CPR for Meniscal Pathology

Original Editor - Evan Thomas

Top Contributors - Evan Thomas