Statistical evaluation of the diagnostic criteria for meniscal tears

✍ Scribed by P. Abdon; A. Lindstrand; K.-G. Thorngren

• Publisher: Springer
• Year: 1990
• Tongue: English
• Weight: 374 KB
• Volume: 14
• Category: Article
• ISSN: 0341-2695
• DOI: 10.1007/bf00182641

✦ Synopsis

The accuracy of diagnosis was tested in a prospective study of 145 patients who were arthroscoped because a meniscal tear was suspected clinically. Multiple variate analysis was used to evaluate 68 different clinical parameters. The clinical accuracy was 61% as a tear was demonstrated in 88 knees; 73 of these tears were associated with other intraarticular abnormalities. Thirteen knees were entirely normal at arthroscopy. It was possible to predict a meniscal tear in 8 out of lO patients. R~sum~. Une enqu~te prospective portant sur 145 malades chez qui a ktb pratiqube une arthroscopie en raison d'une suspicion clinique de lksion mbniscale a permis d'ktudier la justesse du diagnostic. On a eu recours ~ une analyse statistique multivari~e pour bvaluer 68 param~tres cliniques diffbrents. L'exactitude clinique btait de 61% puisqu'une dbchirure du mbnisque a btb dkcouverte dans 88 genoux; 78 d'entre elles s'accompagnaient d'une autre lbsion intra-articulaire. Treize genoux ktaient strictement normaux ~ l'arthroscopie. I1 apparaft donc que la prkdiction d'une lbsion m4niscale est possible dans 8 cas sur 10.