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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2021, Number 2

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Acta Ortop Mex 2021; 35 (2)

Quantitative classification of pivot-shift maneuver

Berumen-Nafarrate E, Carmona-González J, Tonche-Ramos J, Carmona-Máynez O, Aguirre-Madrid A, Reyes-Conn R, Ramos-Moctezuma I, Sigala-González L, Quintana-Trejo F, Moreno-Brito V, Leal-Berumen I

Language: Spanish
References: 30
Page: 153-157
PDF size: 181.72 Kb.


ABSTRACT

Introduction: The diagnosis of ACL injury is established with the physical examination that includes the Lachman maneuver and the pivot-shift test since it has the highest positive predictive value. Imaging tests such as MRI are still used for confirmation of the same; so the quantification of clinical maneuvers is sought. Material and methods: Prospective clinical study in which the maneuvers of pivot-shift and Lachman are quantified for later classification. Results: Of 36 patients, 64% found a range between 0 and 3 mm when subtracting the value of the affected knee from the value of the healthy knee. It was found that 28% of the patients recorded values of KT-1000 ranging between 4 and 6 mm of displacement. In 8% of the total patients, values of KT-1000 were found that exceeded 7 mm of displacement. The data obtained are normalized and classified into 3 degrees of injury: grade 1 with partial injury; grade 2 with complete anteromedial and partial injury in posterolateral bundle; grade 3 with complete injury of both bundles. Conclusion: A classification is proposed for the degrees of ACL injury with future application to a more personalized reconstruction.


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EVIDENCE LEVEL

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