstruction: quantitative evaluation using an electromagnetic measurement system in INTERNATIONAL ORTHOPAEDICS
  • 2019-02-04. MRI-determined anterolateral capsule injury did not affect the pivot-shift in anterior cruciate ligament-injured knees in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2013-02-08. Is triaxial accelerometer reliable in the evaluation and grading of knee pivot-shift phenomenon? in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2014-08-03. MRI evaluation of the anterolateral ligament of the knee: assessment in routine 1.5-T scans in SKELETAL RADIOLOGY
  • 2017-02-20. Anterolateral Ligament Expert Group consensus paper on the management of internal rotation and instability of the anterior cruciate ligament - deficient knee in JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY
  • 2011-06-30. The anterolateral ligament of the human knee: an anatomic and histologic study in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2013-12-17. Anatomic single- versus double-bundle ACL reconstruction: a meta-analysis in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2013-01-23. Quantitative evaluation of the pivot shift by image analysis using the iPad in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2012-01-01. The pivot shift: a global user guide in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2014-11-27. MRI features of the anterolateral ligament of the knee in SKELETAL RADIOLOGY
  • 2017-04-12. MRI is not reliable in diagnosing of concomitant anterolateral ligament and anterior cruciate ligament injuries of the knee in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-019-05664-3

    DOI

    http://dx.doi.org/10.1007/s00167-019-05664-3

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/31414156


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        "description": "PurposeTo compare rotational laxity in anterior cruciate ligament (ACL)-reconstructed knees retrospectively with and without concomitant anterolateral capsule (ALC) injury confirmed by magnetic resonance imaging (MRI) prior to ACL reconstruction.MethodsSixty-two ACL-reconstructed knees (26 men, 36 women; median age 20 (range 13\u201359)) were included. Pivot-shift test was performed before ACL reconstruction and 1\u00a0year postoperatively under anesthesia with both clinical grading and quantitative measurement simultaneously. Clinical grading was determined according to the International Knee Documentation Committee (IKDC) criteria (none, glide, clunk, or gross), and an electromagnetic measurement system was used to provide tibial acceleration as a quantitative parameter. The resence of concomitant ALC injury was confirmed retrospectively by MRI. The pivot-shift test was compared between ACL-reconstructed knees with and without ALC injury test for clinical grading and the independent t test for quantitative evaluation.ResultsALC injury was identified in 26 of 62 (42%) knees. Before ACL reconstruction, there was no difference in the pivot-shift test results between the ACL-deficient knees with and without ALC injury in IKDC grading (n.s.) or tibial acceleration (1.1\u2009\u00b1\u20090.7\u00a0m/s2 and 1.4\u2009\u00b1\u20091.1\u00a0m/s2, respectively, n.s.). At 1\u00a0year postoperatively, no difference was observed between groups (IKDC, p\u2009=\u20090.90; tibial acceleration, 0.6\u2009\u00b1\u20090.3\u00a0m/s2 and 0.8\u2009\u00b1\u20090.6\u00a0m/s2, n.s.).ConclusionsConcomitant ALC injury at the time of ACL injury had no effect on the rotational laxity of the knee in the postoperative course after ACL reconstruction. Therefore, additional treatment for ALC injury may not be warranted.Level of evidenceIV.", 
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    36 schema:description PurposeTo compare rotational laxity in anterior cruciate ligament (ACL)-reconstructed knees retrospectively with and without concomitant anterolateral capsule (ALC) injury confirmed by magnetic resonance imaging (MRI) prior to ACL reconstruction.MethodsSixty-two ACL-reconstructed knees (26 men, 36 women; median age 20 (range 13–59)) were included. Pivot-shift test was performed before ACL reconstruction and 1 year postoperatively under anesthesia with both clinical grading and quantitative measurement simultaneously. Clinical grading was determined according to the International Knee Documentation Committee (IKDC) criteria (none, glide, clunk, or gross), and an electromagnetic measurement system was used to provide tibial acceleration as a quantitative parameter. The resence of concomitant ALC injury was confirmed retrospectively by MRI. The pivot-shift test was compared between ACL-reconstructed knees with and without ALC injury test for clinical grading and the independent t test for quantitative evaluation.ResultsALC injury was identified in 26 of 62 (42%) knees. Before ACL reconstruction, there was no difference in the pivot-shift test results between the ACL-deficient knees with and without ALC injury in IKDC grading (n.s.) or tibial acceleration (1.1 ± 0.7 m/s2 and 1.4 ± 1.1 m/s2, respectively, n.s.). At 1 year postoperatively, no difference was observed between groups (IKDC, p = 0.90; tibial acceleration, 0.6 ± 0.3 m/s2 and 0.8 ± 0.6 m/s2, n.s.).ConclusionsConcomitant ALC injury at the time of ACL injury had no effect on the rotational laxity of the knee in the postoperative course after ACL reconstruction. Therefore, additional treatment for ALC injury may not be warranted.Level of evidenceIV.
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    50 ConclusionsConcomitant ALC injury
    51 Documentation Committee (IKDC) criteria
    52 IKDC grading
    53 International Knee Documentation Committee criteria
    54 Knee Documentation Committee (IKDC) criteria
    55 MethodsSixty-two ACL
    56 PurposeTo
    57 ResultsALC injury
    58 acceleration
    59 additional treatment
    60 anesthesia
    61 anterior cruciate ligament
    62 anterolateral capsule (ALC) injury
    63 capsule injury
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