کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4077513 1267220 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Diagnostic test accuracy of clinical and radiological assessments for medial patella plica syndrome: A systematic review and meta-analysis
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Diagnostic test accuracy of clinical and radiological assessments for medial patella plica syndrome: A systematic review and meta-analysis
چکیده انگلیسی

BackgroundThe diagnosis of medial patella plica (MPP) syndrome is challenging due to poor clinical knowledge and controversies surrounding clinical and radiological diagnosis. The purpose of this study is to determine the diagnostic accuracy of clinical tests and radiological imaging in the detection of MPP syndrome.MethodsA systematic review of the electronic databases EMBASE, MEDLINE, Science Direct and Scopus was undertaken. All studies which compared the accuracy of a clinical test, magnetic resonance imaging (MRI) or ultrasound (USS) (index tests) to assess the presence of MPP syndrome, against a surgical procedure (reference test) were included. Methodological appraisal using the QUADAS tool was conducted. The data was analyzed with pooled sensitivity and specificity meta-analyses with 95% confidence intervals.ResultsSeven studies including 492 knees were reviewed. The MPP (physical examination) test (sensitivity = 0.90; specificity = 0.89) and USS (sensitivity = 0.90; specificity = 0.83) demonstrated the greatest diagnostic test accuracy. MRI demonstrated a sensitivity of 0.77 and specificity of 0.58. The literature presented with moderate methodological quality.ConclusionsThe MPP test and USS are valuable in the diagnosis of MPP syndrome. The reference standard for future research in this area should be the resolution of symptoms following MPP resection, instead of arthroscopic evaluation.Level of Evidence3a

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Knee - Volume 21, Issue 2, March 2014, Pages 486–490
نویسندگان
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