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Review: physical diagnostic tests have low diagnostic accuracy for meniscal lesions of the knee

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 QUESTION: In patients with meniscal lesions of the knee, what is the diagnostic accuracy of physical diagnostic tests?

Data sources

Studies were identified by searching Medline (1966–99) and EMBASE/Excerpta Medica (1988–99) with terms describing knee joint, knee, menisci tibial, and effusion. The bibliographies of relevant studies were scanned.

Study selection

2 reviewers independently selected studies that were published in English, French, German, or Dutch; reported the accuracy of ≥ 1 physical diagnostic test for the assessment of meniscal lesions of the knee; and used arthrotomy, arthroscopy, or magnetic resonance imaging (MRI) as the diagnostic standard. Studies were excluded if they did not have a reference group, included only people with positive test results, pertained to cadavers only, or considered physical examination under anaesthesia only.

Data extraction

2 reviewers independently assessed the quality of study methods and extracted data …

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Footnotes

  • Source of funding: no external funding.

  • For correspondence: Dr R J P M Scholten, Dutch Cochrane Centre, Amsterdam, the Netherlands. R.J.Scholten{at}AMC.UvA.NL.