Use of the quadriceps active test to diagnose posterior cruciate-ligament disruption and measure posterior laxity of the knee. 1988

D M Daniel, and M L Stone, and P Barnett, and R Sachs
Department of Orthopedic Surgery, Kaiser Hospital, San Diego, California.

Orthopaedic surgeons routinely use passive tests, in which the displacing force is applied externally, to evaluate the integrity of the ligaments of the knee. Using a quadriceps active test, in which the muscle contractures of the subject served as the displacing force, tibial displacement was measured with an arthrometer in ninety-two subjects: sixty-seven who had an acute or chronic rupture of the posterior or anterior cruciate ligament and twenty-five who had normal knees. With the knee joint in 90 degrees of flexion, contraction of the quadriceps resulted in anterior translation of the tibia in forty-one of forty-two knees that had a documented disruption of the posterior cruciate ligament. This anterior translation did not occur in the contralateral, normal knee of the same subjects; in the knees of the twenty-five normal subjects; or in twenty-five knees that had a known unilateral anterior cruciate-ligament disruption.

UI MeSH Term Description Entries
D007593 Joint Instability Lack of stability of a joint or joint prosthesis. Hypermobility, Joint,Instability, Joint,Laxity, Joint,Hypermobilities, Joint,Instabilities, Joint,Joint Hypermobilities,Joint Hypermobility,Joint Instabilities,Joint Laxities,Joint Laxity,Laxities, Joint
D007718 Knee Injuries Injuries to the knee or the knee joint. Injuries, Knee,Injury, Knee,Knee Injury
D008023 Ligaments, Articular Fibrous cords of CONNECTIVE TISSUE that attach bones to each other and hold together the many types of joints in the body. Articular ligaments are strong, elastic, and allow movement in only specific directions, depending on the individual joint. Articular Ligament,Articular Ligaments,Ligament, Articular
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009119 Muscle Contraction A process leading to shortening and/or development of tension in muscle tissue. Muscle contraction occurs by a sliding filament mechanism whereby actin filaments slide inward among the myosin filaments. Inotropism,Muscular Contraction,Contraction, Muscle,Contraction, Muscular,Contractions, Muscle,Contractions, Muscular,Inotropisms,Muscle Contractions,Muscular Contractions
D010808 Physical Examination Systematic and thorough inspection of the patient for physical signs of disease or abnormality. Physical Exam,Examination, Physical,Physical Examinations and Diagnoses,Exam, Physical,Examinations, Physical,Exams, Physical,Physical Examinations,Physical Exams
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

Related Publications

D M Daniel, and M L Stone, and P Barnett, and R Sachs
October 2021, Scientific reports,
D M Daniel, and M L Stone, and P Barnett, and R Sachs
June 1992, Gaoxiong yi xue ke xue za zhi = The Kaohsiung journal of medical sciences,
D M Daniel, and M L Stone, and P Barnett, and R Sachs
July 2008, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association,
D M Daniel, and M L Stone, and P Barnett, and R Sachs
September 2013, Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA,
D M Daniel, and M L Stone, and P Barnett, and R Sachs
August 2009, The Journal of arthroplasty,
D M Daniel, and M L Stone, and P Barnett, and R Sachs
October 2006, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association,
D M Daniel, and M L Stone, and P Barnett, and R Sachs
December 2021, Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA,
D M Daniel, and M L Stone, and P Barnett, and R Sachs
July 2021, Orthopaedic journal of sports medicine,
D M Daniel, and M L Stone, and P Barnett, and R Sachs
October 2003, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association,
D M Daniel, and M L Stone, and P Barnett, and R Sachs
February 2019, The American journal of sports medicine,
Copied contents to your clipboard!