Non-invasive computer navigation can quantify the pivot shift maneuver with good to excellent reliability in healthy volunteers
Abstract Purpose The aim of this study was to determine the inter- and intra-observer reliability of knee laxity assessment using a non-invasive navigation system in a population of healthy young athletes. It was hypothesized that knee laxity parameters recorded using non-invasive computer navigatio...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-04-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40634-020-00239-5 |
| _version_ | 1827294968662720512 |
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| author | Edoardo Monaco Giorgio Bruni Sara Lo Torto Alessandro Carrozzo Matthew Daggett Alessandro Annibaldi Adnan Saithna Andrea Ferretti |
| author_facet | Edoardo Monaco Giorgio Bruni Sara Lo Torto Alessandro Carrozzo Matthew Daggett Alessandro Annibaldi Adnan Saithna Andrea Ferretti |
| author_sort | Edoardo Monaco |
| collection | DOAJ |
| description | Abstract Purpose The aim of this study was to determine the inter- and intra-observer reliability of knee laxity assessment using a non-invasive navigation system in a population of healthy young athletes. It was hypothesized that knee laxity parameters recorded using non-invasive computer navigation would demonstrate good inter- and intra-observer reliability. Methods Healthy volunteers aged between 18 to 30 years were recruited to the study. Static and dynamic knee laxity parameters including anterior tibial translation and tibial rotation during the pivot shift test were recorded on awake patients using non-invasive computer navigation by two independent observers: at the first visit each athlete was evaluated by the consultant and resident surgeons independently; 6 weeks after the first visit all the participants were re-tested only by the resident surgeon. Inter- and intra-observer reliability was calculated and then interpreted according to Cicchetti’s criteria. Results One hundred healthy volunteers were recruited to the study, of these 38 were women (38%), and the average age was 25.5 ± 2.4 years. According to Cicchetti’s criteria the intra- and inter-observer reliability for static measurements were fair for anterior tibial translation (0.572 and 0.529, respectively) and excellent for total passive tibial rotation (0.859 and 0.883, respectively). For the dynamic measurements of translation and rotation during the pivot shift maneuver both measurements demonstrated good to excellent reliability with intra and inter observer reliability ranging from 0.684 to 0.936. Conclusion Non-invasive navigation for the assessment of knee laxity is associated with fair to excellent inter- and intra-observer reliability in a population of healthy volunteers. |
| first_indexed | 2024-03-08T07:22:30Z |
| format | Article |
| id | doaj.art-92f45fbdba984e84a1ac9fdc7e1b112f |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-04-24T14:12:06Z |
| publishDate | 2020-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-92f45fbdba984e84a1ac9fdc7e1b112f2024-04-03T09:01:50ZengWileyJournal of Experimental Orthopaedics2197-11532020-04-01711710.1186/s40634-020-00239-5Non-invasive computer navigation can quantify the pivot shift maneuver with good to excellent reliability in healthy volunteersEdoardo Monaco0Giorgio Bruni1Sara Lo Torto2Alessandro Carrozzo3Matthew Daggett4Alessandro Annibaldi5Adnan Saithna6Andrea Ferretti7Orthopaedic Unit and Kirk Kilgour Sports Injury Centre, S. Andrea Hospital, University of Rome La SapienzaOrthopaedic Unit and Kirk Kilgour Sports Injury Centre, S. Andrea Hospital, University of Rome La SapienzaOrthopaedic Unit and Kirk Kilgour Sports Injury Centre, S. Andrea Hospital, University of Rome La SapienzaOrthopaedic Unit and Kirk Kilgour Sports Injury Centre, S. Andrea Hospital, University of Rome La SapienzaKansas City University of Medicine and BiosciencesOrthopaedic Unit and Kirk Kilgour Sports Injury Centre, S. Andrea Hospital, University of Rome La SapienzaKansas City University of Medicine and BiosciencesOrthopaedic Unit and Kirk Kilgour Sports Injury Centre, S. Andrea Hospital, University of Rome La SapienzaAbstract Purpose The aim of this study was to determine the inter- and intra-observer reliability of knee laxity assessment using a non-invasive navigation system in a population of healthy young athletes. It was hypothesized that knee laxity parameters recorded using non-invasive computer navigation would demonstrate good inter- and intra-observer reliability. Methods Healthy volunteers aged between 18 to 30 years were recruited to the study. Static and dynamic knee laxity parameters including anterior tibial translation and tibial rotation during the pivot shift test were recorded on awake patients using non-invasive computer navigation by two independent observers: at the first visit each athlete was evaluated by the consultant and resident surgeons independently; 6 weeks after the first visit all the participants were re-tested only by the resident surgeon. Inter- and intra-observer reliability was calculated and then interpreted according to Cicchetti’s criteria. Results One hundred healthy volunteers were recruited to the study, of these 38 were women (38%), and the average age was 25.5 ± 2.4 years. According to Cicchetti’s criteria the intra- and inter-observer reliability for static measurements were fair for anterior tibial translation (0.572 and 0.529, respectively) and excellent for total passive tibial rotation (0.859 and 0.883, respectively). For the dynamic measurements of translation and rotation during the pivot shift maneuver both measurements demonstrated good to excellent reliability with intra and inter observer reliability ranging from 0.684 to 0.936. Conclusion Non-invasive navigation for the assessment of knee laxity is associated with fair to excellent inter- and intra-observer reliability in a population of healthy volunteers.http://link.springer.com/article/10.1186/s40634-020-00239-5Navigation systemSurface markerInter- and intra-observer reliabilityRotatory laxityPhysical examinationPivot shift |
| spellingShingle | Edoardo Monaco Giorgio Bruni Sara Lo Torto Alessandro Carrozzo Matthew Daggett Alessandro Annibaldi Adnan Saithna Andrea Ferretti Non-invasive computer navigation can quantify the pivot shift maneuver with good to excellent reliability in healthy volunteers Journal of Experimental Orthopaedics Navigation system Surface marker Inter- and intra-observer reliability Rotatory laxity Physical examination Pivot shift |
| title | Non-invasive computer navigation can quantify the pivot shift maneuver with good to excellent reliability in healthy volunteers |
| title_full | Non-invasive computer navigation can quantify the pivot shift maneuver with good to excellent reliability in healthy volunteers |
| title_fullStr | Non-invasive computer navigation can quantify the pivot shift maneuver with good to excellent reliability in healthy volunteers |
| title_full_unstemmed | Non-invasive computer navigation can quantify the pivot shift maneuver with good to excellent reliability in healthy volunteers |
| title_short | Non-invasive computer navigation can quantify the pivot shift maneuver with good to excellent reliability in healthy volunteers |
| title_sort | non invasive computer navigation can quantify the pivot shift maneuver with good to excellent reliability in healthy volunteers |
| topic | Navigation system Surface marker Inter- and intra-observer reliability Rotatory laxity Physical examination Pivot shift |
| url | http://link.springer.com/article/10.1186/s40634-020-00239-5 |
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