Publication:
Meniscal lesions in the anterior cruciate insufficient knee: The accuracy of clinical evaluation

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Issued Date

2004

Resource Type

Article

File Type

application/pdf

ISSN

1252208

Other identifier(s)

2-s2.0-3543134713

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

Journal of the Medical Association of Thailand. Vol 87, No.6 (2004), p.618-623

Suggested Citation

Pookarnjanamorakot C., Korsantirat T., Woratanarat P. Meniscal lesions in the anterior cruciate insufficient knee: The accuracy of clinical evaluation. Journal of the Medical Association of Thailand. Vol 87, No.6 (2004), p.618-623. Retrieved from: https://hdl.handle.net/20.500.14740/6408

Title

Meniscal lesions in the anterior cruciate insufficient knee: The accuracy of clinical evaluation

Author(s)

Pookarnjanamorakot C.
 Korsantirat T.
 Woratanarat P.

Abstract

Objective: The purpose of this study was to find out the accuracy of certain symptoms and examination findings that are used to diagnose meniscal injury associated with a torn anterior cruciate ligament. Study Design: Cross-sectional study. Material and Method: The authors studied one hundred consecutive patients with anterior cruciate ligament insufficiency who were scheduled for surgery. During preoperative admission, one of the authors (KT) examined the patients and recorded the demographic data, duration of symptoms, and the clinical findings including Ballottement sign, joint line tenderness, Childress' sign, Merke's sign, Steinmann 1 sign, Mc Murray test, and Apley test. All patients underwent arthroscopically assisted anterior cruciate reconstruction by the senior author (PC). Specific meniscal procedures were performed according to the surgeon's preference at the time of surgery. Predictive results of preoperative examination tests for meniscal tears were compared with the findings at surgery and analyzed using arthroscopic findings as the gold standard. Results: There were one hundred patients included in the present study. Out of 100 patients, 75% had meniscal tears and 6% had both meniscal and cartilage lesions. The most sensitive test was Childress' sign (68%), which also had the highest accuracy (66%). The most specific tests were Steinmann 1 sign and Apley test (100%). Conclusion: Childress' sign was more accurate than other tests for detecting meniscal lesions in anterior cruciate insufficient knees. Steinmann 1 sign and Apley test had the highest specificity.

Subject(s)

Adolescent
 Adult
 Anterior cruciate ligament rupture
 Apley test
 Arthralgia
 Article
 Ballottement sign
 Childress sign
 Clinical examination
 Clinical feature
 Comparative study
 Controlled study
 Diagnostic accuracy
 Diagnostic test
 Diagnostic value
 Female
 Hospital admission
 Human
 Knee arthroscopy
 Major clinical study
 Male
 Mc Murray test
 Merke sign
 Physical examination
 Preoperative evaluation
 Steinmann I sign
 Validation process
 Anterior cruciate ligament
 Arthroscopy
 Cross-sectional study
 Injury
 Knee injury
 Knee meniscus
 Middle aged
 Sensitivity and specificity
 Adolescent
 Adult
 Anterior Cruciate Ligament
 Arthroscopy
 Cross-Sectional Studies
 Female
 Humans
 Knee Injuries
 Male
 Menisci, Tibial
 Middle Aged
 Sensitivity and Specificity

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URI

https://hdl.handle.net/20.500.14740/6408

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Scopus: Year 1983-2021

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