EVALUATION OF CLINICAL EXAMINATION IN DIAGNOSIS OF KNEE ANTERIOR CRUCIATE LIGAMENT AND MENISCAL INJURIES

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TAHMASBI M.N.; JALALI MAZLOUMAN SH.

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Paper Information

Journal: IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY Year:2004 | Volume:2 | Issue:3 (7) Page(s): 29-32

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Information Journal Paper

Title

EVALUATION OF CLINICAL EXAMINATION IN DIAGNOSIS OF KNEE ANTERIOR CRUCIATE LIGAMENT AND MENISCAL INJURIES

Author(s)

TAHMASBI M.N. | JALALI MAZLOUMAN SH. | Issue Writer Certificate

Keywords

ANTERIOR CRUCIATE LIGAMENTSQ4

MENISCAL INJURYQ4

Abstract

Background: Knee maniacal and anterior cruciate ligament (ACL) injuries are common. Arthroscopic surgery for maniacal pathology is one of the most common arthroscopic operations done for knee derangement. Different clinical tests have been designed to pinpoint the status of ACL post trauma; such as Pivot Shift and Lachman. Meniscus tear is more commonly diagnosed clinically by Mc Murray test and joint line tenderness. Use of MRI, to confirm the diagnosis has become popular in recent years. Arthroscopic evaluation is a more direct and fruitful technique for diagnosis of such intra-articular pathologies. This study is aimed at assessing the value of clinical tests in diagnosis of ACL and meniscus injuries. Materials and Methods: 177 patients, underwent diagnostic knee arthroscopy in accordance with their positive clinical findings for meniscus or ACL injury. The clinical examinations were all done by a single surgeon and included Mc Murray testing, joint line tenderness, Lachman and Pivot Shift tests. The arthroscopic findings were compared with clinical pre-operative tests. The sensitivity, specificity, positive and negative predictive values of the clinical tests were calculated. Results: The sensitivities of tests for diagnoses of medial maniacal, lateral maniacal and ACL injuries were 98%, 60% and 95% respectively, while specificities were 97%, 100% and 98%. The positive predictive values were 97%, 100% and 96%; and the negative predictive value were 98%, 84% and 97%. Conclusion: Using Mc Murray test combined with joint line tenderness in the case of maniacal injuries, and Lachman test combined with lateral Pivot Shift test in the case of ACL injuries increases the sensitivity, specificity, reliability and accuracy of diagnosis in clinical examination of knee injuries.

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APA: Copy

TAHMASBI, M.N., & JALALI MAZLOUMAN, SH.. (2004). EVALUATION OF CLINICAL EXAMINATION IN DIAGNOSIS OF KNEE ANTERIOR CRUCIATE LIGAMENT AND MENISCAL INJURIES. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 2(3 (7)), 29-32. SID. https://sid.ir/paper/85469/en

Vancouver: Copy

TAHMASBI M.N., JALALI MAZLOUMAN SH.. EVALUATION OF CLINICAL EXAMINATION IN DIAGNOSIS OF KNEE ANTERIOR CRUCIATE LIGAMENT AND MENISCAL INJURIES. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2004;2(3 (7)):29-32. Available from: https://sid.ir/paper/85469/en

IEEE: Copy

M.N. TAHMASBI, and SH. JALALI MAZLOUMAN, “EVALUATION OF CLINICAL EXAMINATION IN DIAGNOSIS OF KNEE ANTERIOR CRUCIATE LIGAMENT AND MENISCAL INJURIES,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 2, no. 3 (7), pp. 29–32, 2004, [Online]. Available: https://sid.ir/paper/85469/en

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