Diagnostic characteristics of physical examination (PE) and magnetic resonance imaging (MRI) for detecting meniscal, ligamentous, and cartilage tears in acute knee pain*

TestCharacteristicSensitivity (95% CI)Specificity (CI)+LR−LR
*Diagnostic terms defined in glossary.
PEMedial meniscus86% (79 to 92)72% (61 to 83)3.10.19
Lateral meniscus88% (77 to 99)92% (89 to 95)11.00.13
Anterior cruciate ligament tear74% (60 to 88)95% (92 to 98)15.00.27
Posterior cruciate ligament tear81% (63 to 98)95% (81 to 100)16.00.20
Cartilage injury51% (37 to 65)96% (91 to 100)13.00.51
MRIMedial meniscus89% (83 to 95)80% (73 to 87)4.50.14
Lateral meniscus79% (73 to 85)91% (84 to 98)8.70.23
Anterior cruciate ligament tear87% (83 to 91)91% (88 to 94)9.60.14
Posterior cruciate ligament tear75% (65 to 85)93% (88 to 98)110.27
Cartilage injury84% (67 to 100)90% (85 to 96)8.40.17