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Diagnosis of Partial ACL Rupture

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Controversies in the Technical Aspects of ACL Reconstruction

Abstract

In proportion as more detailed understanding of ACL anatomy, more researches have focused on the diagnosis and treatment of symptomatic partial ACL tears. Partial ACL ruptures have been recognized for many years. In ACL reconstruction, preserving the remaining bundle of the ACL in cases of partial ACL injury may have several advantages. Controversy remains regarding the definition of a partial rupture among arthroscopic surgeons. However, recent several clinical reports have demonstrated different instrumented laxity and clinical testing results between arthroscopically confirmed complete and partial ACL tears. Knees with complete ACL tear have higher anterior tibial translation and also have greater laxity with the Lachman test and pivot-shift test results when compared with the knees with partial ACL tears. Although the diagnosis of a partial versus a complete ACL tear could be made with greater accuracy during arthroscopy, the decision as to whether the ACL remnant is preserved and ACL augmentation performed should be made after thorough consideration of clinical tests, laxity measurements, MRI, and arthroscopic findings.

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Author information

Authors and Affiliations

  1. President of Hiroshima University, 1-3-2 Kagamiyama, Higashi-Hiroshima, 739-8511, Japan

    Mitsuo Ochi MD, PhD

  2. Lyon Ortho Clinic, 29 Avenue des sources, Lyon, 69009, France

    David Dejour MD

  3. Orthopaedic Surgeon, Hip & Knee Unit, Mediterraneo Hospital, Athens, Greece

    Panagiotis G. Ntagiopoulos MD, PhD

  4. Department of Orthopaedic Surgery, Integrated Health Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan

    Atsuo Nakamae MD, PhD

Authors
  1. Mitsuo Ochi MD, PhD
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  2. David Dejour MD
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  3. Atsuo Nakamae MD, PhD
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  4. Panagiotis G. Ntagiopoulos MD, PhD
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Corresponding author

Correspondence to Mitsuo Ochi MD, PhD .

Editor information

Editors and Affiliations

  1. Institute for Medical Science in Sports, Osaka Health Science University, Osaka, Japan

    Norimasa Nakamura

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

    Stefano Zaffagnini

  3. Hospital for Special Surgery, New York, New York, USA

    Robert G. Marx

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

    Volker Musahl

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Ochi, M., Dejour, D., Nakamae, A., Ntagiopoulos, P.G. (2017). Diagnosis of Partial ACL Rupture. In: Nakamura, N., Zaffagnini, S., Marx, R., Musahl, V. (eds) Controversies in the Technical Aspects of ACL Reconstruction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52742-9_28

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  • DOI: https://doi.org/10.1007/978-3-662-52742-9_28

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-52740-5

  • Online ISBN: 978-3-662-52742-9

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