What does Thessaly test for?

What does Thessaly test for?

The Thessaly Test was first described in 2005 by Karachalios et al. as a novel clinical examination used to detect meniscal tears in the knee. When performed at 20° of knee flexion it is reported to have a high diagnostic accuracy rate for detecting both lateral and medial meniscal tears.

How accurate is Thessaly test?

Results: The Thessaly test had a sensitivity of 0.66, a specificity of 0.39 and a diagnostic accuracy of 54% when utilised by primary care clinicians. This compared with a sensitivity of 0.62, a specificity of 0.55 and diagnostic accuracy of 59% when used by musculoskeletal clinicians.

How do you test for meniscal tear?

The patient lies on his or her stomach, bending the knee at an even 90 degree angle. Downward force will be applied to the foot by the physician while the foot is rotated to the outside. If pain presents itself in the inner section of the knee joint, a medial meniscal tear may be present.

What is the most sensitive test for meniscal tear?

Based on MRI, Thessaly was the most sensitive for medial meniscus tears (56.2%), while McMurray and joint-line tenderness were more specific (89.1% and 88.0%, respectively).

How do you diagnose a torn meniscus?

To test for a lateral meniscus tear (on the outer side of the knee), you’ll be asked to turn your toes inward as far as your knees can rotate. You’ll then squat and slowly stand up. A click or pain can indicate a meniscus tear.

How is Thessaly test performed?

The patient stands flat footed on one leg while the examiner supports the patient by holding their outstretched hands. The patient then flexes the knee to 5° and rotates the femur on the tibia medially and laterally three times, while maintaining the 5° flexion.

What is the best test for ACL?

The Lachman test is a specific clinical exam technique used to evaluate patients with a suspected anterior cruciate ligament (ACL) injury. The test relies on proper positioning and technique and is regarded as the most sensitive and specific test for diagnosing acute ACL injuries.

Can a meniscus tear heal without surgery?

Meniscus tears are the most frequently treated knee injuries. Recovery will take about 6 to 8 weeks if your meniscus tear is treated conservatively, without surgery.

What is the bulge test?

The bulge test is a method used to determine the material properties of thin films, such as Young’s moduli, Poisson’s ratios, and residual stresses. As shown in Figure 17.5 [34], in the bulge test, uniform pressure is applied to one side of a freestanding thin film window, causing it to deflect outwards.

What does Mcmurray positive mean?

The test is considered positive for a torn meniscus if the examiner appreciates a palpable or auditory click while rotating and extending the knee.

How can you tell the difference between a meniscus tear and arthritis?

The biggest difference between arthritis and a torn meniscus is whether the pain developed over time or following an injury. If your knee pain increases gradually and cannot be placed back to a specific injury you may have arthritis. If your knee pain arose suddenly, you may have a meniscus tear.