^��Ey�9 endobj The anterior drawer test has a sensitivity of 48% and a specificity of 93%. endstream 18 0 obj ��w3T0WI�2P0T�5T R� endstream Background: x�S�*�*T0T0 BC#sJ�UЏȴTp�W�!ih�W�"� �X� 37 0 obj endstream <>stream A MRI will confirm PCL deficiency and exclude associated injuries: bony avulsion, lateral meniscal tears, chondral damage and injury to ��F endobj <>>>/BBox[0 0 582 762]/Length 103>>stream <>stream Sensitivity and specificity co-vary with the decision threshold used to identify the disorder (Lalkhen and McCluskey. endstream 2013. We found that Lachman test had a diagnostic accuracy of 96.85%. ��E%� 13 0 obj (��}�QFK���̔\�ξ����>��QC�i/\s�$q�����G�������/� endobj Would you like email updates of new search results? ��w3T0WI�2P0T�5T R� <>>>/BBox[0 0 582 762]/Length 139>>stream x�+� � | x��� �ř�@!�E���4C��@����@c\C� �k� 2011-09-30T14:10:34-04:00 Direct arthroscopic visualization and a consensus of clinical findings, including joint arthrometry and magnetic resonance imaging, were used as the reference standards. endobj (��}�QFK���̔\�ξ����>��QC�i/\s�$q�����G�������/� eCollection 2021. These proportions are known as the sensitivity and specificity of a test, respectively. Performing the Test: The patient should be relaxed for this test, especially the tested extremity. The specificity was highest for the pivot-shift test (98%), followed by the Lachman (96%), anterior drawer (94%), and lever sign (90%) tests. endobj 2021 Jan 14;12:11-22. doi: 10.2147/OAJSM.S287663. (��}�QFK���̔\�ξ����>��QC�i/\s�$q�����G�������/� <>stream Epub 2012 Oct 20. x�S�*�*T0T0 BC#sJ�UЏ�42Qp�W�%k�W�"� �� 24 0 obj Clinical Significance of a Novel Knee Joint Stability Assessment System for Evaluating Anterior Cruciate Ligament Deficient Knees. 1 0 obj Description. 2011, who investigated the diagnostic test accuracy of the Lachman test performed in prone position for the diagnosis of torn anterior cruciate ligament (ACL). Purpose: To assess the integrity of the ACL. endstream Lichtenberg MC, Koster CH, Teunissen LPJ, Oosterveld FGJ, Harmsen AMK, Haverkamp D, Hoornenborg D, Berg RP, Bloemers FW, Faber IR. <>stream endstream endstream (��}�QFK���̔\�ξ����>��QC�i/\s�$q�����G�������/� 2015 Feb;10(1):52-61. determine the diagnostic accuracy of lever sign test in acute endstream !�\ ��w3T0WI�2P0T�5T R� Small, moderate and large LRs (+LR range 1.39-40.81, −LR range 0.02-0.52) were reported for Lachman’s test across the studies. 48 0 obj uuid:7db4605b-28d3-4416-a071-27f66cc9b48b endstream x�ͱ� �ᝧ8������8���Ey�R�A!4�\|F�˙��o���D�F!AX$���P��!���n3>h%���O�F\8��\�n1pN�ڒ\?�ֱ|���#�M2�6C�R��VE���Q�r`*/ <>>>/BBox[0 0 582 762]/Length 103>>stream ��F Methods to diagnose acute anterior cruciate ligament rupture: a meta-analysis of physical examinations with and without anaesthesia. Lachman Test. ��E%� <>stream 2011 Oct;41(10):749-57. <>>>/BBox[0 0 582 762]/Length 135>>stream A positive test is increased anterior translation of involved tiba compared with the uninvolved. <>>>/BBox[0 0 582 762]/Length 139>>stream !�\ <>>>/BBox[0 0 582 762]/Length 139>>stream � ��>E�lN��]���v����b���E��S ����A�; ��F�G��]� /�)���)ӊZ�\��")�� Prospective, blinded, diagnostic accuracy study. endobj x�S�*�*T0T0 BC#sJ�UЏ�4Vp�W�!i�O�"� ��' doi: 10.1371/journal.pone.0198797. endobj endobj Lachman test – displaced specificity 100%) and posterior sag (sensitivity 90%, specificity 99%)6 (Figure 7). x�ͱ� �ᝧ8������8���Ey�R�A!4�\|F�˙��o���D�F!AX$���P��!���n3>h%���O�F\8��\�n1pN�ڒ\?