© 2017

Rotatory Knee Instability

An Evidence Based Approach

  • Volker Musahl
  • Jón Karlsson
  • Ryosuke Kuroda
  • Stefano Zaffagnini


  • Explains assessment of rotatory knee instability based on the best available evidence

  • Describes surgical techniques for rotatory laxity, with presentation of the experience from world-renowned centers

  • Emphasizes individualized treatment and rehabilitation


Table of contents

  1. Front Matter
    Pages i-xiv
  2. Introduction

    1. Front Matter
      Pages 1-1
    2. Amir Ata Rahnemai-Azar, Masahito Yoshida, Volker Musahl, Richard Debski
      Pages 3-14
    3. Daniel Guenther, Sebastián Irarrázaval, Chad Griffith, Volker Musahl, Richard Debski
      Pages 15-25
    4. Hideyuki Koga, Takeshi Muneta, Roald Bahr, Lars Engebretsen, Tron Krosshaug
      Pages 27-36
    5. Yuichiro Nishizawa, Scott Tashman
      Pages 37-48
    6. Hélder Pereira, Sérgio Gomes, José Carlos Vasconcelos, Laura Soares, Rogério Pereira, Joaquim Miguel Oliveira et al.
      Pages 49-61
    7. Amir Ata Rahnemai-Azar, Justin W. Arner, Jan-Hendrik Naendrup, Volker Musahl
      Pages 63-72
  3. Historical Perspective

    1. Front Matter
      Pages 73-73
    2. Michael T. Hirschmann, Werner Müller
      Pages 75-86
    3. Sébastien Lustig, Timothy Lording, Dan Washer, Olivier Reynaud, Philippe Neyret
      Pages 87-94
    4. Eric J. Kropf, Jared W. Colón, Joseph S. Torg
      Pages 95-102
    5. Ryan M. Degen, Thomas L. Wickiewicz, Russell F. Warren, Andrew D. Pearle, Anil S. Ranawat
      Pages 103-113
    6. Najeeb Khan, Eric Dockter, Donald Fithian, Ronald Navarro, William Luetzow
      Pages 115-129
    7. Allen F. Anderson, James J. Irrgang, Christian N. Anderson
      Pages 131-146
  4. Rotatory Knee Laxity

    1. Front Matter
      Pages 147-147
    2. Caroline Mouton, Daniel Theisen, Romain Seil
      Pages 149-163
    3. Panagiotis G. Ntagiopoulos, David H. Dejour
      Pages 165-174
    4. Jakob van Oldenrijk, Romain Seil, William Jackson, David Dejour
      Pages 175-189
    5. Bujar Shabani, Dafina Bytyqi, Laurence Cheze, Philippe Neyret, Sébastien Lustig
      Pages 191-198

About this book


This book is designed to equip the reader with the knowledge and tools required for provision of individualized ACL treatment based on the best available evidence. All major aspects of the assessment of rotatory knee instability are addressed in depth. A historical overview of arthrometers, both invasive and non-invasive, is provided, and newly developed devices for the measurement of rotatory knee laxity are considered. Recent advances with respect to the pivot shift test are explained and evidence offered to support a standardized pivot shift test and non-invasive quantification of the pivot shift. Specific surgical techniques for rotatory laxity are described, with presentation of the experience from several world-renowned centers. In addition, functional rehabilitation and “return to play” are discussed. In keeping with the emphasis on an individualized approach, the book highlights individualization of surgical reconstruction techniques in accordance with the specific injury pattern and grade of rotatory knee laxity as well as the use of individualized rehabilitation techniques. Numerous high-quality images illustrate key points and clear take-home messages are provided.


