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Table 4 Physical examination in 52 patients suspected for ACL injury with a positive and negative TIR test

From: A novel test for assessment of anterolateral rotatory instability of the knee: the tibial internal rotation test (TIR test)

 

positive TIR testa

(N = 11)

negative TIR testa

(N = 41)

pivot shift testa,b

 0 to 1+

–

4 (9.8%)

 1+ to 2+

6 (54.5%)

19 (46.3%)

 2+ to 3+

3 (27.3%)

10 (24.4%)

 3+

–

1 (2.4%)

 no assessment possible

2 (18.2%)

7 (17.1%)

anterior drawer test with foot in internal rotationa

 negative

4 (36.3%)

26 (63.4%)

 positive

7 (63.6%)

15 (36.6%)

varus gappinga,c

 grade A

11 (100.0%)

34 (82.9%)

 grade B

–

5 (12.2%)

 grade C

–

2 (4.9%)

 grade D

–

–

valgus gappinga,c

 grade A

9 (81.8%)

31 (75.6%)

 grade B

2 (18.2%)

9 (22.0%)

 grade C

–

1 (2.4%)

 grade D

–

–

  1. aAssessed by either the blinded examiner and/or orthopaedic surgeon
  2. b0 (normal; negative), 1+ (nearly normal; glide), 2+ (abnormal; clunk), 3+ (severely abnormal; gross), according to the 2000 IKDC objective knee examination score
  3. cGrade A (normal; 0–2 mm), grade B (nearly normal; 3–5 mm), grade C (abnormal; 6–10 mm), grade D (severely abnormal; > 10 mm), according to the 2000 IKDC objective knee examination score