Comparison of Thessaly Test with Joint Line Tenderness and McMurray Test in the Diagnosis of Meniscal Tears
Meniscus injuries are the most frequent problem of the knee. The aim of this study was to investigate the accuracy of the Thessaly test and comparing it with those of McMurray and Joint-line tenderness tests for diagnosing meniscal tears. This study was designed as a prospective observational one do...
Gespeichert in:
| Veröffentlicht in: | Malaysian orthopaedic journal Jg. 14; H. 2; S. 94 - 100 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
Malaysia
Malaysian Orthopaedic Association
01.07.2020
|
| Schlagworte: | |
| ISSN: | 1985-2533, 2232-111X |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| Abstract | Meniscus injuries are the most frequent problem of the knee. The aim of this study was to investigate the accuracy of the Thessaly test and comparing it with those of McMurray and Joint-line tenderness tests for diagnosing meniscal tears.
This study was designed as a prospective observational one done in an outpatient clinic at a university hospital. 106 patients with knee pain and 82 age-matched control were included during study period (from February 2014 to January 2015). Each patient was clinically examined with McMurray, Thessaly, and joint line tenderness tests. Then, the findings were matched by MRI and arthroscopic findings. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy were calculated as main outcomes.
Based on MRI, Thessaly was the most sensitive for medial meniscus tears (56.2%), while McMurray and joint-line tenderness were more specific (89.1% and 88.0%, respectively). For lateral meniscus tears, McMurray was the most sensitive (56.2%) and all were specific (McMurray 89.6%, Thessaly 88.4%, joint-line tenderness 90.2%). With arthroscopy, Thessaly was the most sensitive for medial meniscus (76.6%), while McMurray and joint-line tenderness were more specific (81.0%, and 81.0%). Agreement with arthroscopy was the highest with McMurray (for medial meniscus kappa=0.40, p<0.001, and for lateral meniscus kappa=0.38, p=0.002).
The Thessaly can be used to screen for medial meniscus tears. McMurray and joint-line tenderness should be used for suspected medial meniscus tears. For lateral meniscus, McMurray is appropriate for screening and all the tests are useful in clinic. |
|---|---|
| AbstractList | Meniscus injuries are the most frequent problem of the knee. The aim of this study was to investigate the accuracy of the Thessaly test and comparing it with those of McMurray and Joint-line tenderness tests for diagnosing meniscal tears.
This study was designed as a prospective observational one done in an outpatient clinic at a university hospital. 106 patients with knee pain and 82 age-matched control were included during study period (from February 2014 to January 2015). Each patient was clinically examined with McMurray, Thessaly, and joint line tenderness tests. Then, the findings were matched by MRI and arthroscopic findings. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy were calculated as main outcomes.
Based on MRI, Thessaly was the most sensitive for medial meniscus tears (56.2%), while McMurray and joint-line tenderness were more specific (89.1% and 88.0%, respectively). For lateral meniscus tears, McMurray was the most sensitive (56.2%) and all were specific (McMurray 89.6%, Thessaly 88.4%, joint-line tenderness 90.2%). With arthroscopy, Thessaly was the most sensitive for medial meniscus (76.6%), while McMurray and joint-line tenderness were more specific (81.0%, and 81.0%). Agreement with arthroscopy was the highest with McMurray (for medial meniscus kappa=0.40, p<0.001, and for lateral meniscus kappa=0.38, p=0.002).
