Is triaxial accelerometer reliable in the evaluation and grading of knee pivot-shift phenomenon?

Berruto, Massimo; Uboldi, Francesco; Gala, Luca; Marelli, B; Albisetti, W.

doi:10.1007/s00167-013-2436-9

Cited by 65 publications

(94 citation statements)

References 21 publications

(26 reference statements)

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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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“…[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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“…Identifying the corresponding curve generated by the pivot shift, the software automatically calculates the maximum and minimum acceleration of the limb, the range between those values, and the curve's slope as an indicator for smoothness [42•]. The reliability in using this device was evaluated [43], confirming the differences between ACL-intact and ACL-deficient knees, illustrating post-operative deceleration (relative to pre-operative state), and confirming a successful outcome. A recent study demonstrates a significant decrease in femoral acceleration at the point of tibio-femoral reduction, with strong correlation (r = 0.84, p < 0.0001) demonstrated between acceleration decrease and clinical grade [44].…”

Section: Objective Quantification Of Pivot Shift Phenomenamentioning

confidence: 99%

Basic biomechanic principles of knee instability

Zlotnicki

Naendrup

Ferrer

et al. 2016

Curr Rev Musculoskelet Med

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Motion at the knee joint is a complex mechanical phenomenon. Stability is provided by a combination of static and dynamic structures that work in concert to prevent excessive movement or instability that is inherent in various knee injuries. The anterior cruciate ligament (ACL) is a main stabilizer of the knee, providing both translational and rotatory constraint. Despite the high volume of research directed at native ACL function, pathogenesis and surgical reconstruction of this structure, a gold standard for objective quantification of injury and subsequent repair, has not been demonstrated. Furthermore, recent studies have suggested that novel anatomic structures may play a significant role in knee stability. The use of biomechanical principles and testing techniques provides essential objective/quantitative information on the function of bone, ligaments, joint capsule, and other contributing soft tissues in response to various loading conditions. This review discusses the principles of biomechanics in relation to knee stability, with a focus on the objective quantification of knee stability, the individual contributions of specific knee structures to stability, and the most recent technological advances in the biomechanical evaluation of the knee joint.

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“…In a related study, Berruto et al [21] used the KiRA device to assess the pivot shift of 100 patients with a unilateral ACL injury. Thirty patients were also evaluated following ACL reconstruction surgery.…”

Section: Inertial Sensor For Pivot Shift Quantificationmentioning

confidence: 99%

Assessment of the pivot shift using inertial sensors

Zaffagnini

Signorelli

Grassi

et al. 2016

Curr Rev Musculoskelet Med

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The pivot shift test is an important clinical tool used to assess the stability of the knee following an injury to the anterior cruciate ligament (ACL). Previous studies have shown that significant variability exists in the performance and interpretation of this manoeuvre. Accordingly, a variety of techniques aimed at standardizing and quantifying the pivot shift test have been developed. In recent years, inertial sensors have been used to measure the kinematics of the pivot shift. The goal of this study is to present a review of the literature and discuss the principles of inertial sensors and their use in quantifying the pivot shift test.

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Is triaxial accelerometer reliable in the evaluation and grading of knee pivot-shift phenomenon?

Cited by 65 publications

References 21 publications

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

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

Basic biomechanic principles of knee instability

Assessment of the pivot shift using inertial sensors

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