Stress Radiography for Multiligament Knee Injuries: A Standardized, Step-by-Step Technique

Physical examination in the presence of a multiligament knee injury can be complex and challenging. Hence, stress radiography is a useful and inexpensive tool that is widely used in the assessment of this type of injury. It guarantees an objective analysis of the magnitude of knee instability, which...

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Main Authors: José Leonardo Rocha de Faria, M.D., Igor Stefano Menescal Pedrinha, M.D., Douglas Mello Pavão, M.D., M.Sc., Rodrigo Pires e Albuquerque, M.D., M.Sc., Ph.D., Eduardo Branco de Sousa, M.D., M.Sc., Ph.D., Marcelo Mandarino, M.D., M.Sc., Alan de Paula Mozella, M.D., M.Sc.
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628720302140
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author José Leonardo Rocha de Faria, M.D.
Igor Stefano Menescal Pedrinha, M.D.
Douglas Mello Pavão, M.D., M.Sc.
Rodrigo Pires e Albuquerque, M.D., M.Sc., Ph.D.
Eduardo Branco de Sousa, M.D., M.Sc., Ph.D.
Marcelo Mandarino, M.D., M.Sc.
Alan de Paula Mozella, M.D., M.Sc.
author_facet José Leonardo Rocha de Faria, M.D.
Igor Stefano Menescal Pedrinha, M.D.
Douglas Mello Pavão, M.D., M.Sc.
Rodrigo Pires e Albuquerque, M.D., M.Sc., Ph.D.
Eduardo Branco de Sousa, M.D., M.Sc., Ph.D.
Marcelo Mandarino, M.D., M.Sc.
Alan de Paula Mozella, M.D., M.Sc.
author_sort José Leonardo Rocha de Faria, M.D.
collection DOAJ
description Physical examination in the presence of a multiligament knee injury can be complex and challenging. Hence, stress radiography is a useful and inexpensive tool that is widely used in the assessment of this type of injury. It guarantees an objective analysis of the magnitude of knee instability, which may reduce the observer's interpretation bias in relation to the physical examination. However, for the radiographic analysis to be reproducible, it is necessary to standardize the technique to evaluate each of the main knee ligaments. This article aims to describe in detail how to perform stress radiography to assess the sufficiency of the posterior cruciate ligament and collateral ligaments in the context of a multiligament injury.
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spelling doaj.art-76a7df68cc584700aec6d431272c17272022-12-21T22:07:31ZengElsevierArthroscopy Techniques2212-62872020-12-01912e1885e1892Stress Radiography for Multiligament Knee Injuries: A Standardized, Step-by-Step TechniqueJosé Leonardo Rocha de Faria, M.D.0Igor Stefano Menescal Pedrinha, M.D.1Douglas Mello Pavão, M.D., M.Sc.2Rodrigo Pires e Albuquerque, M.D., M.Sc., Ph.D.3Eduardo Branco de Sousa, M.D., M.Sc., Ph.D.4Marcelo Mandarino, M.D., M.Sc.5Alan de Paula Mozella, M.D., M.Sc.6Address correspondence to José Leonardo Rocha de Faria, M.D., Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Av Brasil, 500, São Cristovão, Rio de Janeiro, Brazil, CEP 20940-070.; Knee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro, BrazilKnee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro, BrazilKnee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro, BrazilKnee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro, BrazilKnee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro, BrazilKnee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro, BrazilKnee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro, BrazilPhysical examination in the presence of a multiligament knee injury can be complex and challenging. Hence, stress radiography is a useful and inexpensive tool that is widely used in the assessment of this type of injury. It guarantees an objective analysis of the magnitude of knee instability, which may reduce the observer's interpretation bias in relation to the physical examination. However, for the radiographic analysis to be reproducible, it is necessary to standardize the technique to evaluate each of the main knee ligaments. This article aims to describe in detail how to perform stress radiography to assess the sufficiency of the posterior cruciate ligament and collateral ligaments in the context of a multiligament injury.http://www.sciencedirect.com/science/article/pii/S2212628720302140
spellingShingle José Leonardo Rocha de Faria, M.D.
Igor Stefano Menescal Pedrinha, M.D.
Douglas Mello Pavão, M.D., M.Sc.
Rodrigo Pires e Albuquerque, M.D., M.Sc., Ph.D.
Eduardo Branco de Sousa, M.D., M.Sc., Ph.D.
Marcelo Mandarino, M.D., M.Sc.
Alan de Paula Mozella, M.D., M.Sc.
Stress Radiography for Multiligament Knee Injuries: A Standardized, Step-by-Step Technique
Arthroscopy Techniques
title Stress Radiography for Multiligament Knee Injuries: A Standardized, Step-by-Step Technique
title_full Stress Radiography for Multiligament Knee Injuries: A Standardized, Step-by-Step Technique
title_fullStr Stress Radiography for Multiligament Knee Injuries: A Standardized, Step-by-Step Technique
title_full_unstemmed Stress Radiography for Multiligament Knee Injuries: A Standardized, Step-by-Step Technique
title_short Stress Radiography for Multiligament Knee Injuries: A Standardized, Step-by-Step Technique
title_sort stress radiography for multiligament knee injuries a standardized step by step technique
url http://www.sciencedirect.com/science/article/pii/S2212628720302140
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