Acta Chir Orthop Traumatol Cech. 2020; 87(5):318-322 | DOI: 10.55095/achot2020/047

Clinical Assessment of Anterior Cruciate Ligament RuptureCurrent concepts review

D. LÍŠKA1,2,*, R. ZELNÍK3,4
1 Slovenská zdravotnícka univerzita v Bratislave, Fakulta zdravotníctva v Banskej Bystrici
2 Univerzita Mateja Bela, Filozofická fakulta, Katedra telesnej výchovy a športu, Banská Bystrica
3 Fakultná nemocnica s poliklinikou F.D. Roosevelta, Ortopedická klinika SZU, Banská Bystrica
4 Fakultná nemocnica s poliklinikou F.D. Roosevelta, Oddelenie fyziatrie, balneológie a liečebnej rehabilitácie, Banská Bystrica

Anterior cruciate ligament (ACL) rupture is one of the most common traumatic injuries of the knee joint. Acute knee injury is often characterized by pain and the typical accompanying rupture sound. The injured person often feels pain in the knee, with swelling, the movement is painful in the full range of motion. The most commonly used test procedures for rupture include Lachman test, pivot shift test, anterior drawer and lever sign test. This review includes a description of individual tests and the diagnostic value of examination after the ACL rupture. The sensitivity and specificity of the lever sign test was 0.92-1.00, the specificity was 0.94-1.00. The anterior drawer testing reported sensitivity values ranged from 0.18 to 0.92 and specificity values ranged from 0.78 to 0.98. The sensitivity and specificity of the pivot shift test ranged from 0.18 to 0.48 and the specificity from 0.90 to 0.99. The sensitivity and specificity of the Lachman test were 0.63-0.93 and the specificity was 0.55-0.99. The lever sign test, the pivot shift test, the anterior drawer test and the Lachman test are valid parts of the anterior cruciate ligament examination with respect to the prediction of anterior cruciate ligament rupture using Magnetic Resonance Imaging and arthroscopy.

Keywords: rupture ligamentum cruciatum anterius, test maneuvers, lever sign test, pivot shift test, anterior drawer, Lachman test

Published: October 1, 2020  Show citation

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LÍŠKA D, ZELNÍK R. Clinical Assessment of Anterior Cruciate Ligament Rupture. Acta Chir Orthop Traumatol Cech. 2020;87(5):318-322. doi: 10.55095/achot2020/047. PubMed PMID: 33146598.
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