The accuracy of the clinical diagnosis of meniscal tears with or without associated anterior cruciate ligament tears; [Menisküs yirtiklarinin klinik tanisi ve eşlik eden ön çapraz bag lezyonunun taniya etkisi.]

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dc.contributor.authorAkseki D.
dc.contributor.authorPinar H.
dc.contributor.authorKaraoglan O.
dc.date.accessioned2024-07-22T08:24:57Z
dc.date.available2024-07-22T08:24:57Z
dc.date.issued2003
dc.description.abstractOBJECTIVES: Meniscal tears and anterior cruciate ligament (ACL) tears commonly coexist in sports injuries. The purpose of this study was to analyze the influence of ACL deficiency on our ability to diagnose meniscal tears. METHODS: The study included patients with a clinical diagnosis of medial meniscal tears with (group A; 26 patients; 22 males, 4 females; mean age 26.6 years; range 18 to 67 years) or without (group B; 17 males; mean age 28.2 years; range 19 to 49 years) associated ACL tears. Patients with lesions other than meniscal or ACL tears were excluded. Clinical evaluations were made with the use of medial joint line tenderness, McMurray, and hyperextension tests. Preoperative diagnoses were compared with arthroscopic results and the accuracy of the tests used were calculated. The two patient groups were also compared with regard to the Lysholm scale parameters and total Lysholm scores. Fisher's exact test and Mann-Whitney U-test were used for statistical analysis. RESULTS: Medial joint line tenderness was present in 82% in group A, and 73% in group B. McMurray test was positive in 82% in group A, and 62% in group B; hyperextension test was positive in 73% in group A, and 61% in group B. The total Lysholm scores were significantly different, being 69 in group A, and 61 in group B (p<0.05). CONCLUSION: Our findings suggest that the accuracy of a clinical diagnosis of a meniscal tear is decreased by the presence of an ACL tear. The coexistence of meniscal and ACL tears requires a more careful clinical evaluation and a more frequent need for magnetic resonance imaging.
dc.identifier.issn1017995X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/20191
dc.language.isoTurkish
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAnterior Cruciate Ligament
dc.subjectCase-Control Studies
dc.subjectFemale
dc.subjectHumans
dc.subjectKnee Injuries
dc.subjectLigaments, Articular
dc.subjectMagnetic Resonance Imaging
dc.subjectMale
dc.subjectMenisci, Tibial
dc.subjectMiddle Aged
dc.subjectPhysical Examination
dc.subjectPredictive Value of Tests
dc.subjectSensitivity and Specificity
dc.subjectadolescent
dc.subjectadult
dc.subjectaged
dc.subjectanterior cruciate ligament
dc.subjectarticle
dc.subjectcase control study
dc.subjectevaluation
dc.subjectfemale
dc.subjecthuman
dc.subjectinjury
dc.subjectknee injury
dc.subjectknee meniscus
dc.subjectligament
dc.subjectmale
dc.subjectmethodology
dc.subjectmiddle aged
dc.subjectnuclear magnetic resonance imaging
dc.subjectpathology
dc.subjectphysical examination
dc.subjectprediction and forecasting
dc.subjectsensitivity and specificity
dc.subjectstandard
dc.titleThe accuracy of the clinical diagnosis of meniscal tears with or without associated anterior cruciate ligament tears; [Menisküs yirtiklarinin klinik tanisi ve eşlik eden ön çapraz bag lezyonunun taniya etkisi.]
dc.typeArticle

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