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Diagnostic Accuracy Of Lachman Test For Diagnosis Of Anterior Cruciate Ligament Tear In Adults With Knee Injuries Using Arthroscopy As Gold Standard

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Keywords

Diagnostic accuracy
Lachman test
anterior cruciate ligament tear
arthroscopy
knee injury

How to Cite

1.
Ashraf D, Mustafa MS, Janjua SN, Iqbal S, Habib K. Diagnostic Accuracy Of Lachman Test For Diagnosis Of Anterior Cruciate Ligament Tear In Adults With Knee Injuries Using Arthroscopy As Gold Standard. JRMC [Internet]. 2023 Dec. 30 [cited 2024 May 9];27(4). Available from: https://www.journalrmc.com/index.php/JRMC/article/view/2287

Abstract

Abstract

Objective: To evaluate the Lachman test's ability to identify an ACL rupture using arthroscopy as the gold standard.

Methods: This cross-sectional (validation) study was done from September 2022 to March 2023. Individuals presenting with a knee injury were enrolled and underwent Lachman test and later on arthroscopy and findings will be recorded. SPSS version 25 was used to analyze the collected data.

Results: 150 patients were enrolled with a mean age of 39.95 ± 11.46 years. There were 80 (53.3%) male patients and 70 (46.7%) were females. In this study, we observed that the Lachman test had 81.8% sensitivity, 95.2% specificity, PPV & NPV were 93.1% and 87.0%, respectively and diagnostic accuracy of 89.3%.

Conclusion: Thus, the Lachman test is a reliable test for the diagnosis of anterior cruciate ligament tear in knee injuries, which can replace arthroscopy and other invasive or expensive modalities.

 

https://doi.org/10.37939/jrmc.v27i4.2287

References

Evans J. Anterior cruciate ligament knee injuries. StatPearls [Internet]: StatPearls Publishing; 2022.

Gupta R, Malhotra A, Sood M, Masih GD. Is anterior cruciate ligament graft rupture (after successful anterior cruciate ligament reconstruction and return to sports) a graft failure or a re-injury? J Orthop Surg. 2019;27(1):2309499019829625. doi.org/10.1177/2309499019829625

Hoogeslag RA, Brouwer RW, Boer BC, de Vries AJ, Huis in ‘t Veld R. Acute anterior cruciate ligament rupture: repair or reconstruction? Two-year results of a randomized controlled clinical trial. The American journal of sports medicine. 2019 Mar;47(3):567-77. DOI: 10.1177/0363546519825878

Barfod KW, Rasmussen R, Blaabjerg B, Hölmich P, Lind M. [Return to play after anterior cruciate ligament reconstruction]. Ugeskrift for laeger. 2019;181(8).

Davey A, Endres NK, Johnson RJ, Shealy JE. Alpine Skiing Injuries. Sports health. 2019;11(1):18-26. DOI: 10.1177/1941738118813051

Vaudreuil NJ, Rothrauff BB, de Sa D, Musahl V. The Pivot Shift: current experimental methodology and clinical utility for anterior cruciate ligament rupture and associated injury. Curr Rev Musculoskel Med. 2019;12(1):41-9. doi: 10.1007/s12178-019-09529-7

Coffey R, Bordoni B. Lachman test. InStatPearls [Internet] 2022 Jul 25. StatPearls Publishing.

Sanders TL, Maradit Kremers H, Bryan AJ, Larson DR, Dahm DL, Levy BA, Stuart MJ, Krych AJ. Incidence of anterior cruciate ligament tears and reconstruction: a 21-year population-based study. The American journal of sports medicine. 2016 Jun;44(6):1502-7.DOI: 10.1177/0363546516629944

Wang LJ, Zeng N, Yan ZP, Li JT, Ni GX. Post-traumatic osteoarthritis following ACL injury. Arthritis research & therapy. 2020 Dec;22(1):1-8.DOI: 10.1186/s13075-020-02156-5

Li Z, Li Q, Tong K, Zhu J, Wang H, Chen B, Chen L. BMSC-derived exosomes promote tendon-bone healing after anterior cruciate ligament reconstruction by regulating M1/M2 macrophage polarization in rats. Stem Cell Research & Therapy. 2022 Dec;13(1):1-20. DOI: 10.1186/s13287-022-02975-0

