Can MRI predict the clinical instability and loss of the screw home phenomenon following ACL tear?

Abstract Our purpose was to determine the relationship between tibiofemoral translation on magnetic resonance imaging and clinical instability of the knee following anterior cruciate ligament (ACL) injury. Within 66 patients (43 males, 23 females, mean age 30.25 years), 15 of 19 patients (80%) with...

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Veröffentlicht in:Clinical imaging 2013-01, Vol.37 (1), p.116-123
Hauptverfasser: Ng, Alex Wing Hung, Griffith, James Francis, Hung, Esther Hiu Yee, Law, Kan Yip, Ho, Eric Po Yan, Yung, Patrick Shu Hang
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container_end_page 123
container_issue 1
container_start_page 116
container_title Clinical imaging
container_volume 37
creator Ng, Alex Wing Hung
Griffith, James Francis
Hung, Esther Hiu Yee
Law, Kan Yip
Ho, Eric Po Yan
Yung, Patrick Shu Hang
description Abstract Our purpose was to determine the relationship between tibiofemoral translation on magnetic resonance imaging and clinical instability of the knee following anterior cruciate ligament (ACL) injury. Within 66 patients (43 males, 23 females, mean age 30.25 years), 15 of 19 patients (80%) with an intact ACL had a demonstrable normal screw home movement, while 24 of 47 patients (51%) with an ACL tear had absence of the screw home movement. Patients with clinical instability had greater tibial translation and excursion at the lateral compartment ( P =.0001). Following ACL injury, there is demonstrable absence of the normal screw-home movement with anterior tibial translation and excursion related to presence of clinical instability.
doi_str_mv 10.1016/j.clinimag.2012.03.001
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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adolescent
Adult
Anterior cruciate ligament
Anterior Cruciate Ligament - pathology
Anterior Cruciate Ligament Injuries
Anterior tibial subluxation
Female
Humans
Injuries
Instability
Joint Instability - etiology
Joint Instability - pathology
Knee
Knee Injuries - complications
Knee Injuries - pathology
Laxity
Ligaments
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Middle Aged
Movement
Muscular system
Patients
Prognosis
Radiology
Reproducibility of Results
Screws
Sensitivity and Specificity
Sports medicine
Stability
Studies
Tearing
Translations
Young Adult
title Can MRI predict the clinical instability and loss of the screw home phenomenon following ACL tear?
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