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McMurray Test

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1. Diagnostic accuracy of the Thessaly test, standardised clinical history and other clinical examination tests (Apley s, McMurray s and joint line tenderness) for meniscal tears in comparison with magnetic resonance imaging diagnosis

Diagnostic accuracy of the Thessaly test, standardised clinical history and other clinical examination tests (Apley s, McMurray s and joint line tenderness) for meniscal tears in comparison with magnetic resonance imaging diagnosis Diagnostic accuracy of the Thessaly test, standardised clinical history and other clinical examination tests (Apley's, McMurray's and joint line tenderness) for meniscal tears in comparison with magnetic resonance imaging diagnosis Journals Library An error occurred

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2015 NIHR HTA programme

2. McMurray Test

McMurray Test McMurray Test Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 McMurray Test McMurray Test Aka: McMurray Test (...) , McMurray's Test II. Indication Evaluation for Knee III. Efficacy : 26 to 58% : 59 to 94% Probability of injury if positive: 66% ( 17.3) Probability of injury if negative: 5% ( 0.5) References IV. Technique Patient lies supine flexed to 45 degrees Hip flexed to 45 degrees Examiner braces lower leg One hand holds ankle Other hand holds knee Medial meniscus assessment Assess for pain on palpation Palpate medial joint line with knee flexed Assess for "click" suggesting meniscus relocation Apply valgus stress

2018 FP Notebook

3. McMurray's Test and Joint Line Tenderness for Medial Meniscus Tear: Are They Accurate? (PubMed)

McMurray's Test and Joint Line Tenderness for Medial Meniscus Tear: Are They Accurate? Meniscus tears are the most common injury of the knee. The McMurray's test and Joint line tenderness for diagnosing meniscus tear have been widely tested, but results reported by different authors vary. The wide variations reported have an impact on clinical decision concerning whether to go for other diagnostic tests before going for diagnostic arthroscopy, which is considered as the gold standard.The (...) purpose of this study was to determine the diagnostic value of Joint line tenderness and McMurray's test, as clinical signs, to diagnose underlying medial meniscus tears.This was a prospective observational study done in Tribhuwan University Teaching Hospital. Patients undergoing knee arthroscopy were included in the study period of one year (from February 2011 to January 2012). Each patient was clinically examined with McMurray's test and joint line tenderness. The findings were then matched

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2016 Ethiopian journal of health sciences

4. Cohort study: Thessaly test is no more accurate than standard clinical tests for meniscal tears

Statistics from Altmetric.com Commentary on : Blyth M , Anthony I , Francq B , et al . Diagnostic accuracy of the Thessaly test, standardised clinical history and other clinical examination tests (Apley's, McMurray's and joint line tenderness) for meniscal tears in comparison with magnetic resonance imaging diagnosis . Context The tibial menisci are prone to injury with age and degeneration-causing repetitive microtrauma as well as with more obvious trauma such as twisting on a planted leg or anterior (...) Cohort study: Thessaly test is no more accurate than standard clinical tests for meniscal tears Thessaly test is no more accurate than standard clinical tests for meniscal tears | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers

2016 Evidence-Based Medicine (Requires free registration)

5. McMurray Test

McMurray Test McMurray Test Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 McMurray Test McMurray Test Aka: McMurray Test (...) , McMurray's Test II. Indication Evaluation for Knee III. Efficacy : 26 to 58% : 59 to 94% Probability of injury if positive: 66% ( 17.3) Probability of injury if negative: 5% ( 0.5) References IV. Technique Patient lies supine flexed to 45 degrees Hip flexed to 45 degrees Examiner braces lower leg One hand holds ankle Other hand holds knee Medial meniscus assessment Assess for pain on palpation Palpate medial joint line with knee flexed Assess for "click" suggesting meniscus relocation Apply valgus stress

2015 FP Notebook

6. The Paradoxical McMurray Test for the Detection of Meniscal Tears: An Arthroscopic Study of Mechanisms, Types, and Accuracy. (PubMed)