Losciale JM, Zdeb RM, Ledbetter L, Reiman MP, Sell TC. The association between passing return-to-sport criteria and second anterior cruciate ligament injury risk: a systematic review with meta-analysis. Journal of Orthopaedic & Sports Physical Therapy. 2019 Feb;49(2):43-54.DOI: 10.2519/jospt.2019.8190

Tanaka S, Inoue Y, Masuda Y, Tian H, Jung H, Tanaka R. Diagnostic accuracy of physical examination tests for suspected acute anterior cruciate ligament injury: a systematic review and meta-analysis. International journal of sports physical therapy. 2022;17(5):742. doi: 10.26603/001c.36434

Krause M, Freudenthaler F, Frosch KH, Achtnich A, Petersen W, Akoto R. Operative versus conservative treatment of anterior cruciate ligament rupture: a systematic review of functional improvement in adults. Deutsches Ärzteblatt International. 2018 Dec;115(51-52):855.DOI: 10.3238/arztebl.2018.0855

Singh S, Haq RU, Arora J, Haq RU. The Outcome of Arthroscopic Anterior Cruciate Ligament Reconstruction in Low-Demand, Non-athletic Patients Following a Home-Based Rehabilitation Protocol. Cureus. 2023 Jun 1;15(6).DOI: 10.7759/cureus.39851

Jackson JL, O'Malley PG, Kroenke K. Evaluation of acute knee pain in primary care. Ann Intern Med. 2003;139(7):575-88. DOI: 10.7326/0003-4819-139-7-200310070-00010

Makhmalbaf H, Moradi A, Ganji S, Omidi-Kashani F. Accuracy of lachman and anterior drawer tests for anterior cruciate ligament injuries. Arch Bone Joint Surg. 2013;1(2):94-7.

Benjaminse A, Gokeler A, van der Schans CP. Clinical diagnosis of an anterior cruciate ligament rupture: a meta-analysis. Journal of orthopaedic & sports physical therapy. 2006 May;36(5):267-88. DOI: 10.2519/jospt.2006.2011

Liu SH, Osti L, Henry M, Bocchi L. The diagnosis of acute complete tears of the anterior cruciate ligament. Comparison of MRI, arthrometry and clinical examination. The Journal of Bone and Joint surgery. British Volume. 1995;77(4):586-8.

Thapa SS, Lamichhane AP, Mahara DP. Accuracy of Lelli test for anterior cruciate ligament tear. Journal of Institute of Medicine. 2015 Nov 6;38(2).

Benjaminse A, Gokeler A, van der Schans CP. Clinical diagnosis of an anterior cruciate ligament rupture: a meta-analysis. J Orthop Sports Phys Therap. 2006;36(5):267-88. DOI: 10.2519/jospt.2006.2011

Kostov H, Arsovski O, Kostova E, Nikolov V. Diagnostic assessment in anterior cruciate ligament (ACL) tears. Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2014;35(1):209-18.

Makhmalbaf H, Moradi A, Ganji S, Omidi-Kashani F. Accuracy of lachman and anterior drawer tests for anterior cruciate ligament injuries. Archives of bone and joint surgery. 2013;1(2):94.

Lee S, Chae D-S, Song B-W, Lim S, Kim SW, Kim I-K, et al. ADSC-Based Cell Therapies for Musculoskeletal Disorders: A Review of Recent Clinical Trials. International Journal of Molecular Sciences. 2021;22(19):10586. DOI: 10.3390/ijms221910586

Wang JH, Lee JH, Cho Y, Shin JM, Lee BH. Efficacy of knee joint aspiration in patients with acute ACL injury in the emergency department. Injury. 2016;47(8):1744-9. DOI: 10.1016/j.injury.2016.05.025

Jenkins SM, Guzman A, Gardner BB, Bryant SA, Del Sol SR, McGahan P, Chen J. Rehabilitation after anterior cruciate ligament injury: Review of current literature and recommendations. Current Reviews in Musculoskeletal Medicine. 2022 Jun;15(3):170-9.DOI doi: 10.1007/s12178-022-09752-9.

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Copyright (c) 2023 Danyal Ashraf, MUHAMMAD SHERAZ MUSTAFA, SARMAD NASIR JANJUA, SHAHEEN IQBAL, KHURRAM HABIB