The Posterolateral Drawer Test and External Rotational Recurvatum Test for Posterolateral Rotatory Instability of the Knee

Hughston, Jack C.; Norwood, Lyle A.

doi:10.1097/00003086-198003000-00014

Cited by 237 publications

(127 citation statements)

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“…The clinical diagnosis of meniscal and anterior cruciate injuries has been the subject of many reports [1,3,4,5,11,12,13,18,23,28,30]. Although arthrography and arthroscopy have made it possible to initiate prompt treatment, there are still difficulties in detecting tears of the lateral meniscus [1,4,5] and the posterior horn of the medial meniscus [9,15].…”

Section: Introductionmentioning

confidence: 99%

A prospective study of the accuracy of clinical examination evaluated by arthroscopy of the knee

Yoon

Rah

Park

1997

International Orthopaedics

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Summary. The diagnostic accuracy of clinical examination for internal derangement of the knee were evaluated by arthroscopy in 195 patients (200 knees). Radiographs were available and 50 patients had magnetic resonance imaging. The clinical diagnosis was correct in 104 knees (52%), incomplete in 70 (35%) and incorrect in 26 (13%). When there was a single abnormality the diagnosis was correct in 70%, but when more than 3 lesions were discovered the figure was 28%. All individual lesions were diagnosed correctly in more than 90%. The lesions most difficult to diagnose were chondral fractures, partial tears of the anterior cruciate ligament and loose bodies. Knees with acute lesions and those with a single diagnosis were significantly easier to diagnose (p 50.01). Age, sex, MRI and the surgeon were not significant.

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Section: Introductionmentioning

confidence: 99%

A prospective study of the accuracy of clinical examination evaluated by arthroscopy of the knee

Yoon

Rah

Park

1997

International Orthopaedics

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“…Injuries to the posterolateral corner may be diagnosed using a number of clinical tests, such as the External rotation recurvatum [7], Posterolateral drawer [7] Reverse pivot shift [8], and Spin tests [9]. Many of these tests are inherently difficult to perform or interpret and issues regarding diagnostic accuracy in isolated PLC injury have been raised [6].…”

Section: Discussionmentioning

confidence: 99%

A Seated Single-Person Dial-Test for Posterolateral Corner and Posterior Cruciate Ligament Knee Injuries

Joseph¹,

Dearing²

2014

OJCD

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Background: Injuries to the posterolateral corner of the knee (PLC) can be difficult to diagnose and are often missed. The prone dial test can be difficult to perform in the acute setting and the supine dial test requires an assistant. Purpose: We present a simple single person seated dial test that can easily be performed in all patients with a suspected diagnosis of PLC injury. Study Design: Case Series. Method: The patient is seated on the edge of the examination couch with their knees flexed over the side and their calves pressed against the couch to reduce any posterior tibial subluxation. The patients' knees are placed together ensuring the pelvis is square; the knees are at the same level, and the patellae are facing anteriorly. The patients place their hands against the side of their knees and hold their knees together in this position. The examiner then grasps the patient's feet, approximates the medial malleoli and exerts a lateral rotational force at 30 and 90 degrees of knee flexion. Results: This test has 100% accuracy for diagnosing PLC injury in our institution. Conclusion: We present a sample to use alternative to traditional dial testing that does not require an assistant and also does not require the patient to be prone, thus limiting discomfort in the acute setting.

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“…The test is then repeated at 90° of flexion, if a further increase in external rotation is present, a PCL lesion is associated. -External Rotation Recurvatum Test (Hughston & Norwood, 1980). The patient lies in the supine position with both knees extended.…”

Section: History and Physical Examinationmentioning

confidence: 99%

Role of High Tibial Osteotomy in Chronic Posterior Cruciate Ligament and Posterolateral Corner Knee Instability

Bisicchia¹,

Savarese²

2012

The Role of Osteotomy in the Correction of Congenital and Acquired Disorders of the Skeleton

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The Posterolateral Drawer Test and External Rotational Recurvatum Test for Posterolateral Rotatory Instability of the Knee

Cited by 237 publications

References 0 publications

A prospective study of the accuracy of clinical examination evaluated by arthroscopy of the knee

A prospective study of the accuracy of clinical examination evaluated by arthroscopy of the knee

A Seated Single-Person Dial-Test for Posterolateral Corner and Posterior Cruciate Ligament Knee Injuries

Role of High Tibial Osteotomy in Chronic Posterior Cruciate Ligament and Posterolateral Corner Knee Instability

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