The Paradoxical McMurray Test for the Detection of Meniscal Tears: An Arthroscopic Study of Mechanisms, Types, and Accuracy. Meniscal tears are very common. The so-called paradoxical McMurray test has been described and found to be positive for three different types of meniscal tears. However, to our knowledge, no study has evaluated the accuracy of this test. The purpose of the present study was to evaluate the accuracy of the paradoxical McMurray test compared with the conventional McMurray (...) test. We also sought to determine whether there are other types of meniscal tears that would show positive results on the paradoxical McMurray test.The authors evaluated 628 patients with meniscal tears (Group I) and 387 patients without meniscal tears (Group II), as confirmed by arthroscopy performed from June 2000 to May 2006. The results of both clinical examinations (the conventional and the paradoxical McMurray test) were recorded, and the paradoxical phenomenon as seen during arthroscopy

2012 The Journal of Bone and Joint Surgery. American Volume

7. Medical Concepts: I Kneed You – The Thessaly Test for Meniscal Injury

is the “Thessaly Test” and has it been proven useful in the detection of meniscal injuries? Meniscal Injuries Meniscal injuries often occur following a twisting injury to the knee, usually with the foot planted on the floor. 1 Common symptoms include joint line tenderness, a clicking noise, knee locking, and recurrent delayed joint effusions (most commonly with associated cruciate and/or patellar subluxation or dislocation). Many tests exist to help diagnose meniscal injuries, including the McMurray test (...) , the Thessaly test, and joint line tenderness. 2–4 We will compare the evidence for these tests below. Figure 1. Lateral view of knee anatomy (left). 5 Superior view of the right tibia (right); note location of the menisci. 6 Commonly Used Tests for Detecting Meniscal Injury The McMurray Test There are 2 components to the McMurray test, examining both the medial and lateral meniscus. Starting with the patient’s knee and hip fully flexed, apply a varus force (adduction) while passively internally rotating

2017 CandiEM

8. Patient self-testing and self-management of oral anti-coagulants with vitamin K antagonists

Patient self-testing and self-management of oral anti-coagulants with vitamin K antagonists Patient self‐testing and self‐management of oral anticoagulation with vitamin K antagonists: guidance from the British Committee for Standards in Haematology - Jennings - 2014 - British Journal of Haematology - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term The full text of this article hosted at iucr.org (...) is unavailable due to technical difficulties. Guideline Free Access Patient self‐testing and self‐management of oral anticoagulation with vitamin K antagonists: guidance from the British Committee for Standards in Haematology UK NEQAS (Blood Coagulation), Sheffield, UK UK NEQAS (Blood Coagulation), Sheffield, UK Oxford University Hospitals, Oxford Haemophilia and Thrombosis Centre, Churchill Hospital, Oxford, UK The University of Birmingham, Primary Care Clinical Sciences, Edgbaston, Birmingham, UK

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2014 British Committee for Standards in Haematology

9. The most special test…

. For example, the belief that pain during the ‘McMurrays’ special test stresses and strains the knee meniscus alone is not so ( ). The belief that pain on the ‘Spurlings’ special test or during the ‘upper limb tension’ special tests only indicates neural compression or tension is just not so ( ). Special tests simply do not isolate specific tissues or structures, therefore when pain is reproduced during these tests all they tell you is that pain is reproduced not what the source is. That’s even (...) The most special test… The most special test… | The Sports Physio Simple, practical, honest advice Menu / Special orthopaedic tests are commonly used by clinicians in the assessment of those with musculoskeletal pain or injury. There is a mind-boggling number of these tests, usually named after the clinicians who invented them covering all areas of the body, and they are believed to help diagnose many different injuries and pathologies. However, it’s time to look at these special tests

2017 The Sports Physio blog

10. Recommendations for the predictive genetic test in huntington's disease

Recommendations for the predictive genetic test in huntington's disease Recommendations for the predictive genetic test in Huntington's disease - MacLeod - 2013 - Clinical Genetics - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term The full text of this article hosted at iucr.org is unavailable due to technical difficulties. SPECIAL FEATURE Free Access Recommendations for the predictive genetic (...) test in Huntington's disease Corresponding Author Genetic Medicine, Manchester Academic Health Science Centre, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK EHDN WG Genetic Testing and Counselling: Emilia Bijlsma, Ellen Blinkenberg, Yvonne Bombard, Pascal Borry, David Craufurd, Mary Davis, Christine de Die‐Smulders, Claudia Downing, Alexandra Dürr, Maria Garcia Barcina, Ruth Glew, Arvid Heiberg, Frances Heydon, Dorota Hoffman‐Zacharsk, Ulrika Hösterey Ugander, Maria

