Evidence map›Paper›PMID 38799022›Full record

ArticleJournal of clinical orthopaedics and trauma2024

Diagnostic accuracy of lever sign test in acute and chronic ACL injuries.

Sachin Avasthi, Pankaj Aggarwal, Swagat Mahapatra, Nabila Nishat, Madhusudan Mishra, Ammar Aslam

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Article in Journal of clinical orthopaedics and trauma, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sachin AvasthiDepartment of Orthopaedics, Dr RMLIMS, Lucknow, India.
Pankaj AggarwalDepartment of Orthopaedics, Dr RMLIMS, Lucknow, India.
Swagat MahapatraDepartment of Orthopaedics, Dr RMLIMS, Lucknow, India.
Nabila NishatDepartment of Physiology, KGMU, Lucknow, India.
Madhusudan MishraDepartment of Orthopaedics, Dr RMLIMS, Lucknow, India.
Ammar AslamDepartment of Orthopaedics, Dr RMLIMS, Lucknow, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The anterior cruciate ligament (ACL) is a commonly affected knee ligament prone to frequent injuries. Henceforth, we aimed to determine the diagnostic accuracy of lever sign test in Acute and chronic ACL injuries. Method: At the institution's initial outpatient visit, 150 consecutive patients (92 males and 58 females) were evaluated. Total 108 patients had injury in their right leg, whereas 42 had injury in their left leg. Based on time since injury, the patients were divided into Acute and chronic groups. Clinical examinations (lachman's test and lelli's test) of all patients were confirmed with arthroscopic findings and compared between the two groups. Results: In the acute ACL injury, the lever test had a kappa value 0.704. The accuracy and sensitivity of the Lachman, anterior drawer, pivot shift, and lever tests were calculated. We found that the lever test had the highest accuracy and sensitivity (85.48 %, 91.18 %) than the rest. In the chronic ACL injury, the kappa value for the results of the Lachman test evaluation was 0.723. The chronic ACL injuries accuracy and sensitivity values for the Lachman (86.36 %, 91.67 %), anterior drawer (76.14 %, 81.25 %), pivot shift (55.68 %, 58.49 %), and lever tests were determined. Conclusion: The lever sign test is more accurate and reliable in the acute ACL injuries, while the Lachman test is more accurate and reliable in the chronic ACL injuries.

Indexed as

Anterior cruciate ligamentAnterior-drawer testLachman testLever sign testMRI imagingPivot shift testSensitivitySpecificity

Identifiers

PMID38799022
PMCPMC11126818

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