The assessment results for methodological quality has been presented under the following headings: the STARD analysis, reference standard, population differences, blinding, description and interpretation of test, inter-tester reliability, diagnostic accuracy and validity, sensitivity and specificity, likelihood ratios, and McMurray's test compared to modified versions of the test. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); We use cookies to optimize our website and our service. [6] When the knee is extended, the LCL is stretched. However, in general, the CI limits are relatively narrow over all. doi: 10.1016/j.eats.2018.10.007. Miller RH, Azar FM. Positive likelihood ratios presented in the studies reviewed generally indicated small to moderate shifts in probability (0.828.86) in that a positive test will indicate true meniscal pathology although the studies with the highest methodological quality demonstrated likelihood ratios considered to indicate moderate improvements in the probability that this will be the case3,4. Sensitivity: 25%. Manoeuvres assessing the posterolateral structures include the varus stress test, dial test, the posterolateral drawer, the external rotation recurvatum test, heel height test and the reverse pivot shift. Slocum Drawer Test: Inconclusive Crossover Test: Inconclusive Pivot Shift Test: Sensitivity: 60% Specificity: 96% Sackett D, Richardson S, Rosenberg W, Haynes RB. That is usually the journal article where the information was first stated. The final study by Sae-Jung et al24 compared a modified version to McMurray's added axial compression, similar to that applied by Kurosaka et al6 but without added valgus or varus stress. Physical examination consisted of general elbow examination and specific examination of the distal biceps based on literature. Acute knee injuries: use of decision rules for selective radiograph ordering. official website and that any information you provide is encrypted There are also discrepancies in the studies as to what constitutes a positive McMurray's test. The majority of studies did not report intertester or intratester reliability of the McMurray's test. Patient in supine. Buy online Fucidin no RX - Trusted Fucidin no RX IR of the tibia + Varus stress = lateral meniscus, ER of the tibia + Valgus stress = medial meniscus. 1173185. As is true of all statistics, sensitivity and specificity values are taken from a sample and represent an estimate of the true value that could be found in the population.
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