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2012 American Academy of Neurology

11. Not-so-free testing for cell-free DNA (PubMed)

Not-so-free testing for cell-free DNA 27737981 2017 03 24 2018 11 13 1715-5258 62 10 2016 Oct Canadian family physician Medecin de famille canadien Can Fam Physician Not-so-free testing for cell-free DNA. 820 Huang Darryl D Family medicine resident at the University of Alberta in Fort McMurray. Lundgard Karen K Rural family physician in Peace River, Alta. Kolber Michael R MR Associate Professor in the Department of Family Medicine at the University of Alberta in Edmonton. eng Journal Article (...) Canada Can Fam Physician 0120300 0008-350X 9007-49-2 DNA IM DNA blood Female Genetic Testing methods Humans Pregnancy Pregnancy Trimester, First blood Prenatal Diagnosis economics Trisomy diagnosis 2016 10 15 6 0 2016 10 16 6 0 2017 3 25 6 0 ppublish 27737981 62/10/820 PMC5063772 J Matern Fetal Neonatal Med. 2016 Dec;29(24):4008-14 26940147 J Obstet Gynaecol Can. 2011 Jul;33(7):736-50 21749752 J Obstet Gynaecol Can. 2013 Feb;35(2):177-83 23470070 PLoS One. 2016 Apr 05;11(4):e0153147 27045195

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2016 Canadian Family Physician

12. Evaluation of clinical tests and magnetic resonance imaging for knee meniscal injuries: correlation with video arthroscopy (PubMed)

showed higher sensitivity, with a 77% chance of detecting MMT. Analysis of the set of three tests (McMurray, PPJI, and Steinmann I) compared to arthroscopy showed 85% sensitivity for MMT and 70% sensitivity for LMT. MRI showed a greater specificity for the diagnosis of MMT and LMT; the values were 82% and 91%, respectively.The combination of the three tests shows better results compared to the isolated tests and thus can be associated to the MRI to make an effective diagnosis. However, further (...) Evaluation of clinical tests and magnetic resonance imaging for knee meniscal injuries: correlation with video arthroscopy To determine the specificity, sensitivity, accuracy, likelihood, and correlation of the findings of meniscal tests and magnetic resonance imaging (MRI) to knee video arthroscopy.A cross-sectional study, conducted between June and December 2015, which evaluated 84 patients with meniscal tears (MT) selected for video arthroscopy. Two orthopedic trainees and a resident

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2017 Revista brasileira de ortopedia

13. Special tests for assessing meniscal tears within the knee: a systematic review and meta-analysis. (PubMed)

Assessment Tool for Diagnostic Accuracy Studies (QUADAS) 2 tool.Nine studies were included (n=1234) and three special tests were included in the meta-analysis. The methodological quality of the included studies was generally poor. McMurray’s had a sensitivity of 61% (95% CI 45% to 74%) and a specificity of 84% (95% CI 69%to 92%). Joint line tenderness had a sensitivity of 83%(95% CI 73% to 90%) and a specificity of 83% (95% CI 61% to 94%). Thessaly 20° had a sensitivity of 75%(95% CI 53% to 89 (...) Special tests for assessing meniscal tears within the knee: a systematic review and meta-analysis. Musculoskeletal knee pain is a large and costly problem, and meniscal tears make up a large proportion of diagnoses. ‘Special tests’ to diagnose torn menisci are often used in the physical examination of the knee joint. A large number of publications within the literature have investigated the diagnostic accuracy of these tests, yet despite the wealth of research their diagnostic accuracy remains

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2015 Evidence-based medicine

