Detecting Meniscal Tears in Primary Care: Reproducibility and Accuracy of 2 Weight-Bearing Tests and 1 Non–Weight-Bearing Test

Snoeker, Barbara A.M.; Lindeboom, Robert; Zwinderman, Aeilko H.; Vincken, Patrice W. J.; Jansen, Joris A.; Lucas, Cees

doi:10.2519/jospt.2015.5712

Cited by 15 publications

(10 citation statements)

References 27 publications

(56 reference statements)

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“…Also, mechanical symptoms, when present, do not arise exclusively from meniscal tears and may be positive in other disorders such as ACL tear or osteoarthritis [3,6]. This adds to the growing evidence suggesting that these history elements and tests may have limited diagnostic value, as well as a possibly limited use as a surgical criterion [3,10,16,18‐20,22,23,49,52‐55].…”

Section: Discussionmentioning

confidence: 99%

“…A possible explanation for this overreliance on MRI is that the diagnostic validity of physical examination tests presents conflicting results [16]. Based on low‐grade evidence, most commonly studied clinical tests (ie, joint line tenderness test, McMurray test, Apley maneuver, and the Thessaly test) are not able to accurately diagnose or exclude SMT when used individually [16‐20]. Yet, it is often reported that medical specialists or physiotherapists with extensive training and expertise in musculoskeletal disorders can make an accurate clinical diagnosis of a SMT based on a complete physical examination combined with the patient's history.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnostic Validity of Combining History Elements and Physical Examination Tests for Traumatic and Degenerative Symptomatic Meniscal Tears

Décary

Fallaha

Frémont

et al. 2017

PM&R

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Diagnostic Validity of Combining History Elements and Physical Examination Tests for Traumatic and Degenerative Symptomatic Meniscal Tears

Décary

Fallaha

Frémont

et al. 2017

PM&R

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“…However, this has not resulted in improved diagnostic accuracy when compared with nonweight-bearing tests and has also demonstrated a wide variation in sensitivity (53-97%) and specificity (38-98%). [19][20][21][22] Imaging Rationale and Justification Health care expenditure in the United States continues to rise each year at a rate of 3 to 4% and accounts for 17% of the annual economy. 23 Conditions resulting in joint pain and arthritis account for approximately $200 billion annually and are estimated to affect more than 100 million individuals in the United States.…”

Section: Meniscal Evaluationmentioning

confidence: 99%

Impact of Clinical Presentation on Imaging Evaluation to Direct Effective Treatment Strategies

et al. 2017

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A multitude of musculoskeletal disorders of the knee are commonly encountered in clinical practice. Ensuring an accurate diagnosis can be challenging. It is critical to establish a thoughtful and systematic approach to assessing the patient using history and physical exam followed by appropriate imaging studies. The physical exam may be complicated due to various test maneuvers designed to help make the diagnosis. It is also important to understand the limitations of each physical exam maneuver. When appropriate, imaging is obtained to help make the diagnosis and guide treatment. There are various imaging examinations to choose from when evaluating the knee, including X-rays, computed tomography, magnetic resonance imaging, and ultrasound. An algorithmic approach to choosing the best imaging study is often helpful to avoid unnecessary costs and burden to the patients. The combination of a thorough clinical assessment and appropriate imaging examinations will result in accurate diagnosis, which directs proper treatment.

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“…Deep Squat Test (DS) is one of tests of the Functional Movement Screen™ (FMS™) [1] and Dynamic Movement Assessment™ (DMA™) [2], tools to classify the risk of musculoskeletal injuries. DS has been applied in preseason evaluations of sports teams [3 -5] and in military courses [6]. It is considered the test that predict the risk score at FMS™ [3].…”

Section: Introductionmentioning

confidence: 99%

Performance in the Deep Squat Test and musculoskeletal injuries: a systematic review

Bunn

Silva

2018

Fisioter. mov.

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Introduction:The Deep Squat Test has been applied in pre-season evaluations of sports teams and in military courses to predict the risk of musculoskeletal injuries. Objective: To evaluate the association of DS performance and the risk of musculoskeletal injuries. Methods: In this systematic review, a search without language or time filters was carried out in MEDLINE, SciELO, SCOPUS, SPORTDiscuss, CINAHL and BVS databases with the following title words: injury prediction, injury risk and deep squat in December 2016. Participants' profile, sample size, classification of musculoskeletal injuries, follow-up time, study design and results were extracted from the studies. Bias risk analysis was performed with the Newcastle-Ottawa Scale. Results: Five studies were included, using different analyzes, whose results varied. Odds ratio ranged from 1.21 to 2.59 (95% CI = 1.01 -3.28); relative risk was 1.68 (95% CI = 1.50 -1.87), sensitivity from 3 to 24%, specificity from 90 to 99%, PPV from 42 to 63%, NPV from 72 to 75% and AUC from 51 to 58%. Conclusion: The DS can be a test whose presence of movement dysfunctions is a predictor of the risk of musculoskeletal injuries in individuals who practice physical exercises. However, due to the methodological limitations presented, caution is suggested when interpreting such results. PROSPERO registration: CRD4201706922.Introdução: O Teste de Agachamento Profundo (TAP) tem sido utilizado em avaliações pré-temporada de equipes esportivas e em cursos militares para classificar o risco de lesões musculoesqueléticas. Objetivo: Avaliar a associação do desempenho no TAP e o risco de lesões musculoesqueléticas. Métodos: Nesta revisão sistemática, uma pesquisa sem filtros de linguagem ou de tempo foi realizada nas bases de dados MEDLINE, SciELO, SCOPUS, SPORTDdiscuss, CINAHL e BVS com as seguintes palavras-título: predição de lesões, risco de lesão e agachamento profundo em dezembro de 2016. Perfil dos participantes, tamanho da amostra, classificação das lesões musculoesqueléticas, tempo de seguimento, desenho do estudo e os resultados foram extraídos dos estudos. A análise do risco de viés foi realizada com a Escala Newcastle-Ottawa. Resultados: Foram incluídos cinco estudos, utilizando diferentes análises, cujos resultados variaram. O odds ratio variou de 1,21 a 2,59 (IC 95% = 1,[1][2][3]28); O risco relativo foi de 1,68 (IC 95% = 1,87), sensibilidade de 3 a 24%, especificidade de 90 a 99%, VPP de 42 a 63%, VPN de 72 a 75% e AUC de 51 a 58%. Conclusão: O TAP pode ser um teste cuja presença de disfunções de movimento é um preditor do risco de lesões musculoesqueléticas em indivíduos que praticam exercícios físicos. No entanto, devido às limitações metodológicas apresentadas, sugere-se cautela ao interpretar esses resultados. Registro PROSPERO: CRD4201706922. Palavras-chave:Movimento. Lesões Atléticas. Triagem.

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Detecting Meniscal Tears in Primary Care: Reproducibility and Accuracy of 2 Weight-Bearing Tests and 1 Non–Weight-Bearing Test

Abstract: Diagnosis, level 3b.

Cited by 15 publications

References 27 publications

Diagnostic Validity of Combining History Elements and Physical Examination Tests for Traumatic and Degenerative Symptomatic Meniscal Tears

Diagnostic Validity of Combining History Elements and Physical Examination Tests for Traumatic and Degenerative Symptomatic Meniscal Tears

Impact of Clinical Presentation on Imaging Evaluation to Direct Effective Treatment Strategies

Performance in the Deep Squat Test and musculoskeletal injuries: a systematic review

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