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414 results for

McMurray Test

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401. A clinical composite score accurately detects meniscal pathology. (PubMed)

A clinical composite score accurately detects meniscal pathology. Five common tests were used to diagnose meniscal tears when used as a composite score. We evaluated how effectively the composite examination, when performed in the presence of an anterior cruciate ligament (ACL) injury or degenerative joint disease (DJD), determined the presence of meniscal tears.Data were collected prospectively on all patients at our clinic with a primary knee complaint. Independent variables included (...) the presence or absence of the following: (1) a history of "catching" or "locking" as reported by the patient, (2) pain with forced hyperextension, (3) pain with maximum flexion, (4) pain or an audible click with McMurray's maneuver, and (5) joint line tenderness to palpation. Comprehensive patient demographic data were collected including ligamentous examinations and other intra-articular pathologies found at arthroscopy. Composite examination findings were correlated with the presence or absence

2006 Arthroscopy

402. Anterior horn tears of the lateral meniscus in soccer players. (PubMed)

(MRI), and arthroscopic treatment.Common symptoms were a catching sensation in 10 patients (71.4%), pain at squatting in 9 patients (64.3%), and sense of giving way and effusion, each in 7 patients (50%). Five patients (35.7%) had lateral joint-line tenderness. McMurray's test was positive in 6 (42.9%) and tears were diagnosed by MRI in 13 (92.8%) patients. Arthroscopic examination showed multiple longitudinal tears in the avascular white zone of the meniscus in 7 patients (50%).These data show (...) that the McMurray test and joint-line tenderness had a low diagnostic value in diagnosing anterior horn tears of the lateral meniscus. MRI, however, had a high diagnostic value. Common arthroscopic findings included multiple longitudinal tears within the white zone of the anterior horn.Level IV.

2006 Arthroscopy

403. Arthroscopic all-inside suture repair of medial meniscus lesion in anterior cruciate ligament--deficient knees: results of second-look arthroscopies in 39 cases. (PubMed)

size, type, and location were analyzed. We determined clinical criteria for success in meniscal status as (1) not positive for 4 clinical objective parameters--joint line pain and tenderness, locking or catching, recurrent effusions, and McMurray test; and (2) complete healing of all-inside sutured meniscus during second-look arthroscopy.Among 39 knees assessed by second-look arthroscopy, 32 (82.1%) knees showed complete healing and 6 (15.4%) showed incomplete healing without any positive findings

2004 Arthroscopy

404. Arthroscopic meniscal repair: a comparative study between three different surgical techniques. (PubMed)

(group C) were managed by the all-inside technique using the Mitek RapidLoc soft tissue anchor (Mitek Surgical Products, Westwood, MA, USA). Anterior cruciate ligament (ACL) reconstruction was performed in 29 patients (51%). The criteria for clinical success included absence of joint line tenderness, locking, swelling, and a negative McMurray test. The minimum follow-up was one year for all groups. The mean follow-up was 23 months for group A, 22 months for group B, and 22 months for group C. All

2006 Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Controlled trial quality: uncertain

405. The rational clinical examination. Does this patient have a torn meniscus or ligament of the knee? Value of the physical examination. (PubMed)

) for a negative examination. Determination of meniscal lesions, using McMurray test, had an LR of 1.3 (95% CI, 0.9-1.7) for a positive examination and 0.8 (95% CI, 0.6-1.1) for a negative examination; joint line tenderness, 0.9 (95% CI, 0.8-1.0) and 1.1 (95% CI, 1.0-1.3); and the composite assessment, 2.7 (95% CI, 1.4-5.1) and 0.4 (95% CI, 0.2-0.7), respectively.The composite examination for specific meniscal or ligamentous injuries of the knee performed much better than specific maneuvers, suggesting (...) criteria.A rheumatologist and an orthopedic surgeon independently reviewed each article using a standardized rating scale that scored the assembly of the study, the relevance of the patients enrolled, the appropriateness of the reference standard, and the blinding of the examiner.Summary likelihood ratios (LRs) were estimated from random effects models. The summary LRs for physical examination for tears of the anterior cruciate ligament, using the anterior drawer test, were 3.8 (95% confidence interval

