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Quantitative measurement of the pivot shift, reliability, and clinical applications

  • Knee
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Static load–displacement measurement is unrelated to the dynamic knee function of anterior cruciate ligament (ACL) insufficiency. Performing an accurate, dynamic functional evaluation is necessary not only for the primary ACL injury, but also as an outcome measurement in ACL reconstruction. The pivot shift test is commonly used for assessing dynamic rotatory knee laxity in ACL-insufficient knees and is related to subjective knee function. Residual pivot shift after ACL reconstruction is a crucial factor related to poor clinical outcome. However, the pivot shift test is subjectively determined by the examiners’ hands. Not only 3-dimensional (3D) position displacement but also its 3D acceleration should be measured for quantitative evaluation of the pivot shift test and is currently feasible by using recent advanced technology, i.e., electromagnetic devices. We summarize the basic knowledge and current concepts of quantitative exploration of the dynamic knee movement during the pivot shift test.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan

    Ryosuke Kuroda, Yuichi Hoshino, Daisuke Araki, Yuichiro Nishizawa, Tomoyuki Matsumoto, Seiji Kubo, Takehiko Matsushita & Masahiro Kurosaka

  2. Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA

    Yuichi Hoshino

  3. Department of Human and AI Systems, Faculty of Engineering, Fukui University, Fukui, Japan

    Kouki Nagamune

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  1. Ryosuke Kuroda
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  2. Yuichi Hoshino
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  9. Masahiro Kurosaka
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Correspondence to Ryosuke Kuroda.

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Kuroda, R., Hoshino, Y., Araki, D. et al. Quantitative measurement of the pivot shift, reliability, and clinical applications. Knee Surg Sports Traumatol Arthrosc 20, 686–691 (2012). https://doi.org/10.1007/s00167-011-1849-6

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