Grading the pivot shift: objective tests with implications for treatment
A logical, objective and reproducible grading system for the pivot shift test is proposed. The rationale is based on performing the examination in varying positions of rotation of the tibia, allowing the type and degree of the different laxities to be defined and quantified. The system has been asse...
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| Veröffentlicht in: | Journal of bone and joint surgery. British volume 1987-03, Vol.69 (2), p.294-299 |
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| container_end_page | 299 |
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| container_issue | 2 |
| container_start_page | 294 |
| container_title | Journal of bone and joint surgery. British volume |
| container_volume | 69 |
| creator | JAKOB, R. P STÄUBLI, H. U DELAND, J. T |
| description | A logical, objective and reproducible grading system for the pivot shift test is proposed. The rationale is based on performing the examination in varying positions of rotation of the tibia, allowing the type and degree of the different laxities to be defined and quantified. The system has been assessed against a new "unblocked" test for anterior subluxation and against radiographic measurements, operative findings and results. This grading system can be valuable in pre-operative assessment and planning and its use in postoperative evaluation would enable results from different centres and different procedures to be compared more accurately. |
| doi_str_mv | 10.1302/0301-620X.69B2.3818763 |
| format | Article |
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This grading system can be valuable in pre-operative assessment and planning and its use in postoperative evaluation would enable results from different centres and different procedures to be compared more accurately.</description><identifier>ISSN: 0301-620X</identifier><identifier>EISSN: 2044-5377</identifier><identifier>DOI: 10.1302/0301-620X.69B2.3818763</identifier><identifier>PMID: 3818763</identifier><identifier>CODEN: JBSUAK</identifier><language>eng</language><publisher>London: British Editorial Society of Bone and Joint Surgery</publisher><subject>Biological and medical sciences ; Humans ; Injuries of the limb. Injuries of the spine ; Joint Dislocations - classification ; Joint Dislocations - diagnosis ; Joint Dislocations - physiopathology ; Joint Instability - classification ; Joint Instability - diagnosis ; Joint Instability - physiopathology ; Knee Injuries - classification ; Knee Injuries - diagnosis ; Knee Injuries - physiopathology ; Knee Joint - diagnostic imaging ; Knee Joint - physiopathology ; Medical sciences ; Methods ; Movement ; Radiography ; Traumas. Diseases due to physical agents</subject><ispartof>Journal of bone and joint surgery. 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Injuries of the spine</subject><subject>Joint Dislocations - classification</subject><subject>Joint Dislocations - diagnosis</subject><subject>Joint Dislocations - physiopathology</subject><subject>Joint Instability - classification</subject><subject>Joint Instability - diagnosis</subject><subject>Joint Instability - physiopathology</subject><subject>Knee Injuries - classification</subject><subject>Knee Injuries - diagnosis</subject><subject>Knee Injuries - physiopathology</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - physiopathology</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Movement</subject><subject>Radiography</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Joint Dislocations - classification</topic><topic>Joint Dislocations - diagnosis</topic><topic>Joint Dislocations - physiopathology</topic><topic>Joint Instability - classification</topic><topic>Joint Instability - diagnosis</topic><topic>Joint Instability - physiopathology</topic><topic>Knee Injuries - classification</topic><topic>Knee Injuries - diagnosis</topic><topic>Knee Injuries - physiopathology</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - physiopathology</topic><topic>Medical sciences</topic><topic>Methods</topic><topic>Movement</topic><topic>Radiography</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>online_resources</toplevel><creatorcontrib>JAKOB, R. P</creatorcontrib><creatorcontrib>STÄUBLI, H. U</creatorcontrib><creatorcontrib>DELAND, J. 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British volume</jtitle><addtitle>J Bone Joint Surg Br</addtitle><date>1987-03-01</date><risdate>1987</risdate><volume>69</volume><issue>2</issue><spage>294</spage><epage>299</epage><pages>294-299</pages><issn>0301-620X</issn><eissn>2044-5377</eissn><coden>JBSUAK</coden><abstract>A logical, objective and reproducible grading system for the pivot shift test is proposed. The rationale is based on performing the examination in varying positions of rotation of the tibia, allowing the type and degree of the different laxities to be defined and quantified. The system has been assessed against a new "unblocked" test for anterior subluxation and against radiographic measurements, operative findings and results. 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| ispartof | Journal of bone and joint surgery. British volume, 1987-03, Vol.69 (2), p.294-299 |
| issn | 0301-620X 2044-5377 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Humans Injuries of the limb. Injuries of the spine Joint Dislocations - classification Joint Dislocations - diagnosis Joint Dislocations - physiopathology Joint Instability - classification Joint Instability - diagnosis Joint Instability - physiopathology Knee Injuries - classification Knee Injuries - diagnosis Knee Injuries - physiopathology Knee Joint - diagnostic imaging Knee Joint - physiopathology Medical sciences Methods Movement Radiography Traumas. Diseases due to physical agents |
| title | Grading the pivot shift: objective tests with implications for treatment |
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