Accuracy of McMurray and Joint Line Tenderness Tests in the Diagnosis of Chronic Meniscal Tears: An Ad Hoc Receiver Operator Characteristic Analysis Approach

作者：Galli Marco^*; Marzetti Emanuele

来源：Archives of Physical Medicine and Rehabilitation, 2017, 98(9): 1897-1899.

DOI：10.1016/j.apmr.2016.09.122

• Arthroscopy
• Knee
• Physical examination
• Rehabilitation
• ROC curve
• Sensitivity and specificity

Objective: To determine the overall diagnostic accuracy of the McMurray and joint line tenderness (JLT) tests for the detection of meniscal lesions.
Design: Secondary analysis of a prospective observational study.
Setting: Orthopedics outpatient clinic, university hospital.
Participants: Patients (N=56) with suspected nonacute meniscal lesions who underwent knee arthroscopy.
Interventions: Not applicable.
Main Outcome Measures: Diagnostic accuracy of the McMurray and JLT tests as determined by receiver operator characteristic analysis.
Results: The McMurray test showed higher accuracy (area under the curve [AUC], .69; SE, .079) than the JLT test (AUC, .58; SE, .084).
Conclusions: The McMurray test, although presenting a higher diagnostic accuracy than the JLT test, does not suffice as a standalone diagnostic procedure for chronic meniscal lesions. The test may still be valuable to guide the diagnosis in cases with highly suspected meniscal tears.

• 出版日期2017-9