Comparing the Diagnostic Accuracy of Two Selective Tissue Tests for Anterior Cruciate Ligament Injuries: A Critically Appraised Topic

2019 ◽  
Vol 24 (4) ◽  
pp. 145-150
Author(s):  
Rafael Squillantini ◽  
Brielle Ringle ◽  
Julie Cavallario
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Sufficient Evidence ◽  
Sign Test ◽  
Bottom Line ◽  
Lachman Test ◽  
Anterior Cruciate Ligament Injuries ◽  
Anterior Cruciate ◽  
Acute Knee

Clinical Question:In patients with acute knee injuries, is there evidence to support that the lever sign test is more accurate in diagnosing an anterior cruciate ligament sprain than the Lachman test?Clinical Bottom Line:The evidence does not indicate that the lever sign test can be used in isolation in lieu of the Lachman test, but there is sufficient evidence to support adding the lever sign test to the examination of potential anterior cruciate ligament sprains.

DIAGNOSING ANTERIOR CRUCIATE LIGAMENT INJURIES USING A KNEE ARTHROMETER: DESIGN, FABRICATION, AND CLINICAL EVALUATION

2011 ◽  
Vol 23 (03) ◽  
pp. 181-192
Author(s):  
Damoon Soudbakhsh ◽  
Elham Sahraei ◽  
Mehdi Bostan Shirin ◽  
Farzam Farahmand ◽  
Mohammad Naghi Tahmasebi ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Knee Laxity ◽  
Ligament Injuries ◽  
Acl Injuries ◽  
Anterior Cruciate Ligament Injuries ◽  
Specificity And Sensitivity ◽  
Anterior Cruciate ◽  
The Right

Every year many people suffer from knee injuries. Previous studies on patients with knee injuries have shown that about 40% of knee injuries are Ligament injuries, and about 50% of the ligament injuries are the Anterior Cruciate Ligament (ACL) injuries. Along with other methods, knee arthrometers are widely used to diagnose ACL injuries. In the current research, a knee arthrometer was designed and developed to provide a reliable and repeatable measurement of knee laxity under anterior–posterior applied loads. Test–retest configurations to examine repeatability of the device resulted in less than 1.5-mm difference for more than 97% of tests under applied loads of up to 90 N. These tests included 166 tests on the left knees and 147 tests on the right knees of 37 healthy subjects. Also, this device was tested on 27 confirmed ACL ruptured patients, and the results were analyzed to find a better criterion than standard criteria to diagnose ACL rupture using knee arthrometers by finding specificity and sensitivity of the device using those criteria. Among the 20 criteria evaluated, a combination of side-to-side difference under 150 N of applied load, and CI@90-60 (compliance index calculated between 90 N, and 60 N) resulted in the best sensitivity (96.4%) and specificity (100%).

Current Evidence in Anterior Cruciate Ligament Rehabilitation: Neuromuscular Electrical Stimulation Combined With a Strengthening Program: A Critically Appraised Topic

2017 ◽  
Vol 22 (6) ◽  
pp. 5-11
Author(s):  
Michael E. Lynch ◽  
Christine A. Lauber
Keyword(s):  
Anterior Cruciate Ligament ◽  
Electrical Stimulation ◽  
Acl Reconstruction ◽  
Cruciate Ligament ◽  
Neuromuscular Electrical Stimulation ◽  
Quadriceps Strength ◽  
Sufficient Evidence ◽  
Clinical Question ◽  
Bottom Line ◽  
Anterior Cruciate

Clinical Question:Is it beneficial to add neuromuscular electrical stimulation (NMES) to a strengthening program after anterior cruciate ligament (ACL) reconstruction surgery?Clinical Bottom Line:There is sufficient evidence to support the inclusion of NMES in a rehabilitation strengthening program post ACL reconstruction. All three included studies reported significant quadriceps strength gains (p < .05) in favor of the group that completed both NMES and strengthening exercises compared with a strength-only group. Two studies initiated NMES within 4 days of surgery. One study found significant quadriceps strength increases when NMES was implemented 6 months after surgery.

scholarly journals Morphometric parameters as risk factors for anterior cruciate ligament injuries: A MRI case-control study

2014 ◽  
Vol 71 (3) ◽  
pp. 271-276 ◽  
Author(s):  
Lazar Stijak ◽  
Marko Bumbasirevic ◽  
Marko Kadija ◽  
Gordana Stankovic ◽  
Richard Herzog ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Control Group ◽  
Study Group ◽  
Matched Pairs ◽  
Intercondylar Notch ◽  
Anterior Cruciate Ligament Injuries ◽  
Magnetic Resonance Imaging Mri ◽  
Anterior Cruciate

Background/Aim. The anterior cruciate ligament (ACL) is the most frequently injured ligament of the knee, representing 50% of all knee injuries. The aim of this study was to determine the differences in the morphometry of knee injury patients with an intact and a ruptured anterior cruciate ligament. Methods. The study included 33 matched pairs of patients divided into two groups: the study group with the diagnosis of anterior cruciate ligament rupture, and the control group with the diagnosis of patellofemoral pain but no anterior cruciate ligament lesion. The patients were matched on the basis of 4 attributes: age, sex, type of lesion (whether it was profession- related), and whether the lesion was left- or right-sided. Measurements were carried out using magnetic resonance imaging (MRI). Results. The anterior and posterior edges of the anterior cruciate ligament in the control group were highly significantly smaller (p < 0.01; in both cases). The control group showed a statistically significantly larger width of the anterior cruciate ligament (p < 0.05). A significant correlation between the width of the anterior cruciate ligament and the width (p < 0.01) and height (p < 0.05) of the intercondylar notch was found to exist in the control group, but not in the study group (p > 0.05). The patients in the control group showed a shorter but wider anterior cruciate ligament in comparison to their matched pairs. The control group of patients was also characterized by the correlation between the width of the intercondylar notch and the width of the anterior cruciate ligament, which was not the case in the study group. Conclusions. According to the results of our study we can say that a narrow intercondylar notch contains a proportionally thin anterior cruciate ligament, but we cannot say that this factor necessarily leads to rupture of the anterior cruciate ligament.

Sensitivität und Spezifität des Lever Sign Tests bei VKB

2020 ◽  
Vol 24 (02) ◽  
pp. 56-56
Author(s):  
Sebastian Klien
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Sign Test ◽  
Sensitivität Und Spezifität ◽  
Ligament Injuries ◽  
Anterior Cruciate Ligament Injuries ◽  
Anterior Cruciate

Jarbo KA, Hartigan DE, Scott KL et al. Accuracy of the Lever Sign Test in the Diagnosis of Anterior Cruciate Ligament Injuries. Orthop J Sports Med 2017; 5: 232596711772980. doi: 10.1177/2325967117729809

scholarly journals The Health and Structural Consequences of Acute Knee Injuries Involving Rupture of the Anterior Cruciate Ligament

2013 ◽  
Vol 39 (1) ◽  
pp. 107-122 ◽  
Author(s):  
Edward A. Riordan ◽  
Richard B. Frobell ◽  
Frank W. Roemer ◽  
David J. Hunter
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Anterior Cruciate ◽  
Acute Knee

Treatment of Anterior Cruciate Ligament Injuries, Part 2

2005 ◽  
Vol 33 (11) ◽  
pp. 1751-1767 ◽  
Author(s):  
Bruce D. Beynnon ◽  
Robert J. Johnson ◽  
Joseph A. Abate ◽  
Braden C. Fleming ◽  
Claude E. Nichols
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Knee Injuries ◽  
Bone Tunnel ◽  
Activity Level ◽  
Tunnel Widening ◽  
Ligament Injuries ◽  
Anterior Cruciate Ligament Injuries ◽  
Biomechanical Behavior ◽  
Anterior Cruciate

Anterior cruciate ligament tears, common among athletes, are functionally disabling; they predispose the knee to subsequent injuries and the early onset of osteoarthritis. A total of 3810 studies published between January 1994 and the present were identified and reviewed to determine the current state of knowledge regarding the treatment of anterior cruciate ligament injuries. Part 1 of this article focused on studies pertaining to the biomechanical behavior of the anterior cruciate ligament, the prevalence of and risk factors for injuries related to it, the natural history of the ligament-deficient knee, injuries associated with anterior cruciate ligament disruption, indications for the treatment of anterior cruciate ligament injuries, as well as nonoperative and operative treatments. Part 2 includes technical aspects of anterior cruciate ligament surgery, bone tunnel widening, graft healing, rehabilitation after anterior cruciate ligament reconstruction, and the effects of sex, age, and activity level on the outcome of such reconstructive surgery.

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