Dynamic Three-Dimensional Analysis of Lachman Test for Anterior Cruciate Ligament Insufficiency: Analysis of Anteroposterior Motion of the Medial and Lateral Femoral Epicondyles
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Purpose: To evaluate dynamic three-dimensional (3D) kinematic properties of the anterior cruciate ligament (ACL)-insufficient knees and healthy contralateral knees in awake patients during the Lachman test using biplane fluoroscopy. Materials and Methods: Ten patients with unilateral ACL-insufficient knees and healthy contralateral knees were enrolled in this study. Each patient underwent the Lachman test three times in the awake state. The knee joint motions were captured using biplane fluoroscopy. After manual registration of 3D surface data from 3D-computed tomography to biplane images, dynamic 3D kinematic data were analyzed. Results: The average anteroposterior (AP) translation of the medial femoral epicondyle of the ACL-insufficient knees (11.5±4.2 mm) was significantly greater than that of the contralateral knees (7.7±3.5 mm) (p<0.05). However, there was no statistically significant side-to-side difference in the average AP translation of the lateral femoral epicondyle. During the Lachman test, the distal femur was more externally rotated than the proximal tibia, which showed significant difference between both sides.Conclusions: During the Lachman test, the medial femoral epicondyle of the ACL-insufficient knee exhibited greater AP motion than that of the contralateral knee, whereas there was no significant side-to-side difference with regard to the AP motion of the lateral femoral epicondyle.
Abstract
Purpose: To evaluate dynamic three-dimensional (3D) kinematic properties of the anterior cruciate ligament (ACL)-insufficient knees and healthy contralateral knees in awake patients during the Lachman test using biplane fluoroscopy. Materials and Methods: Ten patients with unilateral ACL-insufficient knees and healthy contralateral knees were enrolled in this study. Each patient underwent the Lachman test three times in the awake state. The knee joint motions were captured using biplane fluoroscopy. After manual registration of 3D surface data from 3D-computed tomography to biplane images, dynamic 3D kinematic data were analyzed. Results: The average anteroposterior (AP) translation of the medial femoral epicondyle of the ACL-insufficient knees (11.5±4.2 mm) was significantly greater than that of the contralateral knees (7.7±3.5 mm) (p<0.05). However, there was no statistically significant side-to-side difference in the average AP translation of the lateral femoral epicondyle. During the Lachman test, the distal femur was more externally rotated than the proximal tibia, which showed significant difference between both sides.Conclusions: During the Lachman test, the medial femoral epicondyle of the ACL-insufficient knee exhibited greater AP motion than that of the contralateral knee, whereas there was no significant side-to-side difference with regard to the AP motion of the lateral femoral epicondyle.
참고문헌 (30)
- Gianotti SM, "Incidence of anterior cruciate ligament injury and other knee ligament injuries : a national population-based study", J Sci Med Sport, 12, pp.622~627 (2009)
- Allen CR, "Injury and reconstruction of the anterior cruciate ligament and knee osteoarthritis", Osteoarthritis Cartilage, 7, pp.110~121 (1999)
- Oiestad BE, "Knee osteoarthritis after anterior cruciate ligament injury : a systematic review", Am J Sports Med, 37, pp.1434~1443 (2009)
- Benjaminse A, "Clinical diagnosis of an anterior cruciate ligament rupture : a meta-analysis", J Orthop Sports Phys Ther, 36, pp.267~288 (2006)
- Scholten RJ, "Accuracy of physical diagnostic tests for assessing ruptures of the anterior cruciate ligament : a meta-analysis", J Fam Pract, 52, pp.689~694 (2003)
- Ostrowski JA, "Accuracy of 3 diagnostic tests for anterior cruciate ligament tears", J Athl Train, 41, pp.120~121 (2006)
- Mulligan EP, "Reliability and diagnostic accuracy of the Lachman test performed in a prone position", J Orthop Sports Phys Ther, 41, pp.749~757 (2011)
