Diagnostic Accuracy Of A New Clinical Test For The Detection Of Meniscal Tears

The test has the physician move the patellar back and forth while the patient flexes the knee at 30 degrees (Saladin, 1998, p. 44). This test helps diagnose how severe the patella is dislocated and decide the best treatment option. Another test a physician can do is called the patella tracking assessment where they have the patient single leg squat and then stand (Slamaian). If the “patella that slips medially on early flexion is called the J sign, and indicates imbalance between the VMO and lateral structures” (Saladin, 1998, p. 41). Both of these test help diagnose the correct treatment, the difference is the patellar apprehension test is used for more severe cases but both lead to the best treatment

Assessments are major depressive disorder, right knee medial meniscal tear post arthroscopy with recurrent tear and repeat arthroscopy, headache (concussion, cervical strain), lumbar strain and cervical degenerative disc disease.

Figure (14): Anteromedial view of the left knee, showing the injury grading scale established by the American Medical Association Standard Nomenclature of Athletic Injuries. Isolated grade-I injuries present with localized tenderness and no laxity. Isolated grade-II injuries present with a broader area of tenderness and partially torn medial collateral and posterior oblique fibers. Isolated grade-III injuries present with complete disruption, and there is laxity with an applied valgus stress. ( 70 )

Women are at higher risk for many possible reasons, but none of which are 100 percent matter of fact. One of the reasons that Dr. Alpert suggests is that it could be hormonal. “Estrogen levels rise during certain hormonal cycles, which loosens the ligament and causes it to weaken, and

Upon further evaluation, the athlete may state that they have sharp, stabbing pain that occurs with turning, twisting, and squatting. When one presents these symptoms to a physician, the physician will then perform the impingement test. If this test recreates their hip pain, it indicates that it is positive and the physician may require imaging tests to help determine if they have FAI. The most common imaging tests performed are x-rays, CT scans, and MRI scans. X-rays are primarily to see if any arthritis is present within the joint, whereas CT and MRI scans can see the shapes and structures within the

The medical evidence shows the claimant had twisting injury to left knee with lateral meniscus tear on 7/1/13. He was also noted to have preexisting osteoarthritis of the left knee. The claimant underwent arthrosopic partial meniscectomy on the left knee on 2/27/14 with some symptomatic relief. An orthopedic report on 1/13/14 noted ongoing left knee pain. The physical exam showed tenderness; pain with flexion and extension; positive McMuray's test and negative Drawer's test. X-rays of left knee on 1/13/15 showed mild left knee osteoarthritis.

In order to properly diagnose this type of injury, Dr. Erik Nilssen and his medical staff take several things into consideration, including the patient’s:

It has been shown, patients that have experienced an ACL tear will have clear radiographic signs of osteoarthritis.1 These signs appear in 10-20 years after the incident whether they had reconstruction surgery or opted out of surgery.1 In the article, Meniscus treatment and age associated with narrower radiographic joint space width 2-3 years after ACL reconstruction: data from the MOON onsite cohort, the authors goal was to find out whether radiographs of the metatarsophalangeal view would notice differences in the width of the joint space between an ACL reconstructed knee and the contralateral control knee within 2-3 years.1 Secondly, they wanted to indicate risk factors for early signs of post-traumatic osteoarthritis through an analysis

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier

The Shoulder Pain and Disability Index (SPADI) score developed by Roach et al in 1991. ‘The SPADI contains 13 items that assess two domains; a 5-item subscale that measures pain and an 8-item subscale that measures disability.’ (Breckenridge & McAuley, 2011). Each item is measured on a scale of 1-10 (1 being lowest and 10 being highest). A total of the scores are summed and converted to a score out of 100 with a higher number indicating

MRI and CT scans. Rarely used when the fracture is not visible on an X-ray.

Diagnostic tests : There is no specific single diagnostic test , there is combination of the display of the joint involved ; depend of clinical presentation : clinical, laboratory, and imaging features.

DOI: 4/28/2013. Patient is a 53-year old female registered nurse who sustained injury while she was filling a wash basin and pivoted around, causing her left knee to buckle and she felt pain. Per OMNI, she was initially diagnosed with meniscal tears, severe localized osteoarthrosis of the left knee. Patient was deemed to have reached maximum medical improvement on 10/09/15 by Dr. Louie with 10% whole person impairment.

86) will help us clinicians make quick and reliable decisions. The article by Rath et al. is an example of the application of “fast-and-frugal heuristics” (Marewski & Gigerenzer, 2012, p. 87) by combining history, examination and the addition of the two tests which are “reproducible and simple clinical signs” (Rath et al, 2010, p. 437) indicative of patellar tendinitis.

Brief Description of patient: - Patient is a 27 year old male that presents with atraumatic knee pain in his left knee. Patient has difficulty performing squats, lunges, and other knee related activities while exercising, he also has limited range of motion both active and passive. When tested for ligamentous issues all tests results were negative.