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Instrumental Dynamic Laxity Evaluation: Non-invasive Inertial Sensors

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Controversies in the Technical Aspects of ACL Reconstruction

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Abstract

Pivot shift (PS) test analyzes the knee joint under a dynamic situation and tests both anterior-posterior and rotational laxity. The significance and role of any grading method lies in its ability to support the decision-making process during diagnosis, surgical treatment, and recovery phase after surgery. Currently, the ability to perform a correct diagnosis of the injury severity as well as quantification of recovery after surgical treatment is mainly based on the surgeon’s sensibility in interpreting the clinical examination. In fact, the main problem in the use of PS test is its complexity which makes itself a surgeon-subjective clinical examination.

To overcome this limit, during the last decades, different kinds of arthrometers have been developed. However, these tools are only able to measure the anterior-posterior laxity and not the dynamic rotation highlighted by the pivot shift.

This chapter will introduce you a number of different attempts which aim is to quantify knee joint dynamic laxity in case of ACL injury. We will focus on an innovative approach for dynamic laxity evaluation based on the analysis of the knee joint acceleration signal during PS test.

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Author information

Authors and Affiliations

  1. Laboratorio di Biomeccanica e Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Bologna, BO, Italy

    Stefano Zaffagnini, Alberto Grassi, Federico Raggi & Cecilia Signorelli

  2. Servicio Traumatologia, Hospital Las Higueras Talcahuano, Talcahuano, Chile

    Fransico Urrizola

  3. Knee Surgery Team, Hospital del Salvador, Santiago, Chile

    Fernando Zamora

Authors
  1. Stefano Zaffagnini
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  2. Alberto Grassi
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  3. Federico Raggi
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  4. Fransico Urrizola
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  5. Fernando Zamora
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  6. Cecilia Signorelli
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Corresponding author

Correspondence to Stefano Zaffagnini .

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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Zaffagnini, S., Grassi, A., Raggi, F., Urrizola, F., Zamora, F., Signorelli, C. (2017). Instrumental Dynamic Laxity Evaluation: Non-invasive Inertial Sensors. 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_39

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  • DOI: https://doi.org/10.1007/978-3-662-52742-9_39

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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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