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首页> 外文期刊>Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine >The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine.
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The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine.

机译：用于检测半月板撕裂的Thessaly测试：验证了用于初级保健药物的新体格检查技术。

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OBJECTIVE: To assess the validity of a new clinical test (Thessaly) as a means of detecting meniscal tears of the knee by comparing arthroscopic findings to a clinical examination finding. DESIGN: Retrospective cohort study. SETTING: All preoperative examinations were performed in the Department of Orthopedic Surgery, a secondary care center, Dwight David Eisenhower Army Medical Center, Fort Gordon, Georgia. PARTICIPANTS: 116 consecutive patients undergoing knee arthroscopy for suspected meniscal pathology. INTERVENTION: The Thessaly test was performed during the preoperative examination as previously described. The clinician supports the patient by holding their outstretched hands while the patient stands flatfooted. The patient then rotates their knee and body, internally and externally, three times, keeping the knee flexed at 20 degrees. Patients with suspected meniscal tears will experience joint-line discomfort. MAIN OUTCOME MEASURES: The Thessaly test performed at 20 degrees of flexion and arthroscopic surgical diagnosis. RESULTS: Of the 66 patients with a positive Thessaly test, 65 had an arthroscopically verified meniscal tear. The Thessaly test revealed a sensitivity of 90.3%, specificity of 97.7%, positive predictive value of 98.5%, negative predictive value of 86.0%, likelihood ratio for a positive test of 39.3, likelihood ratio for a negative test of 0.09, and diagnostic accuracy of 88.8%. The resulting kappa coefficient revealed a statistically significant level of agreement (P < 0.001) for the surgical diagnosis and the Thessaly test. CONCLUSIONS: The Thessaly test is a valid and reproducible physical examination technique for predicting meniscal tears. The Thessaly test shows promise as an easily performed maneuver that may have better diagnostic accuracy than traditional tests. However, this study was performed at a referral center; therefore, the diagnostic relevance cannot be appropriately applied to a more generalized population.
机译：目的：通过将关节镜检查结果与临床检查结果进行比较，评估新的临床检查（Thessaly）作为检测膝盖半月板撕裂的一种方法的有效性。设计：回顾性队列研究。地点：所有术前检查均在佐治亚州戈登堡的德怀特·大卫·艾森豪威尔陆军医疗中心二级护理中心骨外科进行。参与者：连续116例因疑似半月板病理而接受膝关节镜检查的患者。干预：如前所述，在术前检查期间进行色萨利测试。当患者站立站立时，临床医生通过伸出他们的手来支持患者。然后，患者将膝盖和身体从内部和外部旋转三次，使膝盖弯曲20度。怀疑有半月板撕裂的患者会出现关节不适。主要观察指标：Thessaly试验在20度屈曲和关节镜手术诊断下进行。结果：在Thessaly试验阳性的66例患者中，有65例经关节镜检查证实为半月板撕裂。 Thessaly检验的敏感性为90.3％，特异性为97.7％，阳性预测值为98.5％，阴性预测值为86.0％，阳性检验的似然比为39.3，阴性检验的似然比为0.09，诊断准确性为88.8％。所得的卡伯系数显示出在外科诊断和色萨利试验中具有统计学意义的一致性水平（P <0.001）。结论：Thessaly测试是一种可预测半月板撕裂的有效且可重复的身体检查技术。色萨利（Thessaly）测试表明，promise是一种易于执行的操作，与传统测试相比，诊断准确性更高。但是，这项研究是在转诊中心进行的。因此，诊断相关性不能适当地应用于更普遍的人群。

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