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Définition clinique, laximétrique, vidéo arthroscopie des ruptures du LCA. Étude prospective multicentrique

Clinical, radiological, and videoarthroscopic definition of the ACL rupture. A multicentric prospective study on 418 cases

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La Lettre de médecine physique et de réadaptation

Résumé

Cette étude multicentrique prospective sur 418 ruptures du ligament croisé antérieur avait pour but de rechercher les corrélations existantes entre les différents aspects du Ligament croisé antérieur, constatés au moment de l’intervention chirurgicale, et les données de l’examen clinique, de l’examen radiographique standard et en tiroir antérieur et de l’IRM. Quatre types de lésions du LCA ont été identifiés: disparu totalement, conservation du faisceau postérolatéral, cicatrisation sur le ligament croisé postérieur et cicatrisation dans l’échancrure. Les différentes corrélations ont montré une plus grande laxité dans le groupe disparu totalement, avec une plus grande fréquence de tests de Lachman mou et de ressauts franc et explosif. Une plus grande incidence de lésions du ménisque médial a été retrouvée. Toutes ces constatations étant corrélées aussi avec le délai ≪ accident-chirurgie ≫, plus élevé dans le groupe disparu totalement par rapport aux groupes conservation du faisceau postérolatéral et cicatriciel échancrure. Cette étude a montré les différents critères des aspects cicatriciels du LCA, et cela peut aider le chirurgien à faire le meilleur choix chirurgical.

Abstract

This prospective multicentric study of 418 anterior cruciate ligament (ACL) rupture has been done to investigate the correlation existing between the various aspects of the anterior cruciate ligament recognized at the time of surgery and data from clinical examination, radiographic examination of the standard and anterior drawer, and MRI. Four types of ACL injuries have been identified: completely disappeared, conservation posterolateral bundle, scarring on the posterior cruciate ligament, and scarring in the notch. Different correlations have shown a greater laxity in the group disappeared completely with a greater frequency soft Lachman and explosive pivot shift. All these findings were also correlated with the time to “injury surgery” higher in the group disappeared completely from conservation groups “posterolateral.” This study showed the different criteria for ACL ruptures, and this may help the surgeon to make the best surgical choice.

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Authors and Affiliations

  1. Service de chirurgie orthopédique, Lyon Ortho Clinic, 8, avenue Ben Gourion, F-69009, Lyon, France

    D. Dejour

  2. Centre hospitalier de Pau, 4, boulevard Hauterive, F-64000, Pau, France

    H. Duraffour

  3. Clinique du sport de Mérignac, 9, rue Jean-Moulin, F-33700, Mérignac, France

    P. Colombet

  4. Centre de chirurgie sportive, clinique du Cours Dillon, 1, rue Peyrolade, F-31300, Toulouse, France

    C. Javois & J.-F. Potel

  5. Médicèdres, 48, avenue de Grugliasco, F-38130, Echirolles, France

    W. Vasconcelos & J.-C. Panisset

Authors
  1. D. Dejour
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  2. H. Duraffour
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  3. W. Vasconcelos
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  4. P. Colombet
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  5. C. Javois
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  6. J.-F. Potel
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  7. J.-C. Panisset
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Corresponding author

Correspondence to D. Dejour.

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Dejour, D., Duraffour, H., Vasconcelos, W. et al. Définition clinique, laximétrique, vidéo arthroscopie des ruptures du LCA. Étude prospective multicentrique. Lett Med Phys Readapt 26, 14–19 (2010). https://doi.org/10.1007/s11659-009-0218-z

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  • DOI: https://doi.org/10.1007/s11659-009-0218-z

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