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452 results for

McMurray Test

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441. Knee Assessment (History and Examination)

. Try to detect any palpable or visible reduction between the femur and the tibia. PCL Posterior drawer test : Perform the same examination as the anterior drawer test but pushing backwards in relation to the tibia instead of pulling forwards. Compare the degree of movement with the other side. Posterior sag test : Flex both knees to 90°. Look at the position of the tibia in relation to the femur. If there is rupture of the PCL, the position will be relatively posterior. Other tests McMurray's test (...) : compare with the other side. Examine for an effusion This is unnecessary if swelling is gross. The massage (bulge) test : with the knee in extension, use the palm of your hand to massage any fluid in the anteromedial compartment of the knee into the suprapatellar pouch. Next, stroke the lateral side of the joint and the lateral side of the suprapatellar pouch. This will push any fluid present back into the anteromedial compartment. Look for a fluid impulse. Eliciting a patellar tap : extend the knee

2008 Mentor

442. Diagnosis and management of heart failure. (Full text)

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

1994 BMJ : British Medical Journal PubMed abstract

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

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

2001 Canadian Journal of Surgery PubMed abstract

444. All-inside meniscal repair using a new flexible, tensionable device. (Abstract)

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

445. Localised pigmented villonodular synovitis: an uncommon cause of knee pain mimicking a meniscal tear (Full text)

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

2003 British Journal of Sports Medicine PubMed abstract

446. 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

447. A meta-analysis examining clinical test utilities for assessing meniscal injury. (Abstract)

from each study. Meta-analysis was performed using the reported study sensitivity and specificity values.Three tests - joint line tenderness, McMurray's and Apley's - were compared in the meta-analysis. The methodological quality of the studies was found to have a significant effect on both the test sensitivities and specificities. Summary receiver operating characteristic (ROC) curves, sensitivity values, mean likelihood ratios and diagnostic odd ratios (DOR) uniformly show joint line tenderness (...) (DOR = 10.98) to be the best ;common' test, followed by McMurray's (DOR = 3.99) and Apley's (DOR = 2.2). Thessaly's test reported the strongest DOR of 227, but samples were smaller (n = 410), than those for joint line tenderness (n = 1354), McMurray's (n = 1232) and Apley's (n = 479).Methodological quality varied from poor to fair among studies, affecting test performance. Future studies should, where possible, utilize larger samples of individuals without meniscal lesions to better estimate test

2008 EvidenceUpdates

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

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

2007 The Journal of orthopaedic and sports physical therapy

449. Efficacy of the axially loaded pivot shift test for the diagnosis of a meniscal tear (Full text)

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

1999 International orthopaedics PubMed abstract

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

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

451. Diagnostic accuracy of a new clinical test (the Thessaly test) for early detection of meniscal tears. (Full text)

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 PubMed abstract

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

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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