STUDY DESIGN Meta-analysis. OBJECTIVES To define the accuracy of clinical tests for assessing anterior cruciate ligament (ACL) ruptures. BACKGROUND The cruciate ligaments, and especially the ACL, are among the most commonly injured structures of the knee. Given the increasing injury prevalence, there is undoubtedly a growing need for clinical decision making of health care providers. We rev...

OBJECTIVE This systematic review summarizes the evidence on the accuracy of tests for assessing ACL ruptures of the knee. SEARCH STRATEGY A computerized search of MEDLINE (1966-2003) and EMBASE (1980-2003) with additional reference tracking. SELECTION CRITERIA Articles included were written in English, French, German, or Dutch, and addressed the accuracy of at least 1 physical diagnostic te...

Background: Injuries to ligaments of knee are common in our society especially in the young athletes and sports men participating in football, volleyball, rugby etc. Tears of the anterior cruciate ligament (ACL) leads to knee instability which leads to inability to participate in sports. In the none athletes ACL injury tends to decline in their level of daily activity. This is a study of ACL te...

BACKGROUND Injury of the interosseous talocalcaneal ligament (ITCL) has been recognized as a cause of subtalar instability, though lack of an accepted clinical test has limited the ability of clinicians to reliably make the diagnosis. Clinical effects of ITCL failure remain unclear because of insufficient understanding of the role of the ligament. METHODS Load-displacement characteristics of ...

To ensure broiler welfare during winter transport, it is necessary to manage heat and moisture accumulation within the transport vehicles. Hence, it is necessary to determine heat production (HP) and moisture production (MP) rates under representative conditions. An environmental chamber containing a standard transport drawer was used. Cold air was drawn from outside the building, warmed to the...

BACKGROUND The different functions of the two anterior cruciate ligament (ACL) bundles have increased interest in tears of only one of these two bundles. The purpose of this study was to assess the outcome of selective reconstruction of an injured bundle of isolated anteromedial bundle (AMB) or posterolateral bundle (PLB) tears. METHODS Consecutive series of 147 ACL reconstructions was prospe...

BACKGROUND Anatomic anterior cruciate ligament (ACL) reconstruction has been presented as a means to more accurately restore the native anatomy of this ligament. This article describes a new method that uses a double bundle to perform ACL reconstruction and to evaluate the clinical outcome. METHODS Grafts are tibialis anterior tendon allograft for anteromedial bundle (AMB) and hamstring tendo...

Lower extremity injuries are a frequent outcome of automotive accidents. While the lower extremity injury criterion is based on fracture of bone, most injuries are of less severity. Recent studies suggest microscopic, occult fractures that have been shown to be precursors of gross bone fractures, may occur in the kneecap (patella) for impacts with rigid and deformable interfaces due to excessiv...