Advantages of the Prone Lachman Versus the Traditional Lachman

Floyd, R. T.; Peery, Dana; Andrews, James R.

doi:10.3928/01477447-20110505-07

Cited by 7 publications

(1 citation statement)

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“…Medical history should provide detailed information about the mechanism and circumstances of the injury. Information such as time from injury, ability to continue activities, joint swallow, blocking, or giving away help when making a differential diagnosis [44][45][46]. Clinical examination and testing involve the Lachman test, pivot shift test, and anterior drawer test.…”

Section: Acl Clinical Evaluationmentioning

confidence: 99%

The Value of Ultrasound Diagnostic Imaging of Anterior Crucial Ligament Tears Verified Using Experimental and Arthroscopic Investigations

Wasilczyk

2024

Diagnostics

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This study investigates the potential of the ultrasound imaging technique in the assessment of Anterior Cruciate Ligament (ACL) pathologies by standardizing the examination process. We focused on four key ultrasound parameters: the inclination of the ACL; swelling or scarring at the ACL’s proximal attachment to the lateral femoral condyle; swelling or scarring of the ACL/posterior cruciate ligament (PCL) compartment complex with accompanying morphological changes in the posterior joint capsule; and dynamic instability, categorized into three ranges—0–2 mm, 3–4 mm, and ≥5 mm. The study group consisted of 25 patients with an ACL injury and 25 controls. All four tested parameters were found more frequently in the study group compared to the control (p < 0.0001). Our findings suggest that this standardized approach significantly augments the diagnostic capabilities of ultrasound, complementing clinical evaluation and magnetic resonance imaging (MRI) findings. The meticulous assessment of these parameters proved crucial in identifying subtle ACL pathologies, which might otherwise be missed in conventional imaging modalities. Notably, the quantification of dynamic instability and the evaluation of morphological changes were instrumental in early detection of ACL injuries, thereby facilitating more precise and effective treatment planning. This study underscores the importance of a standardized ultrasound protocol in the accurate diagnosis and management of ACL injuries, proposing a more comprehensive diagnostic tool for clinicians in the field of sports medicine and orthopedics.

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Section: Acl Clinical Evaluationmentioning

confidence: 99%