Diagnostic Accuracy of a New Clinical Test (The Thessaly Test) for Early Detection of Meniscal Tears

Karachalios, Theofilos; Hantes, Michael; Zibis, Aristeidis; Zachos, V.; Karantanas, Apostolos H.; Malizos, Konstantinos N.

doi:10.2106/00004623-200505000-00004

Cited by 68 publications

(111 citation statements)

References 23 publications

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“…In lateral meniscus injury-McMurray test has much low sensitivity, specificity, positive and negative predictive value when compared with MRI in this series of cases. Apley compression test when used in isolation has got low sensitivity and positive predictive value but sensitivity is very close to findings of Karachalios et al [10] Tenderness of joint line test has high specificity and negative predictive value in lateral menisci injuries in this series. Rose [14] found much higher sensitivity and rest pretty close to our observation.…”

Section: Discussionsupporting

confidence: 85%

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Clinical, MRI and arthroscopic correlation in menisci injuries

Bhattacharyya¹,

Kumar²,

Sarkar³

et al. 2018

Int. J. Orthop. Sci.

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Medical technology sometimes obscures the importance of history taking and clinical examination, though in reality history and clinical methods are indispensable part of any patient management. In this prospective cohort study in age group between 15 and 65 years, we have compared between clinical, MRI, and arthroscopic findings in respect to menisci injuries and searched whether negative MRI findings can lead to denial of arthroscopy in suspected menisci injuries. All the patients undergone a clinical battery of tests. Subsequently MRI has been done on all the 40 subjects, and finally arthroscopy has been done. Sensitivity, specificity, positive predictive value, negative predictive value of each individual test were calculated and compared with the results of MRI. For medial meniscus injury clinical diagnostic accuracy-80% and MRI diagnostic accuracy is 82.5%.For lateral meniscus injury clinical diagnosis has diagnostic accuracy 75% and MRI has got diagnostic accuracy of 82.5%. Level of evidence-Level-IV.

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Section: Discussionsupporting

confidence: 85%

“…In medial meniscus injury Apley compression test has low negative predictive value in this series. Karachalios et al [10] has got sensitivity lower and specificity much higher than this study. In medial meniscus injury tenderness of joint line test has high sensitivity and positive predictive value.…”

Section: Discussioncontrasting

confidence: 61%

Clinical, MRI and arthroscopic correlation in menisci injuries

Bhattacharyya¹,

Kumar²,

Sarkar³

et al. 2018

Int. J. Orthop. Sci.

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“…12 The Thessaly test is a functional test that may reproduce the mechanism of injury and has good research background with high specificity, sensitivity, and diagnostic accuracy. 15,40 In this test, the patient stands with the knee held in 20°flexion and internally and externally rotates the leg. Pain in the joint line and/or catching or locking is considered a positive response.…”

Section: Discussionmentioning

confidence: 99%

“…3,7,12,14 Joint line tenderness has been reported as an accurate assessment; in reality, by itself, it has only moderate diagnostic accuracy. 12,[15][16][17] However, combined with 2 widely used classic orthopedic tests, McMurray and Apley (which are used for meniscal injury diagnosis) and Helfet (a test for the "screw-home" function of the tibiofemoral and patellofemoral joints), the diagnostic accuracy is improved. 3,7,9,11,12,14,18,19 In the examination, the joint line is palpated for pain during the normal motion of the meniscus, moving posteriorly on flexion and anteriorly on extension.…”

Section: Introductionmentioning

confidence: 99%

Chiropractic management of a medial meniscus tear in a patient with tibiofemoral degeneration: a case report

Jarosz

Ames

2010

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe and discuss the clinical diagnosis of a medial meniscus tear in an older patient using a multimodal management approach provided by a chiropractor. Clinical Features: A 60-year-old woman reported to a chiropractic clinic with left knee pain and swelling. The history and physical examination findings suggested a medial meniscus tear, which was confirmed with magnetic resonance imaging. Intervention and Outcome: Treatment consisted of therapeutic ultrasound; rest, ice, compression, and elevation protocol; soft tissue therapy using effleurage and lymphatic drainage; chiropractic mechanically assisted adjusting techniques to the left knee using a handheld mechanical thrusting instrument; sports taping applied to assist facilitation of the vastus medialis obliquus; and a specific rehabilitation program aimed at strengthening this musculature. The patient's pain was assessed using a quadruple numeric pain scale. Function of the left knee was examined using McMurray, Apley, and a variation of Helfet orthopedic tests, as well as joint line tenderness. Monitoring was done at the initial consultation and at the sixth and 12th treatments. The patient reported being able to walk, swim, and ride a bicycle asymptomatically. Her pain score at the concluding visit was 16.7%, indicating low-intensity pain. Conclusion: This case indicated that conservative management of a meniscus tear through a chiropractic multimodal treatment approach provided an alternative or adjunctive therapy to routine orthopedic surgery for this patient.

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“…It has currently become the most widely used non invasive imaging method for detecting meniscal injuries, with a reported diagnostic accuracy of as high as 98%, compared to arthroscopy, remaining the gold standard for confirming the diagnosis of meniscal tear (5).…”

Section: Introductionmentioning

confidence: 99%

The Role of Magnetic Resonance Musculoskeletal Imaging in Evaluation of Sports Injuries of the Knee Joint

Khalil

Resnick

Zeid

et al. 2017

Zagazig University Medical Journal

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Aim: to evaluate the role of magnetic resonance imaging in the assessment of sport injuries of the knee joint as an integral part of the musculoskeletal system. Methods: This study was done as a combined study between the Radiology Department of Zagazig University and the Radiology Department of University of California San Diego. It was conducted on 50 patients who were referred to the Radiology Department of the University of California San Diego. The patients were examined after sustaining different sports injuries of the knee joint. All the 50 patients were subjected to full history taking and Magnetic Resonance Imaging on the knee joint. The Magnetic Resonance Imaging results of 33 of these patients were compared with the results of knee arthroscopy. Results: The study included 50 patients complaining of sports related knee pain. The age of the patients ranged from 15 to 55 years with a mean age of 29.68 years. Most of the patients were males (38 patients), while 12 patients were females. The leading sports for knee injuries in this study were soccer, American football and running. The most common knee lesions were anterior cruciate ligament lesions (19 patients) and meniscal lesions (18 patients). In comparison with knee arthroscopy, magnetic resonance imaging revealed an overall 93.9 % sensitivity and 66.6 % specificity. Conclusion: Although arthroscopy has been considered the gold standard in knee sports injuries evaluation, MRI remains a reliable non-invasive modality that can reduce the use of diagnostic arthroscopy for evaluation of ligamentous, meniscal, bony and cartilaginous lesions.

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Diagnostic Accuracy of a New Clinical Test (The Thessaly Test) for Early Detection of Meniscal Tears

Cited by 68 publications

References 23 publications

Clinical, MRI and arthroscopic correlation in menisci injuries

Clinical, MRI and arthroscopic correlation in menisci injuries

Chiropractic management of a medial meniscus tear in a patient with tibiofemoral degeneration: a case report

The Role of Magnetic Resonance Musculoskeletal Imaging in Evaluation of Sports Injuries of the Knee Joint

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