The significance of the meniscal flounce sign in canine stifle arthroscopy

Autor: Landon R. Katz, Matthew Raske, Don A. Hulse
Rok vydání: 2021
Předmět:
Zdroj: Veterinary Surgery. 51:254-258
ISSN: 1532-950X
0161-3499
Popis: OBJECTIVE To determine the diagnostic significance of the meniscal flounce sign in association with meniscal tears. STUDY DESIGN Prospective cohort study. SAMPLE POPULATION One hundred and thirty stifles in 120 client-owned dogs that underwent stifle arthroscopy. METHODS Identification of a positive or negative meniscal flounce sign was recorded with the presence or absence of meniscal pathology. Sensitivity, specificity, positive and negative predictive values, and diagnostic accuracy were calculated. RESULTS Eighty-nine stifles (68.5%) were noted to have a positive meniscal flounce sign. Of these stifles, four were noted to have a meniscal tear, and they were all radial tears. A total of 41 stifles (31.5%) had a negative meniscal flounce. Of these stifles, 38 had a meniscal tear. The sensitivity, specificity, positive and negative predictive values, and diagnostic accuracy of the meniscal flounce sign for indicating an intact or torn meniscus were 96.6%, 90.5%, 95.5%, 92.7%, and 94.6%, respectively. CONCLUSION A positive meniscal flounce sign was associated with a normal meniscus and the absence of the flounce sign was associated with a meniscal tear. CLINICAL SIGNIFICANCE Identification of the meniscal flounce sign during stifle arthroscopy is a strong indicator of a normal medial meniscus. The absence of the sign strongly indicates the presence of meniscal pathology.
Databáze: OpenAIRE