Stress radiography in the diagnosis of anterior cruciate ligament deficiency.

Abstract:

:A prospective study was carried out to test the sensitivity and specificity of stress radiography in detecting anterior cruciate ligament deficiency in both knees of 116 patients using the Telos device. In 47 of these a total or partial rupture of the anterior cruciate ligament was diagnosed by arthroscopy, while the ligament was intact in the remaining 69 patients. The mean difference in radiological translation between the injured and the normal knee was greater than 5 mm (p < 0.001) in those with anterior cruciate deficiency, and less than 3 mm in the others. A differential displacement of up to 3 mm was considered normal. The sensitivity of the method was less than 67% and the specificity was 100%. Clinical diagnosis had a sensitivity of 70.2% and a specificity of 98.5%. Our findings suggest that, although a differential translation of more than 3 mm can be diagnostic, smaller differences do not rule out anterior cruciate deficiency.

journal_name

Int Orthop

authors

Garcés GL,Perdomo E,Guerra A,Cabrera-Bonilla R

doi

10.1007/BF00179966

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

86-8

issue

2

eissn

0341-2695

issn

1432-5195

journal_volume

19

pub_type

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