KMID : 1037920180050010011
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Arthroscopy and Orthopedic Sports Medicine 2018 Volume.5 No. 1 p.11 ~ p.18
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Quantitative measures of pivot shift on knee rotatory instability
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Lee Dhong-Won
Lee Ji-Hwan Kim Du-Han Park Jung-Ho Kim Jin-Goo
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Abstract
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One of the key prerequisites to returning to sports activities after knee injury is restored rotatory instability. The pivot shift test is the standard way to evaluate rotatory instability. However, manual testing methods reliant on the subjective judgment of examiners may fail to discriminate the dynamic stages of rotatory instability, especially because the pivot shift phenomenon occurs as a result of combination of translation and rotation movements of the tibiofemoral joint. To this end, several studies have investigated novel ways to quantitatively measure kinematics of the pivot shift test by developing new measurement devices. Measurement devices, such as navigation, electromagnetic, and inertial sensors, and image analysis systems have been developed. Low-cost, non-invasive, and self-contained devices are gaining popularity for their ease of use. Here, we review the advantages and disadvantages of current measurement systems of pivot shift tests and summarize the relevant scientific knowledge of this field for future research.
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KEYWORD
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Anterior cruciate ligament, Anterolateral ligament, Knee kinematics, Rotatory instability, Pivot shift test
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