查看膝关节关节线压痛的来源

跳转到:导航，搜索

您没有编辑此页的权限，原因如下:

您请求的操作仅限于组中的用户:==比较研究==不提倡在临床决策过程中使用JLT作为独立的测试来指导治疗。Shelbourne KD, Benner RW。[https://pubmed.ncbi.nlm.nih.gov/19634720/亚急性和慢性前交叉韧带损伤患者关节线压痛与半月板病理的相关性。][J]中华外科杂志2009;22(3): 187 - 190。(2) Gupta Y, Mahara D, Lamichhane A. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5389077/ McMurray's试验和关节线压痛对内侧半月板撕裂是否准确?[J]中华卫生杂志2016;26(6): 567 - 572。在体检中，当JLT与其他检查(如[//m.houseofhawgs.com/McMurrays_Test McMurrays试验]和关节线饱满度)一起使用时，临床诊断半月板撕裂的准确性得到提高。时装JF。，Al-Juhani W., Forsythe ME, Lenczner E., Marien R., Burman M. [https://pubmed.ncbi.nlm.nih.gov/23016068/ Joint line fullness and meniscal pathology.] Sports Health 2012; 4(1): 47-50.(1B) Physical examination and clinical meniscus tests in addition to a well taken history are considered important when diagnosing a meniscal tear, and may prevent further expensive investigations such as the MRI. Rose N, Gold S. [https://www.arthroscopyjournal.org/article/S0749-8063(96)90032-8/fulltext A comparison of accuracy between clinical examination and magnetic resonance imaging in the diagnosis of meniscal and anterior cruciate ligament tears.] Arthroscopy 1996; 12(4):398-405. Decary S, Fallaha M, Fremont P, Martel -Pelletier J, Pelletier J-P, Feldman D, et al. [https://www.sciencedirect.com/science/article/abs/pii/S1934148217313898 Diagnostic validity of combining hisotry elements and physical examination tests for traumatic and degenerative symptomatic meniscal tears.] For a well done taken anamnesis, we refer you to ’het gezondheidsprofiel’ of P. Vaes. P. Vaes, Het gezondheidsprofiel, standaard uitgeverij, 2011, pp 0-160. (1A) JLT has been reported to be the most sensitive but the least specific meniscus test. This is because it has the highest rate of sensitivity compared with the [[McMurrays Test|McMurray test]], the [[Apley's Test|Apley’s test]], the [[Ege's Test|Ege’s test]] and the [[Thessaly test|Thessaly test]] which reviews pain on forced extension.Kurosaka M, Yagi M, Yoshiya S, Muratsu H, Mizuno K. [https://pubmed.ncbi.nlm.nih.gov/10653292/ Efficacy of the axially loaded pivot shift test for the diagnosis of a meniscal tear.] International Orthopaedics. 1999, 271–274.(1B) JLT has a lower rate of overall accuracy (83%) compared with other tests but is has a higher rate of accuracy in lateral meniscus compared with medial meniscus (93%). However, all tests, except for the Ege’s test and the Thessally test, are performed in non-weight-bearing positions whereas most of the symptoms of a torn meniscus occur during weight bearing activities. Ege’s test and the Thessaly test, which have compression with weight bearing or clinician-applied axial rotation, were found to have the strongest diagnostic accuracy but with smaller samples in the studies.Karachalios T, Hantes M, Zibis A. [https://pubmed.ncbi.nlm.nih.gov/15866956/ Diagnostic accuracy of a new clinical test (the Thessaly test) for early detection of meniscal tears]. J Bone Joint Surg Am. 2005; 87: 955-62. (2B) When the JLT is compared to the Ege’s test and the McMurray test, there is no statistically significant difference between the three tests in detecting meniscal tears. JLT and Ege’s tests are the most accurate tests for medial meniscus tears but the specificity of the Ege’s test is higher. Some studies show a lower sensitivity for the McMurray test than for the joint line tenderness test in diagnosing meniscal tears, but others don't. Galli M, Marzetti E. [https://www.sciencedirect.com/science/article/abs/pii/S0003999316311595 Accuracy of the McMurray and Joint Line Tenderness Tests in the Diagnosis of Chronic Meniscal Tears:an ad hoc receiver operator characteristic analysis approach.] Arch Phys Med Rehabil 2017; 9:1897-1899. The JLT has also been compared to the McMurray and the Apley’s test with similar results. JLT has a higher sensitivity but the specificity values were larger with Apley’s test compared to JLT and McMurray’s test. 

回到 检索自"http:///Joint_Line_Tenderness_of_the_Knee”

周二获得最佳提示和最新的Physiopedia更新

是的,请

我们的合作伙伴