The Thessaly can be used to screen for medial meniscus tears. McMurray and joint-line tenderness should be used for suspected medial meniscus tears. For lateral meniscus, McMurray is appropriate for screening and all the tests are useful in clinic. Meniscus injuries are the most frequent problem of the knee. The aim of this study was to investigate the accuracy of the Thessaly test and comparing it with those of McMurray and Joint-line tenderness tests for diagnosing meniscal tears.Materials and methods: This study was designed as a prospective observational one done in an outpatient clinic at a university hospital. 106 patients with knee pain and 82 age-matched control were included during study period (from February 2014 to January 2015). Each patient was clinically examined with McMurray, Thessaly, and joint line tenderness tests. Then, the findings were matched by MRI and arthroscopic findings. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy were calculated as main outcomes.INTRODUCTIONMeniscus injuries are the most frequent problem of the knee. The aim of this study was to investigate the accuracy of the Thessaly test and comparing it with those of McMurray and Joint-line tenderness tests for diagnosing meniscal tears.Materials and methods: This study was designed as a prospective observational one done in an outpatient clinic at a university hospital. 106 patients with knee pain and 82 age-matched control were included during study period (from February 2014 to January 2015). Each patient was clinically examined with McMurray, Thessaly, and joint line tenderness tests. Then, the findings were matched by MRI and arthroscopic findings. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy were calculated as main outcomes.Based on MRI, Thessaly was the most sensitive for medial meniscus tears (56.2%), while McMurray and joint-line tenderness were more specific (89.1% and 88.0%, respectively). For lateral meniscus tears, McMurray was the most sensitive (56.2%) and all were specific (McMurray 89.6%, Thessaly 88.4%, joint-line tenderness 90.2%). With arthroscopy, Thessaly was the most sensitive for medial meniscus (76.6%), while McMurray and joint-line tenderness were more specific (81.0%, and 81.0%). Agreement with arthroscopy was the highest with McMurray (for medial meniscus kappa=0.40, p<0.001, and for lateral meniscus kappa=0.38, p=0.002).RESULTSBased on MRI, Thessaly was the most sensitive for medial meniscus tears (56.2%), while McMurray and joint-line tenderness were more specific (89.1% and 88.0%, respectively). For lateral meniscus tears, McMurray was the most sensitive (56.2%) and all were specific (McMurray 89.6%, Thessaly 88.4%, joint-line tenderness 90.2%). With arthroscopy, Thessaly was the most sensitive for medial meniscus (76.6%), while McMurray and joint-line tenderness were more specific (81.0%, and 81.0%). Agreement with arthroscopy was the highest with McMurray (for medial meniscus kappa=0.40, p<0.001, and for lateral meniscus kappa=0.38, p=0.002).The Thessaly can be used to screen for medial meniscus tears. McMurray and joint-line tenderness should be used for suspected medial meniscus tears. For lateral meniscus, McMurray is appropriate for screening and all the tests are useful in clinic.CONCLUSIONThe Thessaly can be used to screen for medial meniscus tears. McMurray and joint-line tenderness should be used for suspected medial meniscus tears. For lateral meniscus, McMurray is appropriate for screening and all the tests are useful in clinic. INTRODUCTION: Meniscus injuries are the most frequent problem of the knee. The aim of this study was to investigate the accuracy of the Thessaly test and comparing it with those of McMurray and Joint-line tenderness tests for diagnosing meniscal tears. MATERIALS AND METHODS: This study was designed as a prospective observational one done in an outpatient clinic at a university hospital. 