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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2015

01-08-2015 | Knee

Quantitative pivot shift assessment using combined inertial and magnetic sensing

Authors: David R. Labbé, Di Li, Guy Grimard, Jacques A. de Guise, Nicola Hagemeister

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 8/2015

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Abstract

Purpose

The purpose of the study was to demonstrate the feasibility of a new measurement system using micro-electromechanical systems (MEMS)-based sensors for quantifying the pivot shift phenomenon.

Methods

The pivot shift test was performed on 13 consecutive anterior cruciate ligament-deficient subjects by an experienced examiner while femur and tibia kinematics were recorded using two inertial sensors each composed of an accelerometer, gyroscope and magnetometer. The gravitational component of the acquired data was removed using a novel method for estimating sensor orientations. Correlation between the clinical pivot shift grade and acceleration and velocity parameters was measured using Spearman’s rank correlation coefficients.

Results

The pivot shift phenomenon was best characterized as a drop in femoral acceleration observed at the time of reduction. The correlation between the femoral acceleration drop and the clinical grade was shown to be very strong (r = 0.84, p < 0.0001).

Conclusions

The present study demonstrates the feasibility of quantifying the pivot shift using MEMS-based sensors and removing the gravitational component of acceleration using an estimation of sensor orientation for improved correlation to the clinical grade.
Appendix
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Metadata
Title
Quantitative pivot shift assessment using combined inertial and magnetic sensing
Authors
David R. Labbé
Di Li
Guy Grimard
Jacques A. de Guise
Nicola Hagemeister
Publication date
01-08-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 8/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-3056-8

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