Clinical diagnosis of ruptures of the anterior cruciate ligament: a comparison between the Lachman test and the anterior drawer sign

Mitsou, A.; Vallianatos, P

doi:10.1016/0020-1383(88)90139-8

Cited by 50 publications

(36 citation statements)

References 8 publications

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“…If there are obvious mechanical symptoms such as locking, arthroscopy is required regardless of MRI findings [25,26]. In less equivocal cases, however, MRI may be useful, since physical examination is often unreliable if performed in the acute stage [6,7]. Medical costs were lowest if only radiography was performed.…”

Section: Discussionmentioning

confidence: 99%

“…MRI is, however, rarely performed at initial presentation of a patient with an acute knee trauma, mainly because of the generally high costs, long examination duration, and limited availability in this clinical setting. Diagnostic information from MRI could be extremely valuable, however, since reliable physical examination shortly after a knee trauma is often hampered by swelling and pain [6,7]. MRI, therefore, could play a significant role in the routine initial examination of patients with acute knee injury.…”

Section: Introductionmentioning

confidence: 99%

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Costs and effectiveness of a brief MRI examination of patients with acute knee injury

et al. 2008

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The aim of this study was to assess the costs and effectiveness of selective short magnetic resonance imaging (MRI) in patients with acute knee injury. A model was developed to evaluate the selective use of MRI in patients with acute knee injury and no fracture on radiography based on the results of a trial in which 208 patients were randomized between radiography only and radiography plus MRI. We analyzed medical (diagnostic and therapeutic) costs, quality of life, duration of diagnostic workup, number of additional diagnostic examinations, time absent from work, and time to convalescence during a 6-month follow-up period. Quality of life was lowest (EuroQol at 6 weeks 0.61 (95% CI 0.54-0.67)); duration of diagnostic workup, absence from work, and time to convalescence were longest; and the number of diagnostic examinations was largest with radiography only. These outcomes were more favorable for both MRI strategies (EuroQol at 6 weeks 0.72 (95% CI 0.67-0.77) for both). Mean total costs were 2,593 euros (95% CI 1,815-3,372) with radiography only, 2,116 euros (95% CI 1,488-2,743) with radiography plus MRI, and 1,973 euros (95% CI 1,401-2,543) with selective MRI. The results suggest that selective use of a short MRI examination saves costs and potentially increases effectiveness in patients with acute knee injury without a fracture on radiography.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Costs and effectiveness of a brief MRI examination of patients with acute knee injury

et al. 2008

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“…The anterior drawer test has an agreement in the literature regarding its usefulness [38,59]. Mitsou et al [38] highlighted the difficulty in performing the anterior drawer test at the acute stage following a suspected ACL injury.…”

Section: Anterior Drawer Testmentioning

confidence: 92%

“…Several studies reported that clinicians use it widely in both clinics and operation theatres [16,38,54,[58][59][60]. It is performed in a supine position, with the knee at 90˝flexion and the hip at 45˝flexion.…”

Section: Anterior Drawer Testmentioning

confidence: 99%

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An Extensive Evaluation of Different Knee Stability Assessment Measures: A Systematic Review

Abulhasan

Snow

Anley

et al. 2016

JFMK

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Abstract:Re-injury to a recently rehabilitated or operated knee is a common occurrence that can result in significant loss of function. Knee stability measures have been used to diagnose and assess knee stability before and after rehabilitation interventions. Here, we systematically review the literature and evaluate the different anterior-posterior and rotational knee stability measures currently in use. A computer-assisted literature search of the Medline, CINAHL, EMBASE, PubMed and Cochrane databases was conducted using keywords related to knee stability measures. In a second step, we conducted a manual search of the references cited in these articles to capture any studies that may have been missed in the searched databases. The literature search strategy identified a total of 574 potential studies. After revisiting the titles and abstracts, 34 full-text articles met the inclusion criteria and were included in this review. Most articles compared knee stability measures, whilst other studies assessed their sensitivity and specificity. Several techniques and devices used to measure knee stability are reported in the literature. However, there are only a limited number of quality studies where these techniques and/or devices have been evaluated. Further development and investigation with high quality study designs is necessary to robustly evaluate the existing devices/techniques.

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Does This Patient Have a Torn Meniscus or Ligament of the Knee?

Solomon¹,

Simel²,

Bates³

et al. 2001

JAMA

215

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Clinical diagnosis of ruptures of the anterior cruciate ligament: a comparison between the Lachman test and the anterior drawer sign

Cited by 50 publications

References 8 publications

Costs and effectiveness of a brief MRI examination of patients with acute knee injury

Costs and effectiveness of a brief MRI examination of patients with acute knee injury

An Extensive Evaluation of Different Knee Stability Assessment Measures: A Systematic Review

Does This Patient Have a Torn Meniscus or Ligament of the Knee?

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