14. A meta-analysis examining clinical test utilities for assessing meniscal injury

reviewer. Studies included in the meta-analyses assessed the accuracy of Apley's test, McMurray's test and the joint line tenderness test; other included studies assessed pain on forced flexion, blocked extension, Ege's test, Thessaly test, modified pivot shift test and medial-lateral grind test. All included studies assessed both medial and lateral meniscus. Most studies were in majority male populations. Participant ages ranged from 10 to 78 years. Assessment of study quality Study quality (...) , 0.96) for specificity and 2.20 (95% CI: 0.27, 17.66) for DOR. The pooled estimates of sensitivity, specificity and DOR ( eight studies, 1,374 participants) for the joint line tenderness test were 0.76 (95% CI: 0.73, 0.80) for sensitivity, 0.77 (95% CI: 0.64, 0.87) for specificity and 10.98 (95% CI: 3.02, 39.95) for DOR. The pooled estimates of sensitivity, specificity and DOR (eight studies, 1,475 participants) for McMurray's test were 0.55 (95% CI: 0.50, 0.60) for sensitivity, 0.77 (95% CI: 0.62

2008 DARE.

15. Which is the best clinical test for diagnosing a knee meniscal injury?

Patient group Study type (level of evidence) Outcomes Key results Study Weaknesses Scholten et al 2001 Holland 13 studies (n= 402) on accuracy of physical diagnostic tests for meniscal lesions 1a Systematic review 1. McMurray's test 1. Mean % Sensitivity 48% Specificity 86% Small number of poor quality studies Sensitivity & specificity estimates affected by verification bias 2. Joint line tenderness 2. Mean % Sensitivity 77% Specificity 41% Solomon et al 2001 USA 9 studies (n = 1018) on diagnostic (...) accuracy of examination for meniscal injury 1a Systematic review 1. Composite examination (9 studies) 1.Mean % (SD) Sensitivity 77%(7%) Specificity 91% (3%). 9 studies all used arthroscopy as gold standard (verification bias) 2. Joint line tenderness (4 studies) 2. Mean % (SD) Sensitivity 79%(4%) Specificity 15% (22%) SummaryLR (95% CI) Positive LR 0.9 (0.8-1) Negative LR1.1(1-1.3) 3. McMurray's test (4 studies) 3. Mean%(SD) Sensitivity 53% (15%) Specificity 59% (36%) Summary LR (95% CI) Positive LR

2008 BestBETS

16. Management of stable angina

-cardiac chest pain Minor update 3.2 Diagnostic and prognostic tools Completely revised 3.2.2 Exercise tolerance testing Updated 3.2.3 Stress echocardiography New 3.2.4 Stress perfusion cardiac magnetic resonance imaging New 3.2.5 Myocardial perfusion scintigraphy Minor update 3.2.6 CT-coronary angiography and calcium scoring New 3.2.7 Coronary angiography Updated 3.3 Models of care Completely revised 4.1.5 Selective If inhibitors Completely revised 4.1.6 Ranolazine New 4.2.1 Adding calcium channel (...) the diagnosis of stable angina is suspected but not clear from history alone. R In patients with suspected stable angina, the exercise tolerance test should not be used routinely as a first-line diagnostic tool. 2.2 STABLE ANGINA AND NON-CARDIAC SURGERY R The routine use of aspirin to reduce perioperative cardiac events in patients undergoing non-cardiac surgery, including those with known stable coronary artery disease, is not recommended. Management of stable angina| 7 3 Diagnosis and assessment Angina

2018 SIGN

17. Meniscal tear

present. [Figure caption and citation for the preceding image starts]: Anatomical structures around the menisci Created by BMJ Publishing Group [Citation ends]. History and exam presence of risk factors knee swelling sensation of knee instability or buckling/catching knee pain tenderness at joint line and joint line crepitation positive McMurray's test positive Apley's test positive hyperextension test popliteal (Baker's) cyst in chronic cases limited range of motion acute trauma (twisting injury

2018 BMJ Best Practice

18. Cardiac arrhythmias in coronary heart disease

of ischaemic VT induced at electrophysiological study, sudden death and out-of-hospital collapse. R Revascularisation should be considered in patients who have had sustained VT or VF. 9 Patients with previous sustained VT/VF should undergo assessment for inducible ischaemia by stress testing or myocardial perfusion imaging followed, if appropriate, by coronary arteriography and revascularisation. These patients should all be considered for implantable cardioverter defibrillator therapy. 5.2.2 IMPLANTABLE

2018 SIGN

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