a highly sensitive test confidently rules out a condition if that test is not positive.

The high specificity and moderate sensitivity results of the prone Lachman test are similar in their diagnostic utility to those of the pivot shift test, which, based on the pooled data from meta-analyses by Benjaminse et al 1 and Jackson et al, 13 has a sensitivity ranging from 0.24 to 0.61 and a specificity ranging from 0.97 to 0.98. The sensitivity and specificity values of these two tests were also not that satisfactory (<90%). Patellofemoral pain can also occur when the muscles around your hip and knee don't function well to maintain proper tracking of your kneecap. Mini-Cog Test. The results indicate that the original McMurray’s test, the modified version, and joint-line tenderness have overall low sensitivity and high specificity in diagnosing chronic meniscal tears. 1 The purpose of this update is to provide a … Specificity: 92%. Previous studies compared PFPS patients with healthy controls , and the sensitivity and specificity of the patella compression test was reported to be 50% and 55%, respectively.

Nine systematic reviews conclude that the anterior drawer test is inferior to the Lachman test, 6-14 which we’ll describe in a moment. The hip/groin area is an area with incredibly complex anatomy and biomechanics (Feeley et al., 2008). the Mini-Cog Test is more useful than MMSE in the dementia screening process. a positive result rules in a condition. This means to improve clinical reasoning and diagnosis clinicians (and/or diagnosticians) must be … Specificity: 93%. Sensitivity, specificity, and other terms. The following terms are fundamental to understanding the utility of clinical tests: When evaluating a clinical test, the terms sensitivity and specificity are used. To quote a former anatomy lecturer of mine; "It is real tiger country!". This is due, in part, to the anterior drawer test’s unacceptably low sensitivity and specificity in the clinical setting—especially during the acute phase. McConnell’s Test: PURPOSE: Patellofemoral Tracking problems such as patellofemoral pain syndrome (above) ....Patellofemoral pain syndrome has been associated with injury, overuse and poor control of muscles. According to the results given in the study performed by Borson et al. They are independent of the population of interest subjected to the test. SpIn: If a test is specific then we can be confident that it is useful in ruling in a condition i.e. Clinicians should select tests with the highest sensitivity or negative likelihood ratio to rule out meniscal injury, or conversely, rule in meniscal injury with tests having high specificity or positive likelihood ratios. Terms that you might come across when understanding sensitivity and specificity are: SnOut: If a test is sensitive then a negative test rules out a condition i.e.

The sports physiotherapists reading this would be aware of the challenge of accurate diagnosis of hip pathology. Special tests to diagnose musculoskeletal conditions of the knee Learn with flashcards, games, and more — for free. This study also highlights that the modified McMurray’s test had a higher accuracy than the original McMurray’s test and joint-line tenderness . The literature. Sensitivity: 91%. Sensitivity: 99%. Most clinical tests fall short of this ideal.