Evidence map›Paper›PMID 29030647›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018

The diagnostic reliability of the quantitative pivot-shift evaluation using an electromagnetic measurement system for anterior cruciate ligament deficiency was superior to those of the accelerometer and iPad image analysis.

Toshikazu Tanaka, Yuichi Hoshino, Nobuaki Miyaji, Kazuyuki Ibaragi, Kyohei Nishida, Yuichiro Nishizawa, Daisuke Araki, Noriyuki Kanzaki, Takehiko Matsushita, Ryosuke Kuroda

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Review
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  12. Quantitative assessment of the pivot shift test with smartphone accelerometer.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  13. Paediatric proximal ACL tears managed with direct ACL repair is safe, effective and has excellent short-term outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  14. Triaxial accelerometer evaluation is correlated with IKDC grade of pivot shift.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  15. Tibial slope and medial meniscectomy significantly influence short-term knee laxity following ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Article
  16. Preoperative laxity in ACL-deficient knees increases with posterior tibial slope and medial meniscal tears.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Article
  17. The concomitant lateral meniscus injury increased the pivot shift in the anterior cruciate ligament-injured knee.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Toshikazu TanakaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 651-0017, Japan.
Yuichi HoshinoDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 651-0017, Japan. you.1.hoshino@gmail.com.ORCID http://orcid.org/0000-0001-6142-8973
Nobuaki MiyajiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 651-0017, Japan.
Kazuyuki IbaragiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 651-0017, Japan.
Kyohei NishidaDepartment of Orthopaedic Surgery, Shinsuma Hospital, Kobe, Japan.
Yuichiro NishizawaDepartment of Othopaedic Surgery, Kobe Kaisei Hospital, Kobe, Japan.
Daisuke ArakiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 651-0017, Japan.
Noriyuki KanzakiDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 651-0017, Japan.
Takehiko MatsushitaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 651-0017, Japan.
Ryosuke KurodaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 651-0017, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeveral non-invasive devices have been developed to obtain quantitative assessment of the pivot-shift test in clinical setting using similar but diverse measurement parameters. However, the clinical usability of those measurements has yet to be closely investigated and compared. The purpose of this study was to compare the diagnostic accuracy of three non-invasive measurement devices for the pivot-shift test.

methodsThirty patients with unilateral anterior cruciate ligament (ACL) injury were enrolled. The pivot-shift test was performed under general anaesthesia. Three devices, an accelerometer system (KiRA), an image analysis iPad application (iPad), and electromagnetic measurement system (EMS), were used simultaneously to provide two parameters, namely tibial acceleration monitored using KiRA and EMS, and tibial translation recorded using iPad and EMS. Side-to-side differences in each parameter and correlation between the measurements were tested, and a receiver-operating characteristic (ROC) curve analysis was conducted to compare their measurement accuracy.

resultsSignificant side-to-side differences were successfully detected using any of the measurements (all p < 0.01). KiRA demonstrated moderate correlation with the EMS for tibial acceleration (r = 0.54; p < 0.01), while poor correlation was observed between iPad and the EMS for the translation (r = 0.28; p < 0.01). The ROC curve analysis demonstrated better accuracy for the detection of ACL insufficiency in the EMS than KiRA and iPad for tibial acceleration and translation, respectively.

conclusionsAlthough all three measurements were similarly capable of detecting ACL deficiency, the EMS has the advantage of comprehensive evaluation of the pivot-shift test by evaluating both tibial acceleration and translation with higher accuracy than those of KiRA and iPad. It could be suggested that any of those measurement tools might improve the clinical diagnosis of ACL insufficiency. LEVEL OF EVIDENCE: Diagnostic study of consecutive patients with a universally applied gold standard, Level Ib.

Indexed as

AccelerometryElectromagnetic PhenomenaImage Processing, Computer-AssistedAdolescentAdultAnterior Cruciate LigamentAnterior Cruciate Ligament InjuriesBiomechanical PhenomenaComputers, HandheldFemaleHumansKnee JointMalePhysical ExaminationReproducibility of ResultsTibiaAccelerationAnterior cruciate ligamentAnterior tibial translationPivot-shift testQuantitative evaluation

Identifiers

PMID29030647

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.