旋转按压试验诊断半月板损伤的意义△

Significance of knee space rotary compression test in diagnosis of meniscus injury

摘要:

［目的］ 与传统物理检查方法进行比较，评价膝关节间隙旋转按压试验的准确性。［方法］ 2020 年 2 月—2021 年 6 月连续行膝关节镜手术的 150 例患者 （163 膝） 纳入本研究。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］在 5 种物理检查试验中，关节间隙旋转按压试验的敏感性（93.75％）、阴性预测值（75.76%）和准确性（88.96％），显著高于其他物理检查方法 （P<0.05）。旋转按压试验在半月板不同部位损伤中的敏感性：前角及前结合部为 90.48%、体部为 95.74%，后角及后结合部为 87.69%，同时合并 2 处以上损伤的复合型为 93.75%。［结论］ 膝关节间隙旋转按压试验诊断半月板损伤具有较高的敏感性和准确率。

Abstract:

[Objective] To evaluate the accuracy of knee space rotary compression test by compared with traditional physical examina- tion. [Methods] A total of 150 patients (163 knees) who underwent arthroscopic knee surgery from February 2020 to June 2021 were en- rolled in this study. As the results of arthroscopy were used as the final diagnostic criteria, the sensitivity and accuracy of the joint space ro- tary compression test, joint space tenderness test, passive hyperextension and flexion test, McMurray test and Apley grinding test were com- pared in the diagnosis of meniscus injury. [Results] Among the 5 physical examination tests, the rotary compression test with sensitivity (93.75%) , negative predictive value (75.76%) and accuracy (88.96%) proved significantly superior to the other 4 examination test sensitivi- ty (P＜0.05) . The sensitivity of rotary compression test in term of different meniscus parts, was of 90.48% for the anterior horn and anterior junction, 95.74% for the body, 87.69% for the posterior horn and posterior junction, and 93.75% for compound tear with more than 2 inju- ries simultaneously. [Conclusion] The knee space rotary compression test has high sensitivity and accuracy in the diagnosis of meniscus in- jury.