106 patients with knee pain and 82 agematched control were included during study period (from February 2014 to January 2015). Each patient was clinically examined with McMurray, Thessaly, and joint line tenderness tests. Then, the findings were matched by MRI and arthroscopic findings. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy were calculated as main outcomes. RESULTS: Based on MRI, Thessaly was the most sensitive for medial meniscus tears (56.2%), while McMurray and jointline tenderness were more specific (89.1% and 88.0%, respectively). For lateral meniscus tears, McMurray was the most sensitive (56.2%) and all were specific (McMurray 89.6%, Thessaly 88.4%, joint-line tenderness 90.2%). With arthroscopy, Thessaly was the most sensitive for medial meniscus (76.6%), while McMurray and joint-line tenderness were more specific (81.0%, and 81.0%). Agreement with arthroscopy was the highest with McMurray (for medial meniscus kappa=0.40, p<0.001, and for lateral meniscus kappa=0.38, p=0.002). CONCLUSION: The Thessaly can be used to screen for medial meniscus tears. McMurray and joint-line tenderness should be used for suspected medial meniscus tears. For lateral meniscus, McMurray is appropriate for screening and all the tests are useful in clinic. |
| Author | B, Shekarchi A, Panahi S, Nayebabbas P, Farhadi N, Maleki SA, Raeissadat |
| Author_xml | – sequence: 1 givenname: Shekarchi surname: B fullname: B, Shekarchi – sequence: 2 givenname: Panahi surname: A fullname: A, Panahi – sequence: 3 givenname: Raeissadat surname: SA fullname: SA, Raeissadat – sequence: 4 givenname: Maleki surname: N fullname: N, Maleki – sequence: 5 givenname: Nayebabbas surname: S fullname: S, Nayebabbas – sequence: 6 givenname: Farhadi surname: P fullname: P, Farhadi |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32983383$$D View this record in MEDLINE/PubMed |
| BookMark | eNptkktvEzEUhS1UREPpjjXykgUJfowfs0FCKY9WiboJEjvLY99JXCZ2sCeg_nsckiKK8MbS9bnf0b0-z9FZTBEQeknJTCjSvF3e3swYIWpGqH6CJoxxNqWUfj1DE9pqMWWC83N0WcodqUcSKmXzDJ1z1mrONZ-gb_O03dkcSoo49Xi1gVLscI9XUEb8M4wbfJNCHPEiRKjF6CHHKsE2erx0y33O9iQOEY8bwFfBrmMqoRxwS4ihODtUhc3lBXra26HA5em-QF8-fljNP08Xt5-u5-8XU8el0NOut6RR3AnVtwqktFpo0UolOu0k1Y4S2THpoRNU8L7j3NVxBFDHQVjmGb9A10euT_bO7HLY2nxvkg3mdyHltbF5DG4Ao1vmgTPoiOqb6ms10a3XyvpeefC-st4dWbt9twXvII7ZDo-gj19i2Jh1-mGUoFxKUgGvT4Ccvu_rosy2rgSGwUZI-2JY08hWK614lb762-uPycNvVQE7ClxOpWTojQujHUM6WIfBUGIOqTA1FeaQClNTUZve_NP0wP2v_Be3n7in |
| CitedBy_id | crossref_primary_10_1097_MD_0000000000042951 crossref_primary_10_1002_vetr_4841 crossref_primary_10_1016_j_asmr_2024_101065 crossref_primary_10_3390_diagnostics15111304 crossref_primary_10_1016_j_msksp_2021_102384 crossref_primary_10_23736_S0022_4707_24_15584_3 |
| ContentType | Journal Article |
| Copyright | 2020 Malaysian Orthopaedic Association (MOA). All Rights Reserved. 2020 Malaysian Orthopaedic Association (MOA). All Rights Reserved 2020 |
| Copyright_xml | – notice: 2020 Malaysian Orthopaedic Association (MOA). All Rights Reserved. – notice: 2020 Malaysian Orthopaedic Association (MOA). All Rights Reserved 2020 |
| DBID | AAYXX CITATION NPM 7X8 5PM DOA |
| DOI | 10.5704/MOJ.2007.018 |
| DatabaseName | CrossRef PubMed MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef PubMed MEDLINE - Academic |
| DatabaseTitleList | PubMed MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 2232-111X |
| EndPage | 100 |
| ExternalDocumentID | oai_doaj_org_article_892de32eb07f4fa0a8089d87adf7dedd PMC7513660 32983383 10_5704_MOJ_2007_018 |
| Genre | Journal Article |
| GroupedDBID | 5VS AAYXX ADBBV ALMA_UNASSIGNED_HOLDINGS AOIJS BCNDV CITATION DIK GROUPED_DOAJ HYE KQ8 OK1 RPM M~E NPM 7X8 5PM |
| ID | FETCH-LOGICAL-c3658-bfa0473c57f97e66a85859675b8c618c106b26deb5153fb33c3295e1c3e5a2d23 |
| IEDL.DBID | DOA |
| ISSN | 1985-2533 |
| IngestDate | Fri Oct 03 12:51:12 EDT 2025 Thu Aug 21 13:55:54 EDT 2025 Thu Jul 10 22:00:29 EDT 2025 Thu Jan 02 22:54:33 EST 2025 Tue Nov 18 22:06:33 EST 2025 Sat Nov 29 01:37:12 EST 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 2 |
| Keywords | McMurray meniscal tears Thessaly joint line tenderness |
| Language | English |
