May be limited, insofar as the patient may In a recent case, the findings of the physical examination They are quite often found in the orthopedic practice(ġ) and MIs usually occur during sports(1). With ligament ruptures and chondral pathologies. They can occur separately or in association Who suffer rotational trauma to the knee under compression. Meniscal injuries (MI) habitually occur in patients
![mcmurray meniscus test sensitivity mcmurray meniscus test sensitivity](https://slideplayer.com/slide/13378033/80/images/4/Thessaly+test+for+Meniscal+Injury.jpg)
Email: received for publication:, accepted for publication: Mailing address: Avenida Ipiranga, 6.690 - 90610-000 - Porto Alegre, RS. Study conducted at the Knee Surgery Group of the Orthopedics and Traumatology Clinic of Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul. (Sociedade Brasileira de Ortopedia e Traumatologia) Former Resident of the Knee Group of the Orthopedics and Traumatology Clinic of Hospital São Lucas, PUCRS -Ģ - Member of the Brazilian Society of Orthopedics and Traumatology Former Resident Physician of the Orthopedics and Traumatology Clinic of Hospital São Lucas,ģ - Master's degree in Human Movement Sciences Doctor's degree in Medicine Member of the Knee Group of the Orthopedics Clinic of Hospital São Lucas, PUCRS -Ĥ - Master's degree in Human Movement Sciences Head of the Orthopedics and Traumatology Clinic of Hospital São Lucas, PUCRS - Porto Alegre, RS, Brazil. Untitled Documentġ - Member of the Brazilian Society of Knee Surgery (Sociedade Brasileira de Cirurgia do Joelho) Member of the Brazilian Society of Orthopedics and Traumatology Os testes isolados têm menor valor diagnóstico, sendo o teste de Apley o de melhor especificidade.Descritores - Joelho Artroscopia Exame Físico Cirurgia Vídeo- Assistida Estudo Comparativo. Conclusão: O conjunto de manobras para as lesões meniscais tem boa acurácia e valor significativo, principalmente para excluir lesões. Individualmente os testes apresentaram acurácia entre 48 e 53%. Resultados: A análise mostrou que o conjunto dos cinco testes meniscais apresenta 89% de sensibilidade, 42% de especificidade, 75% de acurácia, likelyhood + de 1,53 e um likelyhood - de 0,26. Já na análise individual, bastava o teste ser positivo. O conjunto de manobras foi considerado positivo quando uma era positiva. Esse exame era realizado imediatamente antes da videoartroscopia e seus resultados anotados em planilha eletrônica. Métodos: Cento e cinquenta e dois pacientes de ambos os sexos que iriam realizar videoartroscopia do joelho foram examinados por um dos cinco residentes desse hospital de forma cega sem que esse soubesse seus dados clínicos e porque seriam operados.
![mcmurray meniscus test sensitivity mcmurray meniscus test sensitivity](https://litfl.com/wp-content/uploads/2018/10/McMurray-test-variations-1995.png)
Os mesmos cálculos foram aplicados a cada teste individualmente. ObjetivoFoi avaliado o conjunto de cinco manobras para as lesões meniscais (McMurray, Apley, Childress, Steinmann 1 e 2) e calculados a sensibilidade, especificidade, acurácia e likelyhoods do conjunto dessas manobras. Keywords - Knee Arthroscopy Physical Examination Video-Assisted Surgery Comparative Study Individually, the tests had less diagnostic value, although the Apley test had better specificity. Conclusion: The set of maneuvers for meniscal injuries presented a good accuracy and significant value, especially for ruling out injury. Individually, the tests presented accuracy of between 48% and 53%. Results: The analysis showed that the set of five meniscal tests presented sensitivity of 89%, specificity of 42%, accuracy of 75%, positive likelihood of 1.53 and negative likelihood of 0.26. In the individual analysis, it was enough for the test to be positive. The set of maneuvers was considered positive when one was positive. This examination was conducted immediately before the videoarthroscopy and its results were recorded in an electronic spreadsheet. Methods: One hundred and fifty-two patients of both sexes who were going to undergo videoarthroscopy on the knee were examined blindly by one of five residents at this hospital, without knowledge of the clinical data and why the patient was going to undergo an operation. The same methods were applied to each test individually.
![mcmurray meniscus test sensitivity mcmurray meniscus test sensitivity](https://i.ytimg.com/vi/lwDFPAyGGgI/maxresdefault.jpg)
ABSTRACT Objective: A set of five maneuvers for meniscal injuries (McMurray, Apley, Childress and Steinmann 1 and 2) was evaluated and their sensitivity, specificity, accuracy and likelihood were calculated.