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Quantitative pivot shift assessment using combined inertial and magnetic sensing

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

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.

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Acknowledgments

The authors would like to thank the Canada Research Chair in 3D Imaging and Biomedical Engineering, Prompt Inc., and Emovi Inc. for funding. We would also like to thank Gerard Parent for his invaluable help in operating the Vicon optical reference system during the validation process.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Laboratoire de recherche en imagerie et orthopédie (LIO), Centre de recherche du Centre hospitalier de l’Université de Montréal (CHUM), Tour Viger, 900, rue Saint-Denis, Local R11.326, Montreal, QC, H2X 0A9, Canada

    David R. Labbé, Di Li, Jacques A. de Guise & Nicola Hagemeister

  2. École de technologie supérieure, Montreal, Canada

    David R. Labbé, Di Li, Jacques A. de Guise & Nicola Hagemeister

  3. Centre hospitalier universitaire Ste-Justine, Montreal, Canada

    Guy Grimard

Authors
  1. David R. Labbé
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  2. Di Li
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  3. Guy Grimard
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  4. Jacques A. de Guise
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  5. Nicola Hagemeister
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Corresponding author

Correspondence to David R. Labbé.

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Labbé, D.R., Li, D., Grimard, G. et al. Quantitative pivot shift assessment using combined inertial and magnetic sensing. Knee Surg Sports Traumatol Arthrosc 23, 2330–2338 (2015). https://doi.org/10.1007/s00167-014-3056-8

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  • DOI: https://doi.org/10.1007/s00167-014-3056-8

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