Combined anterior and rotational knee laxity measurements improve the diagnosis of anterior cruciate ligament injuries
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| 008 | 210128e20151001xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00167-015-3757-7 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-015-3757-7 | ||
| 245 | 0 | 0 | |a Combined anterior and rotational knee laxity measurements improve the diagnosis of anterior cruciate ligament injuries |h [Elektronische Daten] |c [C. Mouton, D. Theisen, T. Meyer, H. Agostinis, C. Nührenbörger, D. Pape, R. Seil] |
| 520 | 3 | |a Purpose: This study analysed whether associating the side-to-side difference in displacement and the slope of the load-displacement curve of anterior and rotational knee laxity measurements would improve the instrumental diagnosis of anterior cruciate ligament (ACL) ruptures and help to detect different types of ACL tears. Methods: Anterior and rotational knee laxity was measured in 128 patients with an arthroscopically confirmed ACL injury and 104 healthy controls. Side-to-side differences were determined for three variables in anterior laxity: anterior displacement at 200N (ATD200), primary compliance from 30 to 50N (PCA) and secondary compliance from 100 to 200N (SCA). Furthermore, four variables in rotational laxity were considered: internal and external rotation at 5Nm (IR5/ER5) and compliance from 2 to 5Nm (C IR/C ER). Receiver operating characteristic curves allowed to determine thresholds, specificities and sensitivities to detect ACL lesions, based on single variables considered and combinations thereof. Results: Sensitivity and specificity reached, respectively, 75 and 95% for ATD200 (threshold: 1.2mm) and 38 and 95% for IR5 (threshold: 3.2°). If either two out of the three variables were positive for anterior laxity or both IR5 and C IR were positive, 81% of patients were identified without a false positive. All patients for whom ATD200 was >3.7mm, PCA>48μm/N or SCA>17.5µm/N had ACL remnants that were either totally resorbed or healed on the posterior cruciate ligament. Conclusion: Combined instrumented anterior and rotational knee laxity measurements have excellent diagnostic value for ACL injury, provided that several measurements be considered concomitantly. Level of evidence: Diagnostic study, Level III. | |
| 540 | |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 | ||
| 690 | 7 | |a Anterior knee laxity |2 nationallicence | |
| 690 | 7 | |a Rotational knee laxity |2 nationallicence | |
| 690 | 7 | |a Anterior cruciate ligament |2 nationallicence | |
| 690 | 7 | |a Injury diagnosis |2 nationallicence | |
| 690 | 7 | |a Combined laxity measurements |2 nationallicence | |
| 700 | 1 | |a Mouton |D C. |u Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg |4 aut | |
| 700 | 1 | |a Theisen |D D. |u Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg |4 aut | |
| 700 | 1 | |a Meyer |D T. |u Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany |4 aut | |
| 700 | 1 | |a Agostinis |D H. |u Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg |4 aut | |
| 700 | 1 | |a Nührenbörger |D C. |u Sports Clinic, Centre Hospitalier of Luxembourg, Luxembourg, Luxembourg |4 aut | |
| 700 | 1 | |a Pape |D D. |u Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg |4 aut | |
| 700 | 1 | |a Seil |D R. |u Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/10(2015-10-01), 2859-2867 |x 0942-2056 |q 23:10<2859 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-015-3757-7 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-015-3757-7 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Mouton |D C. |u Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Theisen |D D. |u Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Meyer |D T. |u Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Agostinis |D H. |u Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Nührenbörger |D C. |u Sports Clinic, Centre Hospitalier of Luxembourg, Luxembourg, Luxembourg |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Pape |D D. |u Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Seil |D R. |u Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/10(2015-10-01), 2859-2867 |x 0942-2056 |q 23:10<2859 |1 2015 |2 23 |o 167 | ||