�ֱ|���#�M2�6C�R��VE���Q�r`*/ Study design: Int J Sports Phys Ther. 46 0 obj H��WK�� ������a����vמ Y��� 9�A�q�$����"{�_�$Kb=�'0��(�E~|���_�|��߿:������~8�8�c���;���[u������i��|���t����������{e�I�����Nz����������E#FWb*�ap�mZG5����=݂��M��O�?U~C�Q(d�Q�w�~�����oO/�_��+�����(��ZtM��f�9`�ߖ (X�B��z��7��~W��?171w���h�Jb�_NS��d��'���k�~��Y�������xO�E����2�J��.�����5F �u��-/#q]eh��5��B�0���eʽ�����Ϛ��we3g����x�Ť��cՔ�_b��9�&�k��u|���O\�~��q�|x�wU�k�Mb>s �Ø�pf��4��y�Q�ueL�۠}���Tbc�JL���1[���ɑ�_��G7�c�x�t���+%�Y�2np:�uY�2-� CLo�����ӭɩ�N�.`�v�vL.,t��@;%if�"����O�P�=��vC)�? The Lachman test is a clinical test used to diagnose injury of the anterior cruciate ligament (ACL). <>stream 2013 Aug;21(8):1895-903. doi: 10.1007/s00167-012-2250-9. <>stream x�S�*�*T0T0 BC#sJ�UЏ�4�Pp�W�%k�O�� "� �� x�+� � | Open Access J Sports Med. endstream An alternative position for evaluating the integrity of the ACL has been proposed as a means for examiners with smaller hands to adequately stabilize the thigh of a larger individual; however, the diagnostic accuracy of this method has not been established. <>>>/BBox[0 0 582 762]/Length 103>>stream �i ��E%� One study investigated the prone Lachman’s test and reported small and imprecise LRs (+LR 3.50, −LR 0.38). j endobj 2008). �E%���)�� x��� Objective: ��E%� endobj � ��>E�lN��]���v����b���E��S ����A�; ��F�G��]� /�)���)ӊZ�\��")�� endobj Prevention and treatment information (HHS). Likelihood Ratio +/-. ^��Ey�9 endstream endobj <>>>/BBox[0 0 582 762]/Length 139>>stream 3 0 obj x�s endobj 36 0 obj The reliability and diagnostic accuracy of assessing the translation endpoint during the lachman test. endstream The examiner places the tested leg into about 20 degrees of flexion, by placing the examiner's knee under the patient's thigh. endstream endstream �E%���)�� ��E%� ��w3T0WI�2P0T�5T R� x�s endstream Clinical diagnosis of partial or complete anterior cruciate ligament tears using patients' history elements and physical examination tests. Results: �i 4 0 obj The sensitivity of the prone Lachman test was 70% and the specificity was 97%, resulting in a positive likelihood ratio of 20.17 and a negative likelihood ratio of 0.32. 11 0 obj Bayomy AF, Forrester LA, Crowley SG, Popkin CA. 44 0 obj The positive predictive value was 94% and the negative predictive value was 80%. Lachman test sensitivity rose to 100% under anesthesia. 2018 Jun 12;13(6):e0198797. endobj 31 0 obj Summary estimates of sensitivity and specificity were 62% (95% CI 42 to 78%) and 88% (95% CI 83 to 92%) for the anterior drawer test, 86% (95% CI 76 to 92%) and 91% (95% CI 79 to 96%) … <>stream endobj x�ͱ� �ᝧ8������8���Ey�R�A!4�\|F�˙��o���D�F!AX$���P��!���n3>h%���O�F\8��\�n1pN�ڒ\?�ֱ|���#�M2�6C�R��VE���Q�r`*/ endobj %PDF-1.6 J Orthop Sports Phys Ther. (��}�QFK���̔\�ξ����>��QC�i/\s�$q�����G�������/� endobj 30 0 obj eCollection 2018. Meta-analysis of previous studies showed that these tests have variable sensitivity and specificity especially in acute injuries [3,4]. 12 0 obj 21 0 obj 38 0 obj x�ͱ� �ᝧ8������8���Ey�R�A!4�\|F�˙��o���D�F!AX$���P��!���n3>h%���O�F\8��\�n1pN�ڒ\?