# Dynamic ultrasound enables quantitative assessment of medial knee instability: A scoping review

**Authors:** Paulo Roberto de Queiroz Szeles, Leonardo Addêo Ramos, André Fukunishi Yamada, Moisés Cohen, Mark Sayers, Benno Ejnisman

PMC · DOI: 10.1002/jeo2.70606 · Journal of Experimental Orthopaedics · 2026-01-08

## TL;DR

This review explores how dynamic ultrasound can be used to assess medial knee instability and highlights the need for standardized methods.

## Contribution

The paper provides a scoping review of dynamic ultrasound's role in evaluating medial knee instability.

## Key findings

- Ultrasound showed good reliability in measuring medial knee opening.
- Heterogeneity was found in stress protocols and measurement units across studies.
- Dynamic ultrasound has potential but needs standardized methods and clinical validation.

## Abstract

To map the scientific literature on the use of dynamic ultrasound in the assessment of medial knee instability.

Primary (clinical or experimental) and secondary studies that used dynamic ultrasound to assess medial knee opening were included. There were no restrictions on language or date. Sources of information: The searches were conducted in the PubMed/MEDLINE, Scopus, Web of Science, Embase and CINAHL databases.

The process of data selection and extraction was conducted by two independent reviewers. The information was organised into thematic tables and a conceptual matrix was developed based on the components of population, concept, and context.

Ten studies were included: two biomechanical, six clinical, and two reviews. Ultrasound demonstrated good reliability in measuring medial opening and distinguishing between injured and normal knees. Heterogeneity was observed in the stress protocols, evaluation angles, units of measurement, and anatomical points.

Dynamic ultrasound presents consolidated clinical potential in the assessment of medial knee instability. Standardisation of methods and additional clinical validation are necessary.

Not applicable.

## Full-text entities

- **Diseases:** medial (MESH:D020423), medial knee instability (MESH:D007718)

## Full text

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## Figures

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## References

17 references — full list in the complete paper: https://tomesphere.com/paper/PMC12780856/full.md

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Source: https://tomesphere.com/paper/PMC12780856