Correlation of Joint Line Tenderness and Meniscus Pathology in Patients with Subacute and Chronic Anterior Cruciate Ligament Injuries
| Autor: | Rodney Benner, K. Shelbourne |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Pathology medicine.medical_specialty Knee Joint Anterior cruciate ligament Population Knee Injuries Meniscus (anatomy) Sensitivity and Specificity Predictive Value of Tests Joint line medicine Humans Orthopedics and Sports Medicine In patient Prospective Studies Anterior Cruciate Ligament education education.field_of_study Palpation business.industry Anterior Cruciate Ligament Injuries medicine.disease Arthralgia ACL injury Tibial Meniscus Injuries Surgery Tenderness medicine.anatomical_structure Acute Disease Chronic Disease Female medicine.symptom business |
| Zdroj: | Journal of Knee Surgery. 22:187-190 |
| ISSN: | 1938-2480 1538-8506 |
| DOI: | 10.1055/s-0030-1247747 |
| Popis: | We evaluated joint line tenderness (JLT) as a test for meniscus pathology in 3531 patients who underwent anterior cruciate ligament (ACL) reconstruction >30 days postinjury. If the patient had no additional giving-way episode after the index ACL injury, the injury was considered subacute; otherwise, it was considered chronic. Immediately before surgery, the presence or absence of medial or lateral JLT was evaluated. During ACL reconstruction, the presence or absence of meniscal tears was documented. In the subacute population, JLT was 41% sensitive, 56% specific, and 50% accurate for detecting medial meniscal tears and 57% sensitive, 44% specific, and 49% accurate for detecting lateral meniscal tears. In the chronic population, JLT was 55% sensitive, 50% specific, and 52% accurate for detecting medial meniscal tears and 46% sensitive, 52% specific, and 50% accurate for detecting lateral meniscal tears. The presence of JLT alone should not be used in the clinical decision making process to guide treatment. |
| Databáze: | OpenAIRE |
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