TY - JOUR
T1 - Accuracy of McMurray and Joint Line Tenderness Tests in the Diagnosis of Chronic Meniscal Tears: An Ad Hoc Receiver Operator Characteristic Analysis Approach
AU - Galli, M
AU - Marzetti, Emanuele
PY - 2017
Y1 - 2017
N2 - Objective: To determine the overall diagnostic accuracy of the McMurray and joint line tenderness (JLT) tests for the detection of meniscal lesions.Design: Secondary analysis of a prospective observational study.Setting: Orthopedics outpatient clinic, university hospital.Participants: Patients (N=56) with suspected nonacute meniscal lesions who underwent knee arthroscopy.Interventions: Not applicable.Main Outcome Measures: Diagnostic accuracy of the McMurray and JLT tests as determined by receiver operator characteristic analysis.Results: The McMurray test showed higher accuracy (area under the curve [AUC], .69; SE, .079) than the JLT test (AUC, .58; SE, .084).Conclusions: The McMurray test, although presenting a higher diagnostic accuracy than the JLT test, does not suffice as a standalone diagnostic procedure for chronic meniscal lesions. The test may still be valuable to guide the diagnosis in cases with highly suspected meniscal tears. (C) 2016 by the American Congress of Rehabilitation Medicine
AB - Objective: To determine the overall diagnostic accuracy of the McMurray and joint line tenderness (JLT) tests for the detection of meniscal lesions.Design: Secondary analysis of a prospective observational study.Setting: Orthopedics outpatient clinic, university hospital.Participants: Patients (N=56) with suspected nonacute meniscal lesions who underwent knee arthroscopy.Interventions: Not applicable.Main Outcome Measures: Diagnostic accuracy of the McMurray and JLT tests as determined by receiver operator characteristic analysis.Results: The McMurray test showed higher accuracy (area under the curve [AUC], .69; SE, .079) than the JLT test (AUC, .58; SE, .084).Conclusions: The McMurray test, although presenting a higher diagnostic accuracy than the JLT test, does not suffice as a standalone diagnostic procedure for chronic meniscal lesions. The test may still be valuable to guide the diagnosis in cases with highly suspected meniscal tears. (C) 2016 by the American Congress of Rehabilitation Medicine
KW - Arthroscopy
KW - Knee
KW - Physical examination
KW - ROC curve
KW - Rehabilitation
KW - Sensitivity and specificity
KW - Arthroscopy
KW - Knee
KW - Physical examination
KW - ROC curve
KW - Rehabilitation
KW - Sensitivity and specificity
UR - https://publicatt.unicatt.it/handle/10807/172029
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85009231829&origin=inward
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85009231829&origin=inward
U2 - 10.1016/j.apmr.2016.09.122
DO - 10.1016/j.apmr.2016.09.122
M3 - Article
SN - 0003-9993
VL - 98
SP - 1897
EP - 1899
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 9
ER -