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The Functional Integrity of the Anterior Cruciate Ligament Can Be Objectively Assessed With the Use of Stress Radiographs: A Systematic Review.
Schwartz, Jake; Rodriguez, Ariel N; Banovetz, Mark T; Braaten, Jacob A; Larson, Christopher M; Wulf, Corey A; Kennedy, Nicholas I; LaPrade, Robert F.
Afiliación
  • Schwartz J; Maimonides Medical Center, Brooklyn, New York, USA.
  • Rodriguez AN; Maimonides Medical Center, Brooklyn, New York, USA.
  • Banovetz MT; University of Minnesota, Minneapolis, Minnesota, USA.
  • Braaten JA; University of Minnesota, Minneapolis, Minnesota, USA.
  • Larson CM; Twin Cities Orthopedics, Edina, Minnesota, USA.
  • Wulf CA; Twin Cities Orthopedics, Edina, Minnesota, USA.
  • Kennedy NI; Twin Cities Orthopedics, Edina, Minnesota, USA.
  • LaPrade RF; Twin Cities Orthopedics, Edina, Minnesota, USA.
Orthop J Sports Med ; 12(4): 23259671241246197, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38680218
ABSTRACT

Background:

Stress radiography is a viable imaging modality that can also be used to assess the integrity of the anterior cruciate ligament (ACL) after primary or secondary injury. Because conventional radiography is relatively easy, affordable, and available worldwide, the diagnostic efficacy of ACL standing, lateral decubitus, and supine stress radiography should be evaluated.

Purpose:

To examine the existing literature regarding the application of stress radiography in evaluating the integrity of the ACL. Study

Design:

Systematic review; Level of evidence, 3.

Methods:

Using the PubMed and MEDLINE databases for relevant articles published between 1980 and the present, a systematic review was conducted to identify evidence related to the radiographic diagnosis or assessment of ACL tears. The literature search was conducted in September 2022.

Results:

Of 495 studies, 16 (1823 patients) were included. Four studies examined standing stress radiography, and 12 investigated lateral decubitus or supine stress radiography. Significant heterogeneity in imaging technique and recorded anterior tibial translation was identified. Anterior tibial translation for ACL-injured knees ranged from 1.2 to 10.6 mm for standing stress radiographs and 2.7 to 11.2 mm for supine stress radiographs, with high sensitivities and specificities for both.

Conclusion:

Stress radiography was a dependable diagnostic method for identifying ACL rupture. Further research is necessary to determine the ideal anatomic landmarks, optimal patient positioning, and appropriate applied stresses to establish a standardized protocol for both assessing ACL tears and evaluating the postoperative integrity of ACL reconstruction using stress radiography.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Orthop J Sports Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Orthop J Sports Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos