Clinical grading of the pivot shift test correlates best with tibial acceleration

Ahldén, Mattias; Araújo, Paulo; Hoshino, Yuichi; Samuelsson, Kristian; Middleton, Kellie K.; Nagamune, Kouki; Karlsson, Jón; Musahl, Volker

doi:10.1007/s00167-011-1863-8

Cited by 47 publications

(40 citation statements)

References 27 publications

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“…Ahldén et al 22 discovered in vitro a moderate correlation (r=0.58) between the PS clinical grading and the maximal acceleration of the tibia. Kopf et al 23 found a significant in-vivo difference between the healthy and injured knees but found no correlation to the PS clinical grading.…”

Section: Discussionmentioning

confidence: 98%

In-vivo pivot-shift test measured with inertial sensors correlates with the IKDC grade

et al. 2018

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Section: Discussionmentioning

confidence: 98%

In-vivo pivot-shift test measured with inertial sensors correlates with the IKDC grade

et al. 2018

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“…[34][35][36][37] In addition, tibial acceleration parameters have had good correlation with clinical grading of the pivot-shift test. [38][39][40] Limitations…”

Section: Discussionmentioning

confidence: 99%

The Influence of Knee Flexion Angle for Graft Fixation on Rotational Knee Stability During Anterior Cruciate Ligament Reconstruction: A Biomechanical Study

Debandi

Maeyama

Hoshino

et al. 2016

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Assessment of bone bruise patterns can also provide insight into injury mechanisms. 20 The patient should also undergo quantitative pivot shift testing to assess for the degree of rotatory instability (Figure 1), 53, 54 which can indicate additional injury including clinically relevant meniscal tears, anterolateral complex injuries, or underlying bony morphology consistent with rotatory instability. In these cases, additional procedures such as extra-articular tenodesis may be indicated.…”

Section: Technical Considerations For Revision Acl Reconstruction Surmentioning

confidence: 99%

Technical Considerations in Revision Anterior Cruciate Ligament Reconstruction for Operative Techniques in Orthopaedics

Burnham

Herbst

Pauyo

et al. 2017

Operative Techniques in Orthopaedics

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As the incidence of anterior cruciate ligament (ACL) reconstruction continues to increase, the rate of revision surgery continues to climb. Revision surgery has inherent challenges that must be addressed in order to achieve successful results. The cause of the primary ACL reconstruction failure should be determined, and careful preoperative planning should be performed to address the cause(s) of failure. Each patient undergoing revision surgery should undergo a thorough history and physical examination, receive full length alignment radiographs, lateral radiographs, 45-degree flexion weight-bearing postero-anterior radiographs, and patellofemoral radiographs. 3-dimensional computed topography (CT) scan should be performed to assess tunnel position and widening. Magnetic resonance imaging (MRI) should be used to assess for intra-articular soft tissue pathology. Meniscal tears, meniscal deficiency, anterolateral capsule injuries, bony morphology, age, activity level, connective tissue diseases, infection, graft choice, and tunnel position can all impact the success of ACL reconstruction surgery. Meniscal lesions should be repaired, and in cases of persistent rotatory instability, extra-articular procedures may be indicated. Furthermore, osteotomies may be needed to correct malalignment or excess posterior tibial slope. Depending on the placement and condition of the original femoral and tibial tunnels, revision surgery may be performed in a single procedure or in a staged manner. In most cases, the surgery can be performed in one procedure. Regardless, the surgeon must communicate with the patient openly regarding the implications of revision ACL surgery and the treatment plan should be developed in a shared fashion between the surgeon and the patient.

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Clinical grading of the pivot shift test correlates best with tibial acceleration

Abstract: Diagnostic study, Level II.

Cited by 47 publications

References 27 publications

In-vivo pivot-shift test measured with inertial sensors correlates with the IKDC grade

In-vivo pivot-shift test measured with inertial sensors correlates with the IKDC grade

The Influence of Knee Flexion Angle for Graft Fixation on Rotational Knee Stability During Anterior Cruciate Ligament Reconstruction: A Biomechanical Study

Technical Considerations in Revision Anterior Cruciate Ligament Reconstruction for Operative Techniques in Orthopaedics

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