Validity of the McMurray's Test and Modified Versions of the Test: A Systematic Literature Review

Hing, Wayne; White, Stephen G.; Reid, Duncan; Marshall, Rob

doi:10.1179/106698109790818250

Cited by 34 publications

(21 citation statements)

References 30 publications

(106 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, there exists some confusion over the definitions of the test procedures 9 12–15. For example, McMurray's test was originally described with the knee being tested from full flexion to 90°,16 but its use and application now varies widely 17. Similarly, Apley's test is originally described as only applying a lateral rotation force,18 but is often described with a lateral and medial rotational force 11 19–21.…”

Section: Introductionmentioning

confidence: 99%

Special tests for assessing meniscal tears within the knee: a systematic review and meta-analysis

et al. 2015

View full text Add to dashboard Cite

Background Musculoskeletal knee pain is a large and costly problem, and meniscal tears make up a large proportion of diagnoses. 'Special tests' to diagnose torn menisci are often used in the physical examination of the knee joint. A large number of publications within the literature have investigated the diagnostic accuracy of these tests, yet despite the wealth of research their diagnostic accuracy remains unclear. Aim To synthesise the most current literature on the diagnostic accuracy of special tests for meniscal tears of the knee in adults. Method An electronic search of MEDLINE, Cumulative Index to Nursing and Allies Health Literature (CINAHL), The Allied and Complementary Medicine Database (AMED) and SPORTDiscus databases was carried out from inception to December 2014. Two authors independently selected studies and independently extracted data. Methodological quality was evaluated using the Quality Assessment Tool for Diagnostic Accuracy Studies (QUADAS) 2 tool. Results Nine studies were included (n=1234) and three special tests were included in the meta-analysis. The methodological quality of the included studies was generally poor. McMurray's had a sensitivity of 61% (95% CI 45% to 74%) and a specificity of 84% (95% CI 69% to 92%). Joint line tenderness had a sensitivity of 83% (95% CI 73% to 90%) and a specificity of 83% (95% CI 61% to 94%). Thessaly 20°had a sensitivity of 75% (95% CI 53% to 89%) and a specificity of 87% (95% CI 65% to 96%). Conclusions The accuracy of the special tests to diagnose meniscal tears remains poor. However, these results should be used with caution, due to the poor quality and low numbers of included studies and high levels of heterogeneity.

show abstract

Section: Introductionmentioning

confidence: 99%

Special tests for assessing meniscal tears within the knee: a systematic review and meta-analysis

et al. 2015

View full text Add to dashboard Cite

show abstract

“…In the meta-analysis for validation of this test by Wayne H et al (11), sensitivity varied from 29–88% and specificity from 50–98%. Variation in the results in other studies as compared to ours can be due to various reasons.…”

Section: Discussionmentioning

confidence: 99%

McMurray’s Test and Joint Line Tenderness for Medial Meniscus Tear: Are They Accurate?

Gupta¹,

Mahara

Lamichhane

2016

Ethiop J Health Sci

View full text Add to dashboard Cite

“…Pain and/or clicking at 90 indicate a positive McMurray's test. The sensitivity for this exam ranges from 16% to 86% with a 29%-96% specificity [32].…”

Section: Evaluating For Associated Injuriesmentioning

confidence: 98%

“…In September 2014, the American Academy of Orthopaedic Surgeons developed evidence-based treatment guidelines regarding ACL tears [41]. They found that "[m]oderate evidence supports surgical reconstruction in active young adult [20,26,28,[30][31][32][33]39,[42][43][44][45][46][47][48][49][50][51] patients with an ACL tear" and "limited evidence [sic] supports non-surgical management for less active patients with less laxity". Rather than using a strict age or activity level cutoff for determination of treatment, orthopedic surgeons often make recommendations based upon the physiological age of the patient [52].…”

Section: Surgical Versus Conservative Treatmentmentioning

confidence: 99%

State-of-the-art anterior cruciate ligament tears: A primer for primary care physicians

Salzler

Nwachukwu

Rosas

et al. 2015

The Physician and Sportsmedicine

View full text Add to dashboard Cite

The purpose of this article is to provide primary care physicians and other members of the medical community with an updated, general review on the subject of anterior cruciate ligament (ACL) tears. We aim to enhance awareness of these injuries and to prepare those practicing in the primary care setting to address these injuries. Because ACL injuries are quite common, it is very likely that a primary care physician will encounter these injuries and need to address them acutely. The current literature is replete with new concepts and controversies regarding ACL injuries, and this article provides a concise review for our target audience in regard to the care of a patient with an ACL injury. This article is composed of an overview with current epidemiologic data, basic anatomy and physiology, clinical presentation, physical examination findings, imaging modalities, and treatment options. After reading this short article, a medical care provider should understand ACL injuries and their appropriate management.

show abstract

Validity of the McMurray's Test and Modified Versions of the Test: A Systematic Literature Review

Cited by 34 publications

References 30 publications

Special tests for assessing meniscal tears within the knee: a systematic review and meta-analysis

Special tests for assessing meniscal tears within the knee: a systematic review and meta-analysis

McMurray’s Test and Joint Line Tenderness for Medial Meniscus Tear: Are They Accurate?

State-of-the-art anterior cruciate ligament tears: A primer for primary care physicians

Contact Info

Product

Resources

About