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McMurray Test

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441. Use of Cidofovir for Recurrent Respiratory Papillomatosis

. For general information, Layout table for eligibility information Ages Eligible for Study: 5 Years and older (Child, Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: 4 surgeries for RRP in last 12 months Exclusion Criteria: Renal insufficiency Nephrotoxic drugs in the last 7 days Sulfa allergies Currently treated with systemic or topical HPV chemotherapeutic agents Females of childbearing potential with a positive pregnancy test Women who (...) are breast feeding Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00205374 Sponsors and Collaborators University of Wisconsin, Madison Investigators Layout table for investigator information Principal Investigator: J. Scott McMurray, MD University

2005 Clinical Trials

442. Arthroscopic meniscal repair: a comparative study between three different surgical techniques. (Abstract)

(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

443. A clinical composite score accurately detects meniscal pathology. (Abstract)

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

444. Results of all-inside meniscal repair with the FasT-Fix meniscal repair system. (Abstract)

and located in the red/red or red/white zone. Criteria for clinical success included absence of joint-line tenderness, locking, swelling, and a negative McMurray test. Clinical evaluation also included the Tegner and Lysholm knee scores, and KT-1000 arthrometry. In addition, all patients were evaluated preoperatively with magnetic resonance imaging.The average follow-up was 18 months (range, 14 to 28 months). Six of 61 repaired menisci (9.8%) were considered failures according to our criteria. Therefore

2006 Arthroscopy

445. Anterior horn tears of the lateral meniscus in soccer players. (Abstract)

(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

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

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

447. Meniscal repair using an all-inside, rapidly absorbing, tensionable device. (Abstract)

examinations on 38 meniscal tears in 30 patients using the International Knee Documentation Committee form and the Knee Disorders Subjective History visual analog scale. We also performed physical examinations for an effusion, joint line tenderness, McMurray's testing, and KT-1000 arthrometry (MEDmetric, San Diego, CA).The clinical success rate for meniscal repair was 86.8% (33 of 38) at a mean follow-up of 30.4 months (range, 21 to 56 months). Univariate analysis revealed sex as the only predictive

2008 Arthroscopy

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

) 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

449. Evaluation of acute knee pain in primary care. (Abstract)

tears than is the drawer sign. For meniscal tears, joint line tenderness is sensitive (75%) but not specific (27%), while the McMurray test is specific (97%) but not sensitive (52%). Compared with the physical examination, MRI is more sensitive for ligamentous and meniscal damage but less specific. When the differential diagnosis for acute knee pain includes an exacerbation of osteoarthritis, clinical features (age >50 years, morning stiffness <30 minutes, crepitus, or bony enlargement) are 89 (...) or the patella, inability to bear weight for 4 steps, or inability to flex the knee to 90 degrees) have the strongest supporting evidence. When the history suggests a potential meniscal or ligamentous injury, the physical examination is moderately sensitive (meniscus, 87%; anterior cruciate ligament, 74%; and posterior cruciate ligament, 81%) and specific (meniscus, 92%; anterior cruciate ligament, 95%; and posterior cruciate ligament, 95%). The Lachman test is more sensitive and specific for ligamentous

2003 Annals of Internal Medicine

450. 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

451. Physicians’ accuracy and interrator reliability for the diagnosis of unstable meniscal tears in patients having osteoarthritis of the knee Full Text available with Trip Pro

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

452. Diagnosis and management of heart failure. Full Text available with Trip Pro

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

453. 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

454. Localised pigmented villonodular synovitis: an uncommon cause of knee pain mimicking a meniscal tear Full Text available with Trip Pro

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

455. 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

456. Efficacy of the axially loaded pivot shift test for the diagnosis of a meniscal tear Full Text available with Trip Pro

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

457. Diagnostic accuracy of a new clinical test (the Thessaly test) for early detection of meniscal tears. Full Text available with Trip Pro

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

458. 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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