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 |
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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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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.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2012.03.001</identifier><identifier>PMID: 23206617</identifier><identifier>CODEN: CLIMEB</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Clinical imaging, 2013-01, Vol.37 (1), p.116-123</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>Copyright © 2013 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c583t-352de3ad5dc8df1ddba7b05bcb1930005ab2c04f22ffb3756137b6a9d76b092b3</citedby><cites>FETCH-LOGICAL-c583t-352de3ad5dc8df1ddba7b05bcb1930005ab2c04f22ffb3756137b6a9d76b092b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.clinimag.2012.03.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23206617$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ng, Alex Wing Hung</creatorcontrib><creatorcontrib>Griffith, James Francis</creatorcontrib><creatorcontrib>Hung, Esther Hiu Yee</creatorcontrib><creatorcontrib>Law, Kan Yip</creatorcontrib><creatorcontrib>Ho, Eric Po Yan</creatorcontrib><creatorcontrib>Yung, Patrick Shu Hang</creatorcontrib><title>Can MRI predict the clinical instability and loss of the screw home phenomenon following ACL tear?</title><title>Clinical imaging</title><addtitle>Clin Imaging</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anterior cruciate ligament</subject><subject>Anterior Cruciate Ligament - pathology</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Anterior tibial subluxation</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries</subject><subject>Instability</subject><subject>Joint Instability - etiology</subject><subject>Joint Instability - pathology</subject><subject>Knee</subject><subject>Knee Injuries - complications</subject><subject>Knee Injuries - pathology</subject><subject>Laxity</subject><subject>Ligaments</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Movement</subject><subject>Muscular system</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Screws</subject><subject>Sensitivity and Specificity</subject><subject>Sports medicine</subject><subject>Stability</subject><subject>Studies</subject><subject>Tearing</subject><subject>Translations</subject><subject>Young Adult</subject><issn>0899-7071</issn><issn>1873-4499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkktvEzEUhS0EoqHwFypLbNjMcG3P2DMboIp4VApC4rG2_JrGYWIHe0KVf4-naUDqpnhzN9851r3nIHRBoCZA-OtNbUYf_FZd1xQIrYHVAOQRWpBOsKpp-v4xWkDX95UAQc7Qs5w3BeB9I56iM8oocE7EAumlCvjz1yu8S856M-Fp7fCttVEj9iFPSvvRTwesgsVjzBnH4RbKJrkbvI5bh3drF8oMMeAhjmO88eEaXy5XeHIqvX2OngxqzO7F3TxHPz68_778VK2-fLxaXq4q03ZsqlhLrWPKttZ0diDWaiU0tNpo0jMAaJWmBpqB0mHQTLScMKG56q3gGnqq2Tl6dfTdpfhr7_Iktz4bN44quLjPknBBGtH0TfMwSgUVjDcC_gMtjxFCWUFf3kM3cZ9C2XmmoGu7riOF4kfKpHLN5Aa5SyXHdJAE5Jyt3MhTtnLOVgKTJboivLiz3-uts39lpzAL8O4IuHLl394lmY13wZRgkzOTtNE__MebexanLvx0B5f_7SNz0chvc8PmghFa1ACM_QH5k8t2</recordid><startdate>20130101</startdate><enddate>20130101</enddate><creator>Ng, Alex Wing Hung</creator><creator>Griffith, James Francis</creator><creator>Hung, Esther Hiu Yee</creator><creator>Law, Kan Yip</creator><creator>Ho, Eric Po Yan</creator><creator>Yung, Patrick Shu Hang</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><scope>7QO</scope><scope>7U5</scope><scope>L7M</scope></search><sort><creationdate>20130101</creationdate><title>Can MRI predict the clinical instability and loss of the screw home phenomenon following ACL tear?</title><author>Ng, Alex Wing Hung ; Griffith, James Francis ; Hung, Esther Hiu Yee ; Law, Kan Yip ; Ho, Eric Po Yan ; Yung, Patrick Shu Hang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c583t-352de3ad5dc8df1ddba7b05bcb1930005ab2c04f22ffb3756137b6a9d76b092b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anterior cruciate ligament</topic><topic>Anterior Cruciate Ligament - pathology</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Anterior tibial subluxation</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries</topic><topic>Instability</topic><topic>Joint Instability - etiology</topic><topic>Joint Instability - pathology</topic><topic>Knee</topic><topic>Knee Injuries - complications</topic><topic>Knee Injuries - pathology</topic><topic>Laxity</topic><topic>Ligaments</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Movement</topic><topic>Muscular system</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Screws</topic><topic>Sensitivity and Specificity</topic><topic>Sports medicine</topic><topic>Stability</topic><topic>Studies</topic><topic>Tearing</topic><topic>Translations</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ng, Alex Wing Hung</creatorcontrib><creatorcontrib>Griffith, James Francis</creatorcontrib><creatorcontrib>Hung, Esther Hiu Yee</creatorcontrib><creatorcontrib>Law, Kan Yip</creatorcontrib><creatorcontrib>Ho, Eric Po Yan</creatorcontrib><creatorcontrib>Yung, Patrick Shu Hang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Advanced Technologies Database with Aerospace</collection><jtitle>Clinical imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ng, Alex Wing Hung</au><au>Griffith, James Francis</au><au>Hung, Esther Hiu Yee</au><au>Law, Kan Yip</au><au>Ho, Eric Po Yan</au><au>Yung, Patrick Shu Hang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can MRI predict the clinical instability and loss of the screw home phenomenon following ACL tear?</atitle><jtitle>Clinical imaging</jtitle><addtitle>Clin Imaging</addtitle><date>2013-01-01</date><risdate>2013</risdate><volume>37</volume><issue>1</issue><spage>116</spage><epage>123</epage><pages>116-123</pages><issn>0899-7071</issn><eissn>1873-4499</eissn><coden>CLIMEB</coden><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23206617</pmid><doi>10.1016/j.clinimag.2012.03.001</doi><tpages>8</tpages></addata></record> |
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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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