Document Detail


A comprehensive review of partial anterior cruciate ligament tears.
MedLine Citation:
PMID:  19122096     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A partial tear of the anterior cruciate ligament is characterized by an asymmetric Lachman-test result, a negative pivot-shift test, a low-grade KT-1000 arthrometer measurement (< or =3 mm), and arthroscopic evidence of anterior cruciate ligament injury. The pivot shift test is the most important test in determining anterior cruciate ligament insufficiency. A positive test, independent of the grade, is indicative of a functionally deficient anterior cruciate ligament. Nonoperative management results in an acceptable clinical outcome in the majority of cases. Progression to knee instability (anterior translation and rotation) depends on the extent of the anterior cruciate ligament injury and the activity level of the patient. Thermal treatment is not recommended for partial tears of the anterior cruciate ligament. Symptomatic instability is treated reliably with anterior cruciate ligament reconstruction.
Authors:
Michael J DeFranco; Bernard R Bach
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  91     ISSN:  1535-1386     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-05     Completed Date:  2009-02-10     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  198-208     Citation Subset:  AIM; IM    
Affiliation:
Harvard Shoulder Service, Massachusetts General Hospital, Yawkey Center for Outpatient Care, 3G, 55 Fruit Street, Boston, MA 02114, USA.
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MeSH Terms
Descriptor/Qualifier:
Anterior Cruciate Ligament / injuries*
Arthrometry, Articular
Arthroscopy
Biomechanics
Diagnostic Imaging
Humans
Knee Injuries / diagnosis*,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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