Use of a gyroscope sensor to quantify tibial motions during a pivot shift test

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• 作者：Per Henrik Borgstrom ; Keith L. Markolf…
• 关键词：Pivot shift ; Quantification ; ACL ; Gyroscope ; Accelerometer
• 刊名：Knee Surgery, Sports Traumatology, Arthroscopy
• 出版年：2014
• 出版时间：September 2014
• 年：2014
• 卷：22
• 期：9
• 页码：2064-2069
• 全文大小：430 KB
• 参考文献：1. Ahldén M, Araujo P, Hoshino Y, Samuelsson K, Middleton KK, Nagamune K, Karlsson J, Musahl V (2012) Clinical grading of the pivot shift test correlates best with tibial acceleration. Knee Surg Sports Traumatol Arthrosc 20:708-12 CrossRef
  2. Ahldén M, Hoshino Y, Samuelsson K, Araujo P, Musahl V, Karlsson J (2012) Dynamic knee laxity measurement devices. Knee Surg Sports Traumatol Arthrosc 20:621-32 CrossRef
  3. Araki D, Kuroda R, Kubo S, Fujita N, Tei K, Nishimoto K, Hoshino Y, Matsushita T, Matsumoto T, Nagamune K, Kurosaka M (2011) A prospective randomised study of anatomical single-bundle versus double-bundle anterior cruciate ligament reconstruction: quantitative evaluation using an electromagnetic measurement system. Int Orthop 20:439-46 CrossRef
  4. Araujo PH, Ahlden M, Hoshino Y, Muller B, Moloney G, Fu FH, Musahl V (2012) Comparison of three non-invasive quantitative measurement systems for the pivot shift test. Knee Surg Sports Traumatol Arthrosc 4:692-97 CrossRef
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  6. Galway RD, Beaupre A, Macintosh DL (1972) Pivot shift: a clinical sign of symptomatic anterior cruciate insufficiency. J Bone Joint Surg Br 54:763-64
  7. Hoshino Y, Araujo P, Ahlden M, Moore CG, Kuroda R, Zaffagnini S, Karlsson J, Fu FH, Musahl V (2012) Standardized pivot shift test improves measurement accuracy. Knee Surg Sports Traumatol Arthrosc 20:732-36 CrossRef
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  10. Hoshino Y, Kuroda R, Nagamune K, Yagi M, Mizuno K, Yamaguchi M, Muratsu H, Yoshiya S, Kurosaka M (2007) In vivo measurement of the pivot-shift test in the anterior cruciate ligament-deficient knee using an electromagnetic device. Am J Sports Med 35:1098-104 CrossRef
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  25. Matsumoto T, Nagamune K, Kurosaka M (2011) A prospective randomised study of anatomical single-bundle versus double-bundle anterior cruciate ligament reconstruction: quantitative evaluation using an electromagnetic measurement system. Int Orthop 35:439-46 CrossRef
  26. Nakamura S, Kobayashi M, Asano T, Arai R, Nakagawa Y, Nakamura T (2011) Image-matching technique can detect rotational and AP instabilities in chronic ACL-deficient knees. Knee Surg Sports Traumatol Arthrosc 19(Suppl 1):S69–S76 CrossRef
  
• 作者单位：Per Henrik Borgstrom (1)
  Keith L. Markolf (1) (2)
  Brock Foster (1)
  Frank A. Petrigliano (1)
  David R. McAllister (1)
  
  1. Biomechanics Research Section, Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
  2. Biomechanics Research Section, UCLA Department of Orthopaedic Surgery, UCLA Rehabilitation Center, 1000 Veteran Ave., Room 21-67, Los Angeles, CA, 90095-1759, USA
  
• ISSN：1433-7347

文摘

Purpose The purpose of this preliminary study was to evaluate the use of a gyroscope sensor to record rotations of the tibia about its long axis during a clinical pivot shift examination. Methods Ten patients with a unilateral ACL injury were tested under anaesthesia prior to surgery. Each ankle was placed in neutral position, wrapped and stabilized with athletic tape, and a small aluminium plate was taped to the bottom of the foot. A data recovery module was attached to the bottom of each plate using a swivel bracket that allowed alignment of the gyro axis with the long axis of the tibia. The module contained a triaxial gyroscope, battery and circuitry for wireless data broadcast to a laptop computer. Ten pivot shift tests were performed on both knees, and the surgeon’s clinical grading of the pivot shift was noted for each limb. Mean values (10 trials) of peak tibial rotational velocity and integrated tibial rotation were compared between knees for each patient during the pivot shift reduction event (external tibial rotation during knee flexion). Results Five patients (50?%) had significantly greater tibial rotation in their injured knee, four showed no difference between knees, and one had significantly greater rotation in the normal knee (p?p?r 2?=?0.09 and 0.19, respectively). Conclusions Foot gyroscope measurements did not correctly identify the injured limb in all patients. Peak rotational velocity during the reduction event was a better indicator of ACL deficiency than the integrated rotation. If this technology is to be more useful clinically, gyroscope data may have to be combined with accelerometer data, perhaps with sensors mounted on both the tibia and femur. Level of evidence Diagnostic case–control study, Level III.