1.Zhucheng People’s Hospital Affiliated to Weifang Medical College;2.Zhucheng People’s Hospital;3.Beijing Tsinghua Changgung Hospital
Objective: To establish a new physical examination test, the joint space rotating press test, for the diagnosis of meniscus injury and evaluate its accuracy in comparison with the conventional physical tests. Methods:It was a prospective observational study. 150 consecutive patients undergoing knee arthroscopy from February 2020 to June 2021 were selected. The results of arthroscopic examination was the final diagnostic criteria, the sensitivity and accuracy of the joint space rotating press test, joint space tenderness test, passive hyperextension and hyperflexion test，McMurray’s test, and Apley test were evaluated and compared in diagnosis of meniscus injury. Results: The sensitivity (93.75%), negative predictive value (75.76%) and accuracy (88.96%) of the joint space rotating press test were higher than the other physical examination tests (P < 0.05). Conclusion: Compared with the conventional physical examination methods of meniscus injury, the joint space rotating press test has higher sensitivity and accuracy. It is helpful to evaluate meniscus tears effectively, reduce missed diagnosis, and which is worthy of clinical promotion.