| Autor: |
A, Harilainen, P, Myllynen, J, Rauste, E, Silvennoinen |
| Rok vydání: |
1986 |
| Předmět: |
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| Zdroj: |
Annales chirurgiae et gynaecologiae. 75(1) |
| ISSN: |
0355-9521 |
| Popis: |
A consecutive series of 85 stress radiographic examinations was performed in order to evaluate the clinical reliability and use of stress radiography in disclosing acute knee ligament injuries. Eighty-three examinations were performed within one week of the injury. Sagittal stress examination discovered 27% of the 37 anterior cruciate ligament (ACL) tears and all four posterior cruciate tears. Valgus stress detected 56% of the medial collateral tears. The specificity of stress radiography was even reduced by the number of false positive stress results (n = 25) in posterior drawer or valgus-varus examinations. An ACL tear was, however, an isolated or major ligament injury in twenty (80%) of the false positive results. Clinical examination revealed all the medial collateral tears whereas only 40% of the anterior cruciate tears. The most reliable method for diagnosing acute knee injuries where clinical examination has failed in disclosing instability is examination under anaesthesia supplemented by acute arthroscopy. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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