Clinical Diagnosis of an Anterior Cruciate Ligament Rupture: A Meta-analysis

Benjaminse, Anne; Gokeler, Alli; Schans, Cees P. van der

doi:10.2519/jospt.2006.2011

Cited by 402 publications

(359 citation statements)

References 59 publications

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“…A threshold of 3.2°for the SSD in internal rotation at 5 Nm allowed to correctly identify 38 % of patients (sensitivity) and reject 95 % of healthy subjects (specificity). Although the sensitivity appears to be low, it remains superior to the sensitivity of 24 % reported for the pivot shift test in a previous meta-analysis [74].…”

Section: Knee Laxity In the Injured Knee Diagnosis Of Acl Injuriesmentioning

confidence: 78%

Objective measurements of static anterior and rotational knee laxity

Mouton

Theisen

Seil

2016

Curr Rev Musculoskelet Med

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Several devices allow to measure anterior and rotational static knee laxity. To date, the use of rotational laxity measurements in the daily clinical practice however remains to be improved. These measurements may be systematically integrated to the follow-up of knee injuries. Physiologic laxity measurements may particularly be of interest for the identification of risk factors in athletes. Furthermore, knee laxity measurements help to improve the diagnosis of knee soft tissue injuries and to follow up reconstructions. Further prospective follow-ups of knee laxity in the injured/reconstructed knees are however required to conclude on the best treatment strategy for knee soft tissue injuries.

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Section: Knee Laxity In the Injured Knee Diagnosis Of Acl Injuriesmentioning

confidence: 78%

Objective measurements of static anterior and rotational knee laxity

Mouton

Theisen

Seil

2016

Curr Rev Musculoskelet Med

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“…The diagnostic value of stress imaging as compared to clinical exam or MRI is unclear, and it is therefore recommended as a diagnostic adjunct rather than a stand-alone tool [2][3][4]. The highest diagnostic ability is obtained by combining stress imaging with these methods [5].…”

Section: Stress Radiographymentioning

confidence: 99%

Anterior cruciate ligament assessment using arthrometry and stress imaging

Rohman

Macalena

2016

Curr Rev Musculoskelet Med

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Arthrometry and stress imaging are useful clinical tools for the objective assessment of anterior cruciate ligament (ACL) integrity. They are most frequently used for the diagnosis of a complete ACL tear when other workup is equivocal, in conjunction with history and clinical exam findings. Other applications include the diagnosis of partial ACL tears, injury prognosis, and post-operative monitoring. However, further studies are needed to validate these uses. Many different devices and techniques exist for objective examination, which have been compared in recent literature. Reliability and validity measures of these methods vary, and often depend upon examiner familiarity and skill. The KT series of devices is the current gold standard for arthrometry, although the newer robotic GNRB device shows promising early results. Newer methods of data interpretation have been developed for stress imaging, and portable technology may impact this field further.

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“…[5] the diagnostic accuracy of acute knee injuries in younger patients is not as much as that in adults [9,10,11] .The expanded difficulty in correctly diagnosing acute knee injuries in kids has been proposed to be partly because the naturally more prominent laxity in the knees of children, [10] and the decreased sensitivity and specific city of magnetic resonance imaging (MRI)may likewise play a role. [9] Advances in imaging study and expanded the awareness of ACL injuries in this populace will probably enhance diagnostic accuracy later on [12] .The combination of injury history, clinical examination, and imaging specially MRi is recommended to optimize the diagnostic accuracy of ACL injuries in skeletally immature people [11,13] .…”

Section: Issn: 2320-5407mentioning

confidence: 99%