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How valid are physical examination tests for knee disorders?

Which ones should we use?

Knee disorders, including meniscal and ACL injuries, and degenerative disorders are highly prevalent. The initial diagnosis is crucial to enable an efficient management. The key factors for an optimal management seem to remain the patient history elements, in combination with physical examination tests. However, the evidence on these key factors remains unclear and thus this systematic review aims to provide an update on information for clinicians working with individuals with knee disorders.

To sum up, reviews provide high-quality evidence that clinicians may diagnose or exclude an ACL injury with the Lachman test, exclude a knee fracture using the Ottawa Knee Rule and make a diagnosis of knee OA based on the results of the American College of Rheumatology and EULAR rules. For other knee disorders (meniscal injury, PFP, PCL injury) the evidence suggests that the tests are not clinically valid.

> From: Décary et al., Phys Ther Sport (2016-09-11 17:44:03) (Epub ahead of print). All rights reserved to The Author(s). Click here for the online summary.

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