ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Knee laxity, lateral meniscus tear and distal femur morphology influence pivot shift test grade in ACL injury patients.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Risk factors for high-grade pivot shift in patients with anterior cruciate ligament tears combined with lateral meniscus posterior root tears: a systematic review and meta-analysis.Frontiers in medicine · 2026Pooled it
- Lateral meniscus repair contributes to controlling pivot shift in patients undergoing anterior cruciate ligament reconstruction with steeper lateral posterior tibial slope.Journal of experimental orthopaedics · 2026Article
- Younger age, medial meniscectomy and remnant-sacrificing reconstruction techniques affect residual pivot shift after anterior cruciate ligament reconstruction using hamstring tendons.Journal of experimental orthopaedics · 2025Article
- The "Bankart knee": high-grade impression fractures of the posterolateral tibial plateau lead to increased translational and anterolateral rotational instability of the ACL-deficient knee.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Greater Knee Rotatory Instability After Posterior Meniscocapsular Injury Versus Anterolateral Ligament Injury: A Proposed Mechanism of High-Grade Pivot Shift.Orthopaedic journal of sports medicine · 2023Article
- Lateral-medial asymmetry of posterior tibial slope and small lateral tibial plateau articular surface depth are morphological factors of lateral meniscus posterior root tears in ACL-injured patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Posterior tibial plateau impaction fractures are not associated with increased knee instability: a quantitative pivot shift analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Previous Isolated Medial Bucket-Handle Meniscus Repair Significantly Increases Risk of Subsequent Ipsilateral Anterior Cruciate Ligament Reconstruction.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Anterior cruciate ligament rupture and associated Segond fracture: Incidence and effect on associated ligamentous and meniscal injuries.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2022Article
- A larger side-to-side difference in anterior knee laxity increases the prevalence of medial and lateral meniscal injuries in patients with ACL injuries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Association of Ligamentous Laxity, Male Sex, Chronicity, Meniscal Injury, and Posterior Tibial Slope With a High-Grade Preoperative Pivot Shift: A Post Hoc Analysis of the STABILITY Study.Orthopaedic journal of sports medicine · 2021Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAlthough several factors have been considered to be associated with pivot shift test grade in ACL injured patients, a conclusion regarding which factors contribute to the pivot shift test grade has not been reached. The purpose of this study was to identify factors associated with preoperative pivot shift test grade.
methodsThree hundred and sixty-six consecutive patients who underwent ACL reconstruction in our hospital were enrolled in the study. Patients were divided into two groups on the basis of preoperative pivot shift test grade (Mild: grade 0-3, Severe: grade 4-6). First, 13 independent variables (age, gender, period from injury to surgery, hyperextension, KT measurement, contralateral side pivot shift test grade, medial and lateral tibial slope, lateral condyle length, lateral condyle height, distal femoral condyle offset, medial and lateral meniscus tear) were analyzed by one-way ANOVA and Chi-squared test. Binary Logistic regression was then performed based on the results of univariate analyses (independent variables of p < 0.2 were included).
resultsHyperextension, lateral meniscus tear, contralateral side pivot shift test grade, distal femoral condyle offset and KT measurement were identified as risk factors for preoperative pivot shift grade via logistic regression analysis.
conclusionThe current study revealed that hyperextension, lateral meniscus tear, contralateral side pivot shift test grade, distal femoral condyle offset and anterior instability were associated with preoperative pivot shift grade. Patients with above factors that cannot be modified during surgery may need special consideration when ACL reconstruction is performed, as greater preoperative pivot shift has been proven to be a risk factor for residual pivot shift after ACL reconstruction. LEVEL OF EVIDENCE: III.
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