�ֱ|���#�M2�6C�R��VE���Q�r`*/ endobj �i endstream endobj A LR < 1.0 increases the likelihood of providing a correct diagnosis based on the test result. endobj <>stream �E%���)�� The knee is flexed at 15 degrees with the patient supine. endstream Methods: ��w3T0WI�2P0T�5T R� 26 0 obj Studies that report moderate or large LRs tended to be at risk of bias and had wide confidence intervals. The Lachman test was found to be 92.30% sensitive and 98.86% specific for detecting ACL tears. x�+� � | endobj ��w3T0WI�2P0T�5T R� <>>>/BBox[0 0 582 762]/Length 103>>stream In the office setting, the Lachman test has the highest sensitivity for diagnosing an acute, completeACL rupture, while all three tests had comparable specificity. This is rarely a clinical problem since understanding the statistical analysis is not applicable to the patient. The sensitivity of the prone Lachman test was 70% and the specificity was 97%, resulting in a positive likelihood ratio of 20.17 and a negative likelihood ratio of 0.32. endstream !�\ 7 0 obj Conclusion: An ideal test to diagnose the integrity of the ACL should be easy to perform and reproducible with high sensitivity and specificity. endstream �ř�@!�E���4C��@����@c\C� �k� a passive accessory movement test of the knee performed to identify the integrity of the anterior cruciate ligament (ACL). uuid:99850bc6-de48-46c7-bcd0-17b640530f9b endstream Careers. <>stream endobj Summary estimates of sensitivity and specificity were 62% (95% CI 42 to 78%) and 88% (95% CI 83 to 92%) for the anterior drawer test, 86% (95% CI 76 to 92%) and 91% (95% CI 79 to 96%) for the Lachman test, and 32% and 98% (95% CIs could not be calculated) for the pivot shift test, respectively. 15 0 obj �ř�@!�E���4C��@����@c\C� �k� ��F <>>>/BBox[0 0 582 762]/Length 103>>stream �E%���)�� endstream x�+� � | Yao ZL, Wang SB, Zhang Y, Huang WH, Shen HY, Ma LM, Huang HY, Xia H. Orthop Surg. ��F endobj 50 0 obj endstream 19 0 obj application/pdf Research Source: Van Eck CF, van den Bekerom MPJ, Fu FH, et al: Methods to diagnose acute anterior cruciate ligament rupture: a meta-analysis of physical examinations with and without anaesthesia. x�s <>>>/BBox[0 0 582 762]/Length 103>>stream �ř�@!�E���4C��@����@c\C� �k� endstream Unreliable and inaccurate clinical examination makes clinician uncertain of the diagnosis and compel to make endobj Introduction: None written. j ��E%� injury are Lachman test, anterior drawer test and pivot shift test [1,2]. � ��>E�lN��]���v����b���E��S ����A�; ��F�G��]� /�)���)ӊZ�\��")�� eCollection 2018 Mar. <>stream Liu showed that the sensitivity of Lachman and anterior drawer test was 95 and 61%, respectively . 8 0 obj 16 0 obj endobj endobj endstream ��E%� � ��>E�lN��]���v����b���E��S ����A�; ��F�G��]� /�)���)ӊZ�\��")�� <>>>/BBox[0 0 582 762]/Length 135>>stream … <>>>/BBox[0 0 582 762]/Length 139>>stream x��� Often when reading peer-reviewed articles I feel like I need an advanced degree in statistics to understand how the hell they analyzed the information and quantified the results. endobj <>>>/BBox[0 0 582 762]/Length 135>>stream x�s <>>>/BBox[0 0 582 762]/Length 135>>stream x�ͱ� �ᝧ8������8���Ey�R�A!4�\|F�˙��o���D�F!AX$���P��!���n3>h%���O�F\8��\�n1pN�ڒ\?�ֱ|���#�M2�6C�R��VE���Q�r`*/ endobj 42 0 obj x��� <>>>/BBox[0 0 582 762]/Length 139>>stream Please enable it to take advantage of the complete set of features! �i 22 0 obj A newer test for either full or partial ACL tears is the lever sign or Lelli test. endobj ��E%� Epub 2014 Nov 13. van Eck CF, van den Bekerom MP, Fu FH, Poolman RW, Kerkhoffs GM. Summary estimates of sensitivity and specificity were 62% (95% CI 42 to 78%) and 88% (95% CI 83 to 92%) for the anterior drawer test, 86% (95% CI 76 to 92%) and 91% (95% CI 79 to 96%) for the Lachman test, and 32% and 98% (95% CIs could not be calculated) for the pivot shift test… �ř�@!�E���4C��@����@c\C� �k� ��w3T0WI�2P0T�5T R� 2021 Apr 14;16(1):260. doi: 10.1186/s13018-021-02381-x. (��}�QFK���̔\�ξ����>��QC�i/\s�$q�����G�������/� (��}�QFK���̔\�ξ����>��QC�i/\s�$q�����G�������/� Adobe PDF Library 9.0; modified using iText 4.2.0 by 1T3XT j �E%���)�� The sensitivity of the prone Lachman test was 70% and the specificity was 97%, resulting in a positive likelihood ratio of 20.17 and a negative likelihood ratio of 0.32. x�S�*�*T0T0 BC#sJ�UЏ�44Rp�W�%k�W�"� �'� 2016 Feb;8(1):75-80. doi: 10.1111/os.12225. The reliability of physical examination tests for the diagnosis of anterior cruciate ligament rupture--A systematic review. endstream x�ͱ� �ᝧ8������8���Ey�R�A!4�\|F�˙��o���D�F!AX$���P��!���n3>h%���O�F\8��\�n1pN�ڒ\?�ֱ|���#�M2�6C�R��VE���Q�r`*/ This site needs JavaScript to work properly. !�\ Eponyms in Pediatric Sports Medicine: A Historical Review. �i <>>>/BBox[0 0 582 762]/Length 139>>stream The sensitivity and specificity for the Lachman test, AD sign, and pivot shift test performed under anesthesia are 92.9 and 100%, 92.9 and 100%, and 100 and 100%, respectively. 23 0 obj J Orthop Surg Res. <>stream %���� endstream Mulligan EP, Anderson A, Watson S, Dimeff RJ. It is a calculation of the specificity and the sensitivity of a test (-LR = 1-Sensitivity / Specificity). endstream �ř�@!�E���4C��@����@c\C� �k� �E%���)�� 47 0 obj j �ř�@!�E���4C��@����@c\C� �k� Clipboard, Search History, and several other advanced features are temporarily unavailable. ^��Ey�9 Lange T, Freiberg A, Dröge P, Lützner J, Schmitt J, Kopkow C. Man Ther. <>>>/BBox[0 0 582 762]/Length 103>>stream <>>>/BBox[0 0 582 762]/Length 139>>stream endobj The pivot shift test has a sensitivity of 61% and a specificity of 97% and has the highest positive predictive value of the 3 tests. 2021-05-21T22:27:26-07:00 The Lachman test is the best indicator of injury to the anterior cruciate ligament, especially the posterolateral band. x�+� � | The following terms are fundamental to understanding the utility of clinical tests:When evaluating a clinical test, the terms sensitivity and specificity are used. � ��>E�lN��]���v����b���E��S ����A�; ��F�G��]� /�)���)ӊZ�\��")�� <>stream 45 0 obj x�ͱ� �ᝧ8������8���Ey�R�A!4�\|F�˙��o���D�F!AX$���P��!���n3>h%���O�F\8��\�n1pN�ڒ\?�ֱ|���#�M2�6C�R��VE���Q�r`*/ Lachman Test: Sensitivity and Specificity. endstream �E%���)�� The sensitivity of the prone Lachman test was 70% and the specificity was 97%, resulting in a positive likelihood ratio of 20.17 and a negative likelihood ratio of 0.32. The agreement between examiners was 90%, with a kappa coefficient of 0.81. endstream ��F x��� <>stream endobj Jain revealed the sensitivity of the Lachman test under anesthesia to be 92.9 % . 2015 Jun;20(3):402-11. doi: 10.1016/j.math.2014.11.003. j x�+� � | The sensitivity and specificity of the McMurray test for medial and lateral meniscus were 35.7 and 85.7% and 22.2 and 100%, respectively. endstream Décary S, Fallaha M, Belzile S, Martel-Pelletier J, Pelletier JP, Feldman D, Sylvestre MP, Vendittoli PA, Desmeules F. PLoS One. 35 0 obj ��F Lever Sign Test. <>stream 10 0 obj I’ve never been mobilizing a patients shou… ��w3T0WI�2P0T�5T R� j There is an amazing amount of jargon when looking at the objective measurements. T����J���*���S~"w/Bk��[_�݈��p{|s�&=� 32 0 obj Bethesda, MD 20894, Copyright x��� �ř�@!�E���4C��@����@c\C� �k� endstream Accessibility Lachman's test is generally regarded as the best test for assessing ACL integrity with a sensitivity of 87% and a specificity of 93%. Diagnosis, level 2b. 41 0 obj (��}�QFK���̔\�ξ����>��QC�i/\s�$q�����G�������/� x�s Sensitivity = 0.81 Specificity = 0.81 +LR = 4.26-LR = .24. [1][2][3][4][5][6] The therapist holds the patients knee … Orthop J Sports Med. The positive predictive value of Lachman test was 97.29% and negative predictive value 96.66%. !