2001 JAMA

406. Localised pigmented villonodular synovitis: an uncommon cause of knee pain mimicking a meniscal tear (PubMed)

Localised pigmented villonodular synovitis: an uncommon cause of knee pain mimicking a meniscal tear A previously well 30 year old man presented with a short history of intra-articular mechanical locking, swelling, and anteromedial joint line pain. There was localised tenderness, and McMurray's test was positive. Arthroscopy revealed a 3.6 x 2.6 x 1.5 cm firm pedicular localised pigmented villonodular synovitis originating from the insertion of the anterior horn of the medial meniscus. Owing

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2003 British Journal of Sports Medicine

407. All-inside meniscal repair using a new flexible, tensionable device. (PubMed)

as McMurray test and KT-1000 arthrometry readings. Patients with symptoms consistent with meniscal repair failure underwent magnetic resonance arthrography and repeat arthroscopy.Twenty patients with 21 meniscal tears were excluded, resulting in 54 meniscal tears in 46 patients. At a mean follow-up of 34.8 months, the clinical success rate for meniscal repair was 90.7% (49/54), with 5 failures requiring meniscectomy. Univariate analysis revealed predictive variables for failure: bucket-handle

2006 American Journal of Sports Medicine

408. Diagnosis and management of heart failure. (PubMed)

Diagnosis and management of heart failure. 7907244 1994 04 13 2018 11 13 0959-8138 308 6924 1994 Jan 29 BMJ (Clinical research ed.) BMJ Diagnosis and management of heart failure. 321-8 Dargie H J HJ Department of Cardiology, Western Infirmary, Glasgow. McMurray J J JJ eng Journal Article Review England BMJ 8900488 0959-8138 0 Adrenergic beta-Antagonists 0 Angiotensin-Converting Enzyme Inhibitors 0 Diuretics 0 Vasodilator Agents AIM IM Adrenergic beta-Antagonists therapeutic use Angiotensin (...) -Converting Enzyme Inhibitors therapeutic use Cardiac Output, Low diagnosis etiology therapy Diuretics therapeutic use Echocardiography Exercise Test Humans Practice Guidelines as Topic Vasodilator Agents therapeutic use 59 1994 1 29 1994 1 29 0 1 1994 1 29 0 0 ppublish 7907244 PMC2539274 N Engl J Med. 1986 Jun 12;314(24):1547-52 3520315 Circulation. 1986 Mar;73(3):503-10 3948357 Crit Care Med. 1990 Jan;18(1 Pt 2):S14-8 1967161 Circulation. 1990 Sep;82(3):774-80 2144216 Am Heart J. 1990 Dec;120(6 Pt 2

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1994 BMJ : British Medical Journal

409. Physicians’ accuracy and interrator reliability for the diagnosis of unstable meniscal tears in patients having osteoarthritis of the knee (PubMed)

that a history of swelling and a ballottable effusion were negative predictors. A positive McMurray test was the only positive predictor of unstable meniscal tear. "Mechanical" symptoms were not reliable predictors in this prospective study. The model was 69% accurate for all patients and 76% for those with advanced medial compartment osteoarthritis defined by a joint space height of 2 mm or less.This study underscored the difficulty in using clinical variables to predict unstable medial meniscal tears

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2001 Canadian Journal of Surgery

410. Physical examination tests for assessing a torn meniscus in the knee: a systematic review with meta-analysis. (PubMed)

to create 2-by-2 tables for each article and test. Like tests were then subjected to meta-analysis and subanalysis. Cochran Q test and the 12 statistic were used to examine for the presence of heterogeneity and the extent of the effect of heterogeneity, respectively. A qualitative analysis was also performed using the QUADAS tool.Eighteen studies qualified for the final analyses. Three physical examination tests (McMurray's, Apley's, and joint line tenderness) were examined in more than 7 studies (...) and had enough data to consider meta-analysis. However, study results were heterogeneous. Pooled sensitivity and specificity were 70% and 71% for McMurray's, 60% and 70% for Apley's, and 63% and 77% for joint line tenderness. Large between-study differences could not be explained by prevalence, study quality, or how well an index test was described.No single physical examination test appears to accurately diagnose a torn tibial meniscus and the value of history plus physical examination is unknown

