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

J Bone Joint Surg Am. 1988 Mar;70(3):386-91.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Humans
  • Joint Instability / diagnosis*
  • Joint Instability / etiology
  • Joint Instability / physiopathology
  • Knee Injuries / complications
  • Knee Injuries / diagnosis*
  • Ligaments, Articular / injuries*
  • Male
  • Middle Aged
  • Muscle Contraction*
  • Physical Examination / methods*
  • Rupture