Knee laxity Pivot shift Knee rotation ACL injury Functional rehabilitation

Editors and affiliations

  • Volker Musahl
    • 1
  • Jón Karlsson
    • 2
  • Ryosuke Kuroda
    • 3
  • Stefano Zaffagnini
    • 4
  1. 1.UPMC Center for Sports MedicinePittsburghUSA
  2. 2.Sahlgrenska AcademyUniversity of GothenburgMölndalSweden
  3. 3.Orthopaedic SurgeryKobe University School of MedicineKobeJapan
  4. 4.Istituto Ortopedico RizzoliUniversity of BolognaBolognaItaly

About the editors

Volker Musahl, MD, is Associate Professor of Orthopaedic Surgery at the University of Pittsburgh School of Medicine, Associate Professor of Bioengineering at the University of Pittsburgh's Swanson School of Engineering, the Program Director of the Sports Medicine fellowship program, and Medical Director of the UPMC Center for Sports Medicine. In addition to his work as a University of Pittsburgh Associate Professor and a leading Orthopaedic surgeon, Dr. Musahl is co-head team physician for the University of Pittsburgh football team. Dr. Musahl is the recipient of various honors and awards and has recently been appointed Assistant Editor-in-Chief of the Knee Surgery Sports Traumatology and Arthroscopy Journal (KSSTA). His research interests include knee and shoulder biomechanics. He is a member of ESSKA ISAKOS, AAOS, ORS, AOSSM, AANA, and AGA. 

Jon Karlsson, MD, PhD, is Professor of Orthopaedics and Sports Traumatology at the Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden. His clinical interests and his research are mainly related to knee injuries and foot and ankle, including tendon injuries. Dr. Karlsson graduated from Medical School in Reykjavik, Iceland. He then moved to Sweden for orthopaedic training, becoming a specialist in Orthopaedics in 1986. He has worked at the Sahlgrenska University Hospital ever since, and is currently Senior Consultant. He has been Clinical Head of the Orthopaedic Department and is now its Academic Head. He has mentored 40 PhD students and is the author of more than 300 papers and almost 30 books. He is an active member of ESSKA and ISAKOS and is currently Secretary of the ISAKOS Executive Board and Editor-in-Chief of KSSTA, the official, clinical journal of ESSKA.

Ryosuke Kuroda, MD, PhD, is an Associate Professor in the Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. Dr. Kuroda graduated from Kobe University School of Medicine in 1990 and then specialized in Orthopaedic Surgery. After completion of a postgraduate course at Kobe University Graduate School he worked as a Post-Doctoral Research Fellow in Cleveland Clinic Foundation and the University of Pittsburgh. He has been a member of the Board of Councillors of the Japanese Orthopaedic Society of Knee, Arthroscopy, and Sports Medicine (JOSKAS) since 2009. He served as an ISAKOS Knee Committee member from 2009 to 2011 and is currently on the ISAKOS Board of Directors. Since 2013 he has been the lead or co-author of more than 90 articles in peer-reviewed journals.

Stefano Zaffagnini, MD, is an Associated Professor at the University of Bologna, Italy and coordinator of the Sports Traumatology Excellence Centre of the Istituto Ortopedico Rizzoli, Bologna, Italy. He has been an AOSSM-ESSKA travelling fellow, Chairman of the ESSKA Arthroscopy Committee, and President of the Italian Society of Knee Surgery (SIGASCOT). He is a member of numerous national and international societies and his main interests in clinical practice and res

earch are sports traumatology, ACL reconstruction, knee biomechanics, computer-assisted surgery, meniscal replacement, cartilage surgery, and partial/total knee replacement. He is the author of more than 150 indexed papers and 30 book chapters and the editor of five books.

Bibliographic information

  • Book Title Rotatory Knee Instability
  • Book Subtitle An Evidence Based Approach
  • Editors Volker Musahl
    Jón Karlsson
    Ryosuke Kuroda
    Stefano Zaffagnini
  • DOI
  • Copyright Information Springer International Publishing Switzerland 2017
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-319-32069-4
  • Softcover ISBN 978-3-319-81188-8
  • eBook ISBN 978-3-319-32070-0
  • Edition Number 1
  • Number of Pages XIV, 512
  • Number of Illustrations 117 b/w illustrations, 171 illustrations in colour
  • Topics Surgical Orthopedics
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals