ArticleRevista brasileira de ortopedia2025
The Measure of Internal Rotation of the Knee in the Clinical Diagnosis of Association of Anterolateral Ligament and Anterior Cruciate Ligament Injury.
Article in Revista brasileira de ortopedia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To investigate the clinical correlation between internal knee rotation and the association of injuries between anterolateral (ALL) and anterior cruciate (ACL) ligaments. Methods: Thirty-eight knees of 19 fresh corpses (all males, mean age: 28-years-old) were evaluated by simulating physical examination through manual rotational tests at 90 degrees of flexion. Kirschner wires were placed in parallel in the femur and tibia, and measurements were obtained using a goniometer. The obtained data were compared against the intact ACL, then to progressive sections of the ACL, iliotibial tract, and anterolateral ligament. Results: Isolated release of the ACL induced an increase (+55.6%, Conclusion: There is an increase in internal rotation of the knee in the ACL injury. The association with ALL injury leads to a pronounced increase of internal rotation when compared to the uninjured knee. Therefore, the presence of pronounced internal knee rotation is a clinical sign of associated injury to these structures.
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