Comparison of diagnostic accuracy for clinical tests with Arthroscopy in meniscal tears of knee
Abstract
Objective: study was conducted to evaluate the accuracy of clinical examination in comparison with MRI examination and with the help of arthroscopic examination as the gold standard in the diagnosis of meniscal tears
Patients and Method 77 pateint were referring Tishreen University Hospital. Clinical examination was performed before the arthroscopy, and the results were recorded in special forms. Magnetic resonance imaging (MRI) results were also added. then, arthroscopy was performed, declaring the definite diagnosis, and the results were compared to the results obtained from both tests and MRI
Results: Comparing thessaly test results to MRI showed statistical significance (P :0.004), comparing McMurray test results to MRI showed statistical significance (P < 0.0035), so we can not use any test alone with out MRI.
Conclusion: Thessaly and McMurray test have higher diagnostic accuracy than other tests. Clinical examination, performed by an experienced examiner, can not have equal diagnostic accuracy compared to MRI to evaluate meniscal lesions.
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