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2007 The Journal of orthopaedic and sports physical therapy

411. Efficacy of the axially loaded pivot shift test for the diagnosis of a meniscal tear (PubMed)

associated ACL deficiency. There were 144 meniscal lesions in 130 of the 160 knees which were examined. The sensitivity of the tests was lower than the specificity. Conventional tests such as McMurray and Apley tests showed a low accuracy rate of 45% and 28% respectively. The diagnostic value of the axially loaded pivot shift test was significantly higher, indicating that this remains a useful diagnostic aid. (...) Efficacy of the axially loaded pivot shift test for the diagnosis of a meniscal tear Although magnetic resonance imaging (MRI) has improved the diagnostic accuracy of meniscal pathology, the authors believe that physical examination remains essential to the evaluation of knee pathology. In this study, the diagnostic accuracy of five clinical tests for meniscal pathology was prospectively evaluated in 160 patients, who thereafter underwent arthroscopy. 69% (109 knees) of the knees tested had

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1999 International orthopaedics

412. The accuracy of physical diagnostic tests for assessing meniscal lesions of the knee: a meta-analysis. (PubMed)

identified studies, 13 met the inclusion criteria. The results of the index and reference tests were assessed independently (blindly) of each other in only 2 studies, and in all studies verification bias seemed to be present. The study results were highly heterogeneous The summary receiver operating characteristic curves of the assessment of joint effusion, the McMurray test and joint line tenderness indicated little discriminative power for these tests. Only the predictive value of a positive McMurray (...) The accuracy of physical diagnostic tests for assessing meniscal lesions of the knee: a meta-analysis. Our systematic review summarizes the evidence about the accuracy of those tests.We performed a literature search of MEDLINE (1966-1999) and EMBASE (1988-1999) with additional reference tracking.Articles written in English, French, German, or Dutch, that addressed the accuracy of at least one physical diagnostic test for meniscus injury with arthrotomy, arthroscopy, or magnetic resonance

2001 Journal of Family Practice

413. Diagnostic accuracy of a new clinical test (the Thessaly test) for early detection of meniscal tears. (PubMed)

and thirteen symptomatic patients with knee injuries who were examined clinically, had magnetic resonance imaging studies performed, and underwent arthroscopic surgery and 197 asymptomatic volunteers who were examined clinically and had magnetic resonance imaging studies done of their normal knees were included in this study. For clinical examination, the medial and lateral joint-line tenderness test, the McMurray test, the Apley compression and distraction test, the Thessaly test at 5 degrees of knee (...) Diagnostic accuracy of a new clinical test (the Thessaly test) for early detection of meniscal tears. Clinical tests used for the detection of meniscal tears in the knee do not present acceptable diagnostic sensitivity and specificity values. Diagnostic accuracy is improved by arthroscopic evaluation or magnetic resonance imaging studies. The objective of this study was to evaluate the diagnostic accuracy of a new dynamic clinical examination test for the detection of meniscal tears.Two hundred

2005 The Journal of Bone and Joint Surgery. American Volume

414. A new weight-bearing meniscal test and a comparison with McMurray's test and joint line tenderness. (PubMed)

A new weight-bearing meniscal test and a comparison with McMurray's test and joint line tenderness. The purpose of this study was to describe a new weight-bearing McMurray's test (Ege's test) and to compare its diagnostic value with McMurray's test and joint line tenderness (JLT). We also aimed to determine if associated lesions had any effect on the diagnostic values of the 3 tests.Prospective controlled trial, clinical study.The study group consisted of 150 consecutive patients who had had (...) , sensitivity, and specificity, respectively). Higher positive predictive values were obtained with McMurray's and Ege's tests than with JLT, but similar negative predictive values were achieved in all. A torn anterior cruciate ligament did not decrease the diagnostic values of the 3 tests, whereas the number of associated lesions in the knee negatively affected the diagnostic capabilities of the tests.Accuracies of traditional clinical meniscus tests may be improved by including Ege's test in the clinical

2004 Arthroscopy

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