A degenerative meniscus develops progressively with degradation of meniscal tissue and this may be revealed by intra-meniscal high signal on magnetic resonance imaging (MRI). Validity of the Thessaly Test in Evaluating Meniscal Tears Compared With Arthroscopy: A Diagnostic Accuracy Study, Journal of Orthopaedic & Sports Physical Therapy, https://www.jospt.org/doi/abs/10.2519/jospt.2015.5215#.VJrykl4AAA, Diagnostic Accuracy of the Anterior Drawer Test for the Ankle, History, clinical findings, magnetic resonance imaging, and arthroscopic correlation in meniscal lesions. A meniscal tear was defined as a defect or split in the meniscocapsular complex, which can occur in a degenerative or non-degenerative meniscus. Anterior Drawer Test – ligamentous stability Bounce Home Test – meniscal or pathology Apley’s Compression/Grinding Test – meniscal or pathology Apprehension Sign Lachman Test – ligamentous stability McMurray’s Test – meniscal tear or pathology Noble Compression Test Patellar Grind Test The other hand grasps the heel. But clinician experience is always a confounding factor. Bạn cần một trang Web mới hoặc đang cần thiết kế xây dựng lại? Meniscal deterioration was not statistically significantly associated with clinical deterioration measured by perceived recovery (Fisher’s exact test p value 0.50). Rahul: Why do you think the Thessaly's test will cause more damage/pain that the Apley's Compression or McMurray's Test? I've personally had the athlete use varying positions of knee flexion and do the test repeatedly (not only testing at 20º). Trong một bối cảnh thế giới nhiều đổi thay, Toàn Cầu Xanh luôn trân trọng và chào đón những cơ hội mới. Symptoms were defined and classified into three groups: (1) strongly suggestive of a treatable meniscal lesion, (2) potentially suggestive of a treatable meniscal lesion, (3) osteoarthritic. Personally, I like to use the Thessaly test, but in combination with McMurray and Apley's compression/distraction. The agreed terminology will enable patients with meniscal lesions to be identified and stratified consistently in clinical practice, research and guideline development. Special tests are a great tool for health care professionals to confirm their suspected diagnosis. Chúng tôi cam kết sẽ không ngừng học hỏi và phấn đấu để hoàn thiện mình, sẽ tận dụng giây phút quý giá để tạo ra những giải pháp CNTT đột phá, trở thành đối tác đáng tin cậy nhất của quý khách hàng. A thorough history can help to build your differential diagnoses to inform the remainder of your evaluation process. Performing the Thessaly test at varying degrees may have some implications regarding where the meniscal tear is. Personally, I have never used Thessaly's Test for evaluating possible meniscus tears because although the test can provide results, I personally believe that it could have potential to cause more damage/pain to the knee area. Meniscal lesions and tear patterns on MRI imaging were defined and classified with reference to potential treatability: (1) target, (2) possible target, (3) no target. The combination of positive Thessaly and McMurray tests showed a sensitivity of 53% and specificity of 62%. A national group of expert surgeons was convened by the British Association for Surgery of the Knee (BASK) and a formal consensus process was undertaken following a validated methodology. Relying only on a special test is not going to give you an accurate diagnosis the majority of the time. Thanks for your comments! Validity of the Thessaly Test in Evaluating Meniscal Tears Compared With Arthroscopy: A Diagnostic Accuracy Study Journal of Orthopaedic & Sports Physical Therapy, 1-26 DOI: 10.2519/jospt.2015.5215. Also, I feel the athlete would be apprehensive to even do the rotational motion. A combination of nominal group techniques and an iterative Delphi process was used to develop and refine relevant definitions. It could even be a possible positive result…that should probably be tested. I think you make a great point that a patient's apprehension towards the Thessaly's test may happen. “Sensitivity —The proportion of people with the disease who are correctly identified by a positive test result (“true positive rate”), Likelihood ratio of a positive test result (LR+) —The ratio of the true positive rate to the false positive rate: sensitivity/(1-specificity), Likelihood ratio of a negative test result (LR-) —The ratio of the false negative to the true negative rate: (1-sensitivity)/specificity”. Đã làm việc với hơn 100 công ty khởi nghiệp toàn cầu trong hơn 10 năm. Degenerative meniscal lesions (high signal or tear) are frequent in the general population and are often incidental findings on knee MRI. I usually stick with apley's compression and McMurrays Test because I do feel as clincians we can control the amount of torque to place and we do our best to recreate the mechanism that caused the athlete pain. It is key to have a thorough history prior to using special tests.
Hegedus EJ, Cook C, Hasselblad V, Goode A, McCrory DC.
Snoeker BA, Lindeboom R, Zwinderman AH, Vincken PW, Jansen JA, Lucas C. Detecting Meniscal Tears in Primary Care: Reproducibility and Accuracy of 2 Weight-Bearing Tests and 1 Non–Weight-Bearing Test. Conclusion: The results of the Thessaly test alone or combined with the McMurray test do not seem useful to determine the presence or absence of meniscal tears. Artificial Intelligence (AI – Trí tuệ nhân tạo) hiện nay đã xâm nhập vào mọi... Với số vốn 250 triệu đồng, một doanh nghiệp Việt Nam đang là nhà tư vấn... MÔ TẢ CÔNG VIỆC Xây dựng và phát triển ứng dụng cho thiết bị di động sử... MÔ TẢ CÔNG VIỆC Tham gia xây dựng, phát triển các ứng dụng trên nền công... MÔ TẢ CÔNG VIỆC Xây dựng và phát triển các ứng dụng cho các thiết bị di... Quản trị cổng thông tin, Quản lý người dùng, Tra cứu hồ sơ, biểu mẫu, thủ tục hành chính, Thành phố Đà Nẵng triển khai thí điểm sử dụng Hộ khẩu điện tử, Câu chuyện về Green Global và trí tuệ nhân tạo AI, Chuyện doanh nghiệp Việt tư vấn start-up cho “cá mập” ở Thung lũng Silicon.
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