- Tyler TF, "Association of KT-1000 measurements with clinical tests of knee stability 1 year following anterior cruciate ligament reconstruction", J Orthop Sports Phys Ther, 29, pp.540~545 (1999)
- Robinson J, "Influence of anterior cruciate ligament bundles on knee kinematics : clinical assessment using computer-assisted navigation", Am J Sports Med, 35, pp.2006~2013 (2007)
- Colombet P., "Knee laxity control in revision anterior cruciate ligament reconstruction versus anterior cruciate ligament reconstruction and lateral tenodesis: clinical assessment using computer-assisted navigation", Am J Sports Med, 39, pp.1248~1254 (2011)
- Araki D, "Biomechanical analysis of the knee with partial anterior cruciate ligament disruption : quantitative evaluation using an electromagnetic measurement system", Arthroscopy, 29, pp.1053~1062 (2013)
- Ahlden M, "Dynamic knee laxity measurement devices", Knee Surg Sports Traumatol Arthrosc, 20, pp.621~632 (2012)
- Kuroda R, "Similarities and differences of diagnostic manual tests for anterior cruciate ligament insufficiency : a global survey and kinematics assessment", Am J Sports Med, 40, pp.91~99 (2012)
- Logan MC, "What really happens during the Lachman test? A dynamic MRI analysis of tibiofemoral motion", Am J Sports Med, 32, pp.369~375 (2004)
- Nordt WE 3rd, "The in vivo assessment of tibial motion in the transverse plane in anterior cruciate ligament-reconstructed knees", Am J Sports Med, 27, pp.611~616 (1999)
- Brandsson S, "Kinematics after tear in the anterior cruciate ligament : dynamic bilateral radiostereometric studies in 11 patients", Acta Orthop Scand, 72, pp.372~378 (2001)
- Brandsson S, "Kinematics and laxity of the knee joint after anterior cruciate ligament reconstruction : pre-and postoperative radiostereometric studies", Am J Sports Med, 30, pp.361~367 (2002)
- Defrate LE, "The 6 degrees of freedom kinematics of the knee after anterior cruciate ligament deficiency : an in vivo imaging analysis", Am J Sports Med, 34, pp.1240~1246 (2006)
- Tashman S, "Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction", Am J Sports Med, 32, pp.975~983 (2004)
- Lutzner J, "Rotational alignment of the tibial component in total knee arthroplasty is better at the medial third of tibial tuberosity than at the medial border", BMC Musculoskelet Disord, 11, pp.57~ (2010)
- Kawahara S, "Relationship between the tibial anteroposterior axis and the surgical epicondylar axis in varus and valgus knees", Knee Surg Sports Traumatol Arthrosc, 20, pp.2077~2081 (2012)
- Lerat JL, "Knee instability after injury to the anterior cruciate ligament. Quantification of the Lachman test", J Bone Joint Surg Br, 82, pp.42~47 (2000)
- Hurley WL, "Influences of variation in force application on tibial displacement and strain in the anterior cruciate ligament during the Lachman test", Clin Biomech(Bristol, Avon), 19, pp.95~98 (2004)
- Maeda S, "Intraoperative navigation evaluation of tibial translation after resection of anterior cruciate ligament remnants", Arthroscopy, 27, pp.1203~1210 (2011)
- Christel PS, "The contribution of each anterior cruciate ligament bundle to the Lachman test : a cadaver investigation", J Bone Joint Surg Br, 94, pp.68~74 (2012)
- Komistek RD, "In vivo fluoroscopic analysis of the normal human knee", Clin Orthop Relat Res, (410), pp.69~81 (2003)
- Dennis DA, "In vivo determination of normal and anterior cruciate ligament-deficient knee kinematics", J Biomech, 38, pp.241~253 (2005)
- van Eck CF, "Methods to diagnose acute anterior cruciate ligament rupture : a meta-analysis of physical examinations with and without anaesthesia", Knee Surg Sports Traumatol Arthrosc, 21, pp.1895~1903 (2013)
- Ahn JH, "Longitudinal tear of the medial meniscus posterior horn in the anterior cruciate ligament-deficient knee significantly influences anterior stability", Am J Sports Med, 39, pp.2187~2193 (2011)
- Seon JK, "The effect of anterior cruciate ligament reconstruction on kinematics of the knee with combined anterior cruciate ligament injury and subtotal medial meniscectomy : an in vitro robotic investigation", Arthroscopy, 25, pp.123~130 (2009)