| License | 2020 Malaysian Orthopaedic Association (MOA). All Rights Reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c3658-bfa0473c57f97e66a85859675b8c618c106b26deb5153fb33c3295e1c3e5a2d23 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| OpenAccessLink | https://doaj.org/article/892de32eb07f4fa0a8089d87adf7dedd |
| PMID | 32983383 |
| PQID | 2446987873 |
| PQPubID | 23479 |
| PageCount | 7 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_892de32eb07f4fa0a8089d87adf7dedd pubmedcentral_primary_oai_pubmedcentral_nih_gov_7513660 proquest_miscellaneous_2446987873 pubmed_primary_32983383 crossref_citationtrail_10_5704_MOJ_2007_018 crossref_primary_10_5704_MOJ_2007_018 |
| PublicationCentury | 2000 |
| PublicationDate | 20200701 |
| PublicationDateYYYYMMDD | 2020-07-01 |
| PublicationDate_xml | – month: 7 year: 2020 text: 20200701 day: 1 |
| PublicationDecade | 2020 |
| PublicationPlace | Malaysia |
| PublicationPlace_xml | – name: Malaysia – name: Kuala Lumpur |
| PublicationTitle | Malaysian orthopaedic journal |
| PublicationTitleAlternate | Malays Orthop J |
| PublicationYear | 2020 |
| Publisher | Malaysian Orthopaedic Association |
| Publisher_xml | – name: Malaysian Orthopaedic Association |
| SSID | ssj0000601664 ssib044752299 |
| Score | 2.1738348 |
| Snippet | Meniscus injuries are the most frequent problem of the knee. The aim of this study was to investigate the accuracy of the Thessaly test and comparing it with... INTRODUCTION: Meniscus injuries are the most frequent problem of the knee. The aim of this study was to investigate the accuracy of the Thessaly test and... |
| SourceID | doaj pubmedcentral proquest pubmed crossref |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Enrichment Source |
| StartPage | 94 |
| SubjectTerms | joint line tenderness mcmurray meniscal tears Original thessaly |
| Title | Comparison of Thessaly Test with Joint Line Tenderness and McMurray Test in the Diagnosis of Meniscal Tears |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/32983383 https://www.proquest.com/docview/2446987873 https://pubmed.ncbi.nlm.nih.gov/PMC7513660 https://doaj.org/article/892de32eb07f4fa0a8089d87adf7dedd |
| Volume | 14 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 2232-111X dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0000601664 issn: 1985-2533 databaseCode: DOA dateStart: 20070101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 2232-111X dateEnd: 99991231 omitProxy: false ssIdentifier: ssib044752299 issn: 1985-2533 databaseCode: M~E dateStart: 20070101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELZKxaEXBIKW8KiMBCcU1bEdP45QWqFK23Io0t4iP0VE5a02WyQu_HbGcbrarah64ZKDM3KcmbH9TTz5BqH3lPDgeRNrTUlb80hUbZ1qa-2kJtZKzx0fi03I83M1n-tvG6W-ck5YoQcuijtSmvrAaLBERh4NMYoo7ZU0PkofvM-rL6CejWAKPCmz2FE6Ae2yJgO0EeWIGUZCAeSULPhWEn40uzibyAxz7Y-N_Wmk8f8X9rybQrmxJ50-RU8mMIk_lZd4hnZCeo5-Hq9LC-JFxOAHw2CufuNL6Bnnz674bNGnFYYoNEBj_rklL3fYJI9nDhS_NJNwnzDAQ_ylZOP1Q-5uFlI_gF1BAkLiF-j76cnl8dd6KqlQOwZYo7agQS6Za2XUMghh8rGghqDBKica5SBAtFT4YAHmsGgZc4zqNjSOhdZQT9k-2k2LFF4ibCVrIosgKCSPDqAFMZwGgBORee1UhT7eKrJzE994Lntx1UHckdXegdpzFUzZgdor9GEtfV14Nu6R-5xtspbJ7NhjA_hMN_lM95DPVOjdrUU7mE35iMSksLgZOgA7QitYxFiFDoqF148CTagc0FdIbtl-ayzbd1L_Y2Tslm3DhCCv_sfgX6M9mmP-MWX4DdpdLW_CW_TY_Vr1w_IQPZJzdThOBrjO_pz8BXerDXg |
| linkProvider | Directory of Open Access Journals |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Comparison+of+Thessaly+Test+with+Joint+Line+Tenderness+and+McMurray+Test+in+the+Diagnosis+of+Meniscal+Tears&rft.jtitle=Malaysian+orthopaedic+journal&rft.au=B%2C+Shekarchi&rft.au=A%2C+Panahi&rft.au=SA%2C+Raeissadat&rft.au=N%2C+Maleki&rft.date=2020-07-01&rft.issn=1985-2533&rft.eissn=2232-111X&rft.volume=14&rft.issue=2&rft.spage=94&rft.epage=100&rft_id=info:doi/10.5704%2FMOJ.2007.018&rft.externalDBID=n%2Fa&rft.externalDocID=10_5704_MOJ_2007_018 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1985-2533&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1985-2533&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1985-2533&client=summon |