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Development of Electromagnetic Tracking for the Pivot Shift

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Rotatory Knee Instability

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Abstract

Anterior cruciate ligament (ACL) insufficiency is clinically diagnosed by manual tests, such as the pivot-shift and the Lachman tests. These manual tests are used not only for diagnosing a primary ACL injury but also as an outcome measure after ACL reconstruction. The pivot-shift examination has significant associations with both patient satisfaction and overall knee function and may be a better measure of “functional instability.” Residual laxity can be detected by the pivot-shift test in ACL-reconstructed knees in which anterior laxity has been successfully restored. Given of the ability to evaluate a dynamic and a rotational component of the knee laxity, a postoperative stability evaluation should include the pivot-shift test. An electromagnetic tracking device can measure the 6 degrees-of-freedom knee kinematics during the pivot-shift test providing dynamic 3D tibial displacement relative to the femur. This device detected the increase of the tibial anterior translation by about 8 mm and the increase of tibial posterior acceleration by about 1 m/sec2 in ACL-deficient knees compared to the contralateral intact knees. This in vivo measurement can be applied for quantitative evaluation of the dynamic laxity during the pivot-shift test.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, 7-5-2 Kusunoki-chi, Chuo-ku, Kobe, 650-0017, Japan

    Ryosuke Kuroda, Takehiko Matsushita & Masahiro Kurosaka

  2. Department of Orthopaedic Surgery, Kobe Kaisei Hospital, Kobe, Japan

    Yuichi Hoshino

  3. Department of Human and Artificial Intelligent Systems, Graduate School of Engineering, University of Fukui, Fukui, Japan

    Kouki Nagamune

Authors
  1. Ryosuke Kuroda
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  2. Yuichi Hoshino
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  3. Takehiko Matsushita
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  4. Kouki Nagamune
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  5. Masahiro Kurosaka
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Corresponding author

Correspondence to Ryosuke Kuroda .

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Editors and Affiliations

  1. UPMC Center for Sports Medicine, Pittsburgh, Pennsylvania, USA

    Volker Musahl

  2. Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden

    Jón Karlsson

  3. Orthopaedic Surgery, Kobe University School of Medicine, Kobe, Japan

    Ryosuke Kuroda

  4. Istituto Ortopedico Rizzoli, University of Bologna, Bologna, Italy

    Stefano Zaffagnini

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Kuroda, R., Hoshino, Y., Matsushita, T., Nagamune, K., Kurosaka, M. (2017). Development of Electromagnetic Tracking for the Pivot Shift. In: Musahl, V., Karlsson, J., Kuroda, R., Zaffagnini, S. (eds) Rotatory Knee Instability. Springer, Cham. https://doi.org/10.1007/978-3-319-32070-0_22

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  • DOI: https://doi.org/10.1007/978-3-319-32070-0_22

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-32070-0

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