Introduction Tears of the anterior cruciate ligament (ACL) are common among young athletes and diagnosis may be difficult especially in the young population. Therefore, finding a new method to increase the correct diagnosis is necessary. Materials and Methods This double-blind prospective observational study was conducted on 51 patients with suspected ACL rupture. In this study, in addition to the standard protocols, the oblique-sagittal and oblique-coronal MRI were assessed and used in three different methods, including A method (orthogonal MRI protocol), B method (orthogonal MRI protocol and oblique-sagittal MRI), and C method (orthogonal MRI protocol and oblique-coronal MRI). Results In detecting both complete and partial rupture of ACL, B method had highest diagnostic accuracy (kappa = 0.338, P=0.001), and after that, C method had acceptable accuracy (kappa = 0.292, P=0.011). In addition, in detecting a partial rupture of ACL, B method (kappa = 0.5, P<0.001), and C method had acceptable accuracy (kappa = 0.361, P=0.006). Meanwhile, in detecting a complete rupture of ACL, B method had the highest diagnostic accuracy (kappa = 0.898, P<0.001), and subsequently A method had significant accuracy (kappa = 0.812, P<0.001). Conclusions Our results showed that the evaluation of ACL rupture by oblique-sagittal MRI in addition to orthogonal MRI protocol is accurate and with high sensitivity and specificity values. It allows to find abnormal images immediately with higher accuracy in the emergency department and more critically ill patients may benefit from the advantages of this imaging protocol.
Introduction:Femoral shaft fracture is one of the typical bone fractures due to high energy trauma and may occur as an open fracture. Some foreign materials may enter the fracture site such as sand, cloth particles and so on.Case Presentation:A 28-year-old motorcycle riding military member and his collaborator were received in the hospital because of multiple traumas due to a fall in a hollow during a surveillance mission. His collaborator died because of head trauma and multiple severe open fractures. When fixing the patients femoral fracture, a large femoral butterfly fragment was removed from the patient’s thigh as a foreign segment. The patient’s femur was fixed with a plate and screws. No femoral defect was detected during surgery or post-operative X-rays and CT scan. The removed segment was not a part of the patient’s femur.Conclusions:Surgical and post-surgical findings showed that this segment was not related to the patient’s femur. The foreign segment may have belonged to the other victim of this trauma.
Background and Objective: Anterior cruciate ligament (ACL) tear is a common knee ligament injury with severe complications such as restriction and instability in movement and disability. Arthroscopic reconstruction using hamstring tendon is a common therapeutic option. The outcome of ACL tear surgery is assessed by anterior drawer and Lachman tests where positive scores indicate the failure of the surgery. The present study aimed to assess the positivity of anterior drawer and Lachman tests on knee score of the patients underwent ACL tear surgery and to evaluate the relationship between the positivity of the tests with Lysholm score. Materials and Methods: The present study was conducted on 101 patients with ACL tear. The patients were treated with hamstring tendon using arthroscopic Endobutton fixation. The patients were evaluated with Lysholm score at the 3 rd and 9 th month post-surgery using anterior drawer and Lachman tests. Positivity of the first two tests was evaluated at the 3 rd and 9 th month. Lysholm score was also evaluated at the 3 rd and 9 th month. The changes in the scores of the two tests were compared Results: Anterior drawer and Lachman tests showed gradual positivity at the 3 rd and 9 th month follow-up examinations. However, the changes in the Lysholm score were not significant. Moreover, patients' satisfaction and their return to routine activities did not change significantly. The anterior drawer test showed greater changes compared with the Lachman test score. Conclusion: Our findings showed that the outcomes of the anterior drawer and Lachman test did not reliably ensure success of the surgery or patients' satisfaction and returned to the daily routine work. Lysholm score should also be taken into account in this regard.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.