Manual sonometry of the knee. A practical method for diagnosis of acute rupture of the ACL [Manuelle Sonometrie des Kniegelenks. Eine praxisnahe Methode zur Diagnostik der frischen Ruptur des vorderen Kreuzbandes]

被引：0

作者：

Schwarz W. ^{[1
,3
]}

Hagelstein J. ^{[1
]}

Minholz R. ^{[1
]}

Schierlinger M. ^{[1
]}

Danz B. ^{[2
]}

Gerngroß H. ^{[1
]}

机构：

[1] Chirurgische Abteilung, Bundeswehrkrankenhaus Ulm

[2] Radiologische Abteilung, Bundeswehrkrankenhaus Ulm

[3] Chirurgische Abteilung, Bundeswehrkrankenhaus Ulm, D-89081 Ulm

来源：

Der Unfallchirurg | 1997年 / 100卷 / 4期

关键词：

ACL-rupture; Lachmann-test; sonometry;

D O I：

10.1007/s001130050120

中图分类号：

学科分类号：

摘要：

A prospective, arthroscopic controlled study was performed to evaluate the usefulness of manual sonometry of the knee in the diagnosis of acute rupture of the anterior cruciate ligament (ACL). In 58 patients with an acute knee injury, a maximum of 30 days elapsed between accident and clinical examination (Lachmantest, pivot-shift/McIntosh, 90°anterior translation), manual sonometry and functional X-ray examination. Afterwards all patients were examined by arthroscopy. Nine patients showed a partial, 38 patients a total rupture of the ACL. If the ACL was completely ruptured, the average difference in anterior translation between the contralateral and the injured knee was 3.3 mm (p ≤ 0.001). Statistical analysis showed high sensitivity (85%), specificity (91%) and positive predictive value (98%) for manual sonometry. Clinical examination, apparative sonometry and functional X-ray were, overall, less effective than manual sonometry in detecting ligament rupture. Manual sonometry proved to be a good and practicable method for assessing acute rupture of the ACL.

引用

页码：280 / 285

页数：5