�\ Validity, Reliability. <>>>/BBox[0 0 582 762]/Length 139>>stream Results: Twenty-three of 52 (44%) of the patients had a torn ACL. <>stream 8600 Rockville Pike 91-94 ��F Sensitivity, Specificity. Lachman, anterior drawer, pivot shift, and lever sign Acute's significant [AUC: 0.716, 0.731, 0.727, 0.928, respectively] activity were observed in the prediction of ACL rupture in MRI. ^��Ey�9 The positive predictive value was 94% and the negative predictive value was 80%. !�\ 2017 Dec;12(7):1057-1067. doi: 10.26603/ijspt20171057. x��� positive posterior drawer test (sensitivity 79%,Figure 4a. Mulligan EP, McGuffie DQ, Coyner K, Khazzam M. Int J Sports Phys Ther. �i Katez et al 9concluded that in all ACL injuries, irrespective of age, the anterior drawer sign was 40.9% sensitive and 95.2% specific ,the Lachman test was 81.8% sensitive and 96.8% specific and the pivot shift was 81.8% sensitive and 98.4% specific. Knee Surg Sports Traumatol Arthrosc. <>>>/BBox[0 0 582 762]/Length 135>>stream endstream The diagnostic odds ratio was 64.0, with a number needed to diagnose of 1.5. <>>>/BBox[0 0 582 762]/Length 103>>stream endobj Sensitivity: 20%, Specificity: 88% Lachman’s: Similar to the anterior drawer excpet the hip is relaxed and knee is flexed to 30 degrees. �i 2021-05-21T22:27:26-07:00 Reliability and diagnostic accuracy of the Lachman test performed in a prone position. Sensitivity: 86% Specificity: 91% 2018 Mar 16;6(3):2325967118759631. doi: 10.1177/2325967118759631. Sensitivity of anterior drawer test was 94.4% and sensitivity of Lachman test was 93.5%. 28 0 obj In Benjaminse`s meta- analysis, the accuracy for Lachman test showed a pooled sensitivity of 85% . 40 0 obj x�s <>>>/BBox[0 0 582 762]/Length 135>>stream ^��Ey�9 When the examination was performed under anaesthesia, the Lachman test still obtained the highest sensitivity, but the pivot shift test was the most specific. ��E%� endstream The Lachman test is the clinical examination gold standard for diagnosing this injury because of its well‐established sensitivity, specificity, and likelihood ratios; however, many clinicians also assign a categorical grade (modifier) to describe the … Fifty-two consecutive patients with a complaint of knee pain were independently evaluated in a prone position for the status of their ACL by 2 physical therapists, before any other diagnostic assessment. ��w3T0WI�2P0T�5T R� � ��>E�lN��]���v����b���E��S ����A�; ��F�G��]� /�)���)ӊZ�\��")�� endobj ��F endstream Trial registration: The 31 men and 21 women ranged in age from 16 to 57 (mean ± SD, 34.3 ± 4.2) years and in acuity of knee injury from 21 to 365 (mean ± SD, 195 ± 130) days. endstream � ��>E�lN��]���v����b���E��S ����A�; ��F�G��]� /�)���)ӊZ�\��")�� endstream endobj x�S�*�*T0T0 BC#sJ�UЏ�4Pp�W�!i�O�"� �G 6 0 obj Sensitivity of anterior drawer test and Lachman test was 94.4% ,93.5% respectively. !�\ Level of evidence: The Lachman test was found to be 92.30% sensitive and 98.86% specific for detecting ACL tears. 17 0 obj The positive predictive value of Lachman test was 97.29% and negative predictive value 96.66%. endobj x�+� � | �ř�@!�E���4C��@����@c\C� �k� Test Accuracy / Reliability / Evidence: Lachman Test Sensitivity and Specificity. <>stream ^��Ey�9 x�s endobj A modified anterior drawer test for anterior cruciate ligament ruptures. 33 0 obj 27 0 obj Excerpt from the entry in Anterior Cruciate Ligament Tear: pull anteriorly when knee is flexed at 30 degrees. j FOIA Adobe InDesign CS4 (6.0.6) endobj endobj ^��Ey�9 14 0 obj � ��>E�lN��]���v����b���E��S ����A�; ��F�G��]� /�)���)ӊZ�\��")�� !�\ endstream endobj Does the Lever Sign Test Have Added Value for Diagnosing Anterior Cruciate Ligament Ruptures? x��� <>stream THE DIAGNOSTIC ACCURACY OF THE LEVER SIGN FOR DETECTING ANTERIOR CRUCIATE LIGAMENT INJURY. x�S�*�*T0T0 BC#sJ�UЏ�4Sp�W�!i�O�"� ��0 endstream <>stream j � ��>E�lN��]���v����b���E��S ����A�; ��F�G��]� /�)���)ӊZ�\��")�� endobj 43 0 obj Conclusion: 25 0 obj x�s �i x��� �i Sensitivity and Specificity One method of measuring the value of MRI in detecting ACL tears is to calculate the proportion of torn and intact ACL's that were correctly classified by MRI. 39 0 obj Zhao GL, Lyu JY, Liu CQ, Wu JG, Xia J, Huang GY. x�+� � | To investigate the reliability and diagnostic accuracy of the Lachman test, performed in a prone position, to detect the presence of an anterior cruciate ligament (ACL) tear. endstream The accuracy was highest for the Lachman test (93%) and lowest for the lever sign … 5 0 obj 20 0 obj <>>>/BBox[0 0 582 762]/Length 103>>stream !�\ ClinicalTrials.gov NCT01301014. The sensitivity and specificity with 95 % confidence interval for the Lachman, anterior drawer and pivot shift test with and without anaesthesia are displayed in Tables 2, 3 and 4, for all the included studies.The overall sensitivity of the Lachman test without anaesthesia was 0.81 and the specificity 0.81. j <>>>/BBox[0 0 582 762]/Length 135>>stream The prone Lachman test is a reliable evaluation technique that can be used to confirm the presence of an ACL tear; however, the test should not be used as the sole criterion to rule out the presence of the injury. ��F (��}�QFK���̔\�ξ����>��QC�i/\s�$q�����G�������/� x�ͱ� �ᝧ8������8���Ey�R�A!4�\|F�˙��o���D�F!AX$���P��!���n3>h%���O�F\8��\�n1pN�ڒ\?�ֱ|���#�M2�6C�R��VE���Q�r`*/ In Table 9.2 example data is presented from Mulligan et al. 34 0 obj endobj It is recognized as reliable, sensitive, and usually superior to the anterior drawer test. [Merge finding] Tags: Physical Exam Tag this Finding. endstream <>stream Test Position: Supine. ^��Ey�9 x�S�*�*T0T0 BC#sJ�UЏ�42Tp�W�%k�W�"� �*� x�ͱ� �ᝧ8������8���Ey�R�A!4�\|F�˙��o���D�F!AX$���P��!���n3>h%���O�F\8��\�n1pN�ڒ\?�ֱ|���#�M2�6C�R��VE���Q�r`*/ �E%���)�� endstream x�+� � | endobj Lachman’s Test. endstream x�S�*�*T0T0 BC#sJ�UЏ�44Up�W�%k�W�"� �� The agreement between examiners was 90%, with a kappa coefficient of 0.81. In our cohort, the sensitivity was highest for the Lachman test (90%), followed by the anterior drawer (88%), lever sign (63%), and pivot-shift (59%) tests. ӽJ�5JП"�|0�_�/����-6���0�q���..�-.���Y_���. endstream … <>>>/BBox[0 0 582 762]/Length 135>>stream endobj We found that Lachman test had a diagnostic accuracy of 96.85%. endobj endstream x�s An anterior drawer test (ADT) is commonly done at the same time as the Lachman test to help confirm the diagnosis of an ACL injury. ^��Ey�9 Unable to load your collection due to an error, Unable to load your delegates due to an error. National Library of Medicine Knee Surg Sports Traumatol Arthrosc. endstream <>>>/BBox[0 0 582 762]/Length 135>>stream 9 0 obj Twenty-three of 52 (44%) of the patients had a torn ACL. �E%���)�� Privacy, Help endobj endstream endobj
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