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Accuracy of McMurray and Joint Line Tenderness Tests in the Diagnosis of Chronic Meniscal Tears : An Ad Hoc Receiver Operator Characteristic Analysis Approach

GALLI M; MARZETTI E
ARCH PHYS MED REHABIL , 2017, vol. 98, n° 9, p. 1897-1899
Doc n°: 186056
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2016.09.122
Descripteurs : DE544 - LESIONS DES MENISQUES - GENOU
Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To determine the overall diagnostic accuracy of the McMurray and joint
line tenderness (JLT) tests for the detection of meniscal lesions. DESIGN:
Secondary analysis of a prospective observational study. SETTING: Orthopedics
outpatient clinic, university hospital. PARTICIPANTS: Patients (N=56) with
suspected nonacute meniscal lesions who underwent knee arthroscopy.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Diagnostic accuracy of the
McMurray and JLT tests as determined by receiver operator characteristic
analysis. RESULTS: The McMurray test showed higher accuracy (area under the curve
[AUC], .69; SE, .079) than the JLT test (AUC, .58; SE, .084). CONCLUSIONS: The
McMurray test, although presenting a higher diagnostic accuracy than the JLT
test, does not suffice as a standalone diagnostic procedure for chronic meniscal
lesions. The test may still be valuable to guide the diagnosis in cases with
highly suspected meniscal tears.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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