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Master Thesis

ALPScore : création d’un score diagnostique des ruptures du ligament croisé antérieur, adapté pour les médecins de premier recours novices en traumatologie, suite à un traumatisme du genou à ski

Abstract : Background: Anterior cruciate ligament (ACL) ruptures are frequently seen in alpine skiing. When missed, functional limitations and osteo-arthritis can be severe. Diagnosis can remain difficult, especially for an inexperienced practitioner. That is why a clinical tool could be useful. Objective: The aim of this study was to find which items could be incorporate in a clinical tool to diagnose ACL ruptures after skiing injury, targeting unskilled practitioners. Methods: A systematic review was performed to find the most associated elements with ACL ruptures. A nominal group was then asked to select which elements were the most important to diagnose ACL ruptures, in order to build this score. Results: The systematic review showed 12 items which were statistically associated with ACL ruptures, and might be included in such a score. The nominal group underlined 7 items as being the most important for diagnosis in this context. Authors made a synthesis of these two parts. Conclusion: A clinical tool, named ALPSCore was created, with 7 binary items, and a suggested weighting for each. There is no clinical test in this score. Futures studies are needed to set each limit of probability ranks and test its accuracy in a clinical context.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03119856
Contributor : Jean-Hugues Morneau <>
Submitted on : Wednesday, January 27, 2021 - 11:04:15 AM
Last modification on : Friday, January 29, 2021 - 3:17:26 AM

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  • HAL Id : dumas-03119856, version 1

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Alix Bader, Yohan Guillon. ALPScore : création d’un score diagnostique des ruptures du ligament croisé antérieur, adapté pour les médecins de premier recours novices en traumatologie, suite à un traumatisme du genou à ski. Médecine humaine et pathologie. 2021. ⟨dumas-03119856⟩

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