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In a recent study, clinical test results were compared with arthroscopic and/or arthrotomy findings as reference. [4] The clinical test had a sensitivity of 58.5%, a specificity of 93.4%, and the predictive value of a positive result was 82.6%. A more recent study showed a 97% specificity for meniscal tears. [5]
In order to perform the test, the patient lies prone (face-down) on an examination table and flexes their knee to a ninety degree angle. The examiner then places his or her own knee across the posterior aspect of the patient's thigh. The tibia is then compressed onto the knee joint while being externally rotated. If this maneuver produces pain ...
Similar to the anteromedial drawer test, a false positive test can result from a posterolateral corner injury. Testing at both 30° and 90° helps to distinguish between these injuries: one should monitor where the tibial rotation occurs (anteromedial or posterolateral) in the supine position and also assess for medial or lateral joint line ...
Physical examination of the knee begins by observing the person's gait to assess for any abnormalities seen while walking. Gait assessment can be used to differentiate genuine knee pain or pain which referred from hip, lower back or the foot. A person can be asked to perform a duckwalk. This requires the person to squat and walk in that position.
tests for presence of palmar ulnar-radial anastomosis (palmar arch) Apgar score: Virginia Apgar: obstetrics, pediatrics: assess health of newborn Apley grind test: Alan Graham Apley: orthopaedic surgery: meniscal lesions: manoeuvres to elicit knee pain Argyll Robertson pupils: Douglas Moray Cooper Lamb Argyll Robertson: neurology: neurosyphilis [2]
Arthroscopy is a surgical technique in which a joint is operated on using an endoscopic camera as opposed to open surgery on the joint. The meniscus can either be repaired or completely removed. [20] Surgery is not appropriate for a degenerative meniscus tear, absent locking or catching of the knee, recurrent effusion or persistent pain. [25]
Arthroscopic surgery, however, does not appear to result in benefits to adults when performed for knee pain in patients with osteoarthritis who have a meniscal tear. [ 18 ] [ 12 ] [ 19 ] This may be due to the fact that a torn meniscus may often not cause pain and symptoms, which may be caused by the osteoarthritis alone. [ 20 ]
Arthroscopy is another useful tool to diagnose and assess injuries to the posterolateral corner. [29] Arthroscopy is useful in two ways. First, a patient undergoing arthroscopy is placed under anesthesia which allows for a complete physical examination using the specialized tests described above, which can be difficult with the patient awake. A ...
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