旋转按压试验在物理诊断半月板损伤的意义
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1.潍坊医学院附属诸城市人民医院;2.清华大学附属北京清华长庚医院

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关节间隙旋转按压试验对半月板撕裂诊断价值的临床研究


Significance of rotary compression test in physical diagnosis of meniscus injury
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1.Zhucheng People’s Hospital Affiliated to Weifang Medical College;2.Zhucheng People’s Hospital;3.Beijing Tsinghua Changgung Hospital

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    摘要:

    目的:建立一种新的诊断半月板损伤的物理检查方法-膝关节间隙旋转按压试验,并与传统物理检查方法进行比较,评价其准确性。方法:本研究为前瞻性观察研究。选取2020年2月-2021年6月期间连续150例行膝关节镜手术的患者,所有患者都由资深关节外科医师进行膝关节物理检查评估。以关节镜检查结果为最后诊断标准。比较关节间隙旋转按压试验,关节间隙压痛试验,被动过伸、过屈试验,McMurray试验,Apley研磨试验对膝关节半月板损伤诊断的敏感性、准确性。结果:关节间隙旋转按压试验具有较高的敏感性(93.75%)、阴性预测值(75.76%)和准确性(88.96%),与其它物理检查方法相比具有显著性差异(p<0.05)。结论:膝关节间隙旋转按压试验与传统半月板损伤物理检查方法相比具有较高的敏感性和准确率,临床中有助于我们高效的评估半月板是否损伤,减少漏诊,值得推广。

    Abstract:

    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.

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  • 收稿日期:2021-10-13
  • 最后修改日期:2022-03-30
  • 录用日期:2022-06-30
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