Knee Surg Relat Res.  2018 Jun;30(2):121-127. 10.5792/ksrr.17.014.

Diagnostic Tools for Acute Anterior Cruciate Ligament Injury: GNRB, Lachman Test, and Telos

• Ryu SM
• Na HD
• Shon OJ

• KMID: 2413630
• DOI: http://doi.org/10.5792/ksrr.17.014

Abstract

PURPOSE
The purpose of this study is to compare the accuracy of the GNRB arthrometer (Genourob), Lachman test, and Telos device (GmbH) in acute anterior cruciate ligament (ACL) injuries and to evaluate the accuracy of each diagnostic tool according to the length of time from injury to examination.
MATERIALS AND METHODS
From September 2015 to September 2016, 40 cases of complete ACL rupture were reviewed. We divided the time from injury to examination into three periods of 10 days each and analyzed the diagnostic tools according to the time frame.
RESULTS
An analysis of the area under the curve (AUC) of a receiver operating characteristic curve showed that all diagnostic tools were fairly informative. The GNRB showed a higher AUC than other diagnostic tools. In 10 cases assessed within 10 days after injury, the GNRB showed statistically significant side-to-side difference in laxity (p<0.001), whereas the Telos test and Lachman test did not show significantly different laxity (p=0.541 and p=0.413, respectively).
CONCLUSIONS
All diagnostic values of the GNRB were better than other diagnostic tools in acute ACL injuries. The GNRB was more effective in acute ACL injuries examined within 10 days of injury. The GNRB arthrometer can be a useful diagnostic tool for acute ACL injuries.

Keyword

Knee; Anterior cruciate ligament; Injury; Diagnosis; GNRB Arthrometer; Telos

MeSH Terms

Anterior Cruciate Ligament*
Area Under Curve
Diagnosis
Knee
ROC Curve
Rupture