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Article ; Online: Mechanical symptoms and meniscal tear: a reappraisal.

McHugh, C G / Matzkin, E G / Katz, J N

Osteoarthritis and cartilage

2021  Volume 30, Issue 2, Page(s) 178–183

Abstract: Objective: To identify and summarize literature related to the association between mechanical symptoms (catching and locking of the knee), the presence of meniscal tear, and outcomes after arthroscopic surgery.: Design: We searched PubMed and hand- ... ...

Abstract Objective: To identify and summarize literature related to the association between mechanical symptoms (catching and locking of the knee), the presence of meniscal tear, and outcomes after arthroscopic surgery.
Design: We searched PubMed and hand-searched reference lists for relevant articles and selected 38 for analysis.
Results: Mechanical symptoms appear to have modest sensitivity (ranging 0.32-0.69), specificity (ranging 0.45-0.74) and positive predictive value (ranging 0.75-0.81) for meniscal tear. There is also very little evidence to suggest that those with mechanical symptoms experience better outcomes after arthroscopic surgery.
Conclusion: Our examination of the literature does not support the hypothesis that mechanical symptoms are related to the presence of meniscal tear or portend better outcomes after arthroscopic surgery.
MeSH term(s) Arthroscopy ; Biomechanical Phenomena ; Humans ; Magnetic Resonance Imaging ; Symptom Assessment ; Tibial Meniscus Injuries/diagnosis ; Tibial Meniscus Injuries/physiopathology
Language English
Publishing date 2021-09-29
Publishing country England
Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
ZDB-ID 1167809-4
ISSN 1522-9653 ; 1063-4584
ISSN (online) 1522-9653
ISSN 1063-4584
DOI 10.1016/j.joca.2021.09.009
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