ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Quantitative assessment of the pivot shift test with smartphone accelerometer.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- The Use of Mobile Applications for the Diagnosis and Treatment of Tumors in Orthopaedic Oncology - a Systematic Review.Journal of medical systems · 2021Pooled it
- Preoperative quantitative pivot shift does not correlate with in vivo kinematics following ACL reconstruction with or without lateral extraarticular tenodesis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- Comparison of the PIVOT App and Pivot Shift Test for Assessing Knee Laxity after ACL Injury: Validity and Impact of Thigh Muscle Coactivity.Orthopaedic journal of sports medicine · 2026Article
- Evaluation of the anterior cruciate ligament-injured high-level athlete: a narrative review.Annals of joint · 2026Review
- Standardizing and Classifying Anterior Cruciate Ligament Injuries: An International Multicenter Study Using a Mobile Application.Diagnostics (Basel, Switzerland) · 2024Article
- Mobile App for Enhanced Anterior Cruciate Ligament (ACL) Assessment in Conscious Subjects: "Pivot-Shift Meter".Journal of personalized medicine · 2024Article
- Precision of the ultrasonography-integrated tibial extramedullary guide for total knee arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- What it takes to have a high-grade pivot shift-focus on bony morphology.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Pivot shift intraoperative quantitative assessment using a smartphone accelerometer in ACL deficient knees.Journal of experimental orthopaedics · 2023Article
- Apps in Clinical Practice: Usage Behaviour of Trauma Surgeons and Radiologists in Northern Germany.International journal of telemedicine and applications · 2023Article
- Incidence and Risk Factors for Residual High-Grade Pivot Shift After ACL Reconstruction With or Without a Lateral Extra-articular Tenodesis.Orthopaedic journal of sports medicine · 2021Article
- Is the KiRA Device Useful in Quantifying the Pivot Shift in Anterior Cruciate Ligament-Deficient Knees?Orthopaedic journal of sports medicine · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe pivot shift (PS) test is commonly used to diagnose and evaluate the dynamic instability of the knee joint in cases of anterior cruciate ligament (ACL) tear. There is a need of a reliable and inexpensive tool which is easily available to measure PS objectively in a clinical setting. The purpose of this study was to evaluate the use of a smartphone, which is readily available, to assess the PS phenomenon.
methodsSeventeen patients with unilateral ACL-injured knees, undergoing ACL reconstruction, were enrolled in the study. PS was initially graded according to the International Knee Documentation Committee classification by two observers. The PS test was then performed by them in normal and injured knees under anaesthesia using a smartphone attached to Gerdy's tubercle. Acceleration changes during the PS test were recorded using the smartphone accelerometer application. Intra-observer and inter-observer reliability of the test among the two observers were evaluated. Acceleration changes were compared between the injured and normal knees, and also between the clinical grades of PS. Diagnostic utility of the smartphone accelerometer was examined by a receiver operating characteristic curve analysis.
resultsIntra-observer and inter-observer reliability were high for the smartphone accelerometer. The acceleration change was higher in the ACL-injured knees than in normal knees. The mean acceleration change was 2.54 m/s
conclusionsThe results show that a smartphone can be used to evaluate the PS quantitatively and reliably, in the diagnosis of ACL injury. LEVEL OF EVIDENCE: II.
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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.