Earticle

초록

영어

This study aimed to analyze the accuracy and interobserver reliability of the four common diagnostic tests for anterior cruciate ligament (ACL) rupture. The effect of anesthesia, chronicity of the injury and patient’s body mass index (BMI) on the reliabilities was also assessed. Patients who underwent arthroscopic knee surgery were examined before the surgery and under anesthesia by three observers categorized based on their experience levels. One hundred two patients were evaluated to determine the accuracy of these tests. Sixty-two patients with ACL rup-ture were further examined to assess the effect of BMI (≤25 kg/m2, or >25 kg/m2) and chronicity (≤4 or >4 weeks) of the injury on reliabilities with using the Fleiss kappa method. The Lachman test performed under anesthesia had the highest sensitivity (100%, 100%, and 96.7%). In con-trast, pivot shift and lever sign tests had the lowest sensitivity both in awake (24.2%, 17.7%, 8.1% and 37.1%, 33.8%, 29%) and anesthetized condition (75.8%, 75.8%, 67.7% and 41.9%, 43.5%, 40.3%). Specificities of the tests except pivot shift were negatively affected when performed under anesthesia. The reliability of the anterior drawer test was perfect under anesthesia. The lever sign test had the highest reliability in the awake condition in patients with a BMI of >25 kg/m2. Furthermore, the reliabilities of the anterior drawer, Lachman, and pivot-shift tests in awake condition were found to be increased in patients with a chronic injury. Finally, the examiner’s experience is not important for the physi-cal diagnosis of ACL rupture.

목차

Abstract
INTRODUCTION
MATERIALS AND METHODS
Anterior drawer test
Lachman test
Pivot-shift test
Lever sign test
Statistical analysis
RESULTS
DISCUSSION
CONFLICT OF INTEREST
ACKNOWLEDGMENTS
REFERENCES

키워드

저자

• Emre Bilgin [ Department of Orthopaedics and Traumatology, Bozyaka Training and Research Hospital, Health Science University, Izmir, Turkey ] Corresponding Author
• Ali Turgut [ Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, Health Science University, Izmir, Turkey ]
• Sertan Hancıoğlu [ Department of Orthopaedics and Traumatology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey ]
• Emre Sarıekiz [ Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, Health Science University, Izmir, Turkey ]
• Melikşah Uzakgider [ Department of Orthopaedics and Traumatology, Bozyaka Training and Research Hospital, Health Science University, Izmir, Turkey ]
• Önder Kalenderer [ Department of Orthopaedics and Traumatology, Faculty of Medicine, Tinaztepe University, Izmir, Turkey ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  JER [Journal of Exercise Rehabilitation]

• 간기

  격월간

• pISSN

  2288-176X

• eISSN

  2288-1778

• 수록기간

  2013~2026

• 등재여부

  SCOPUS,KCI 등재

• 십진분류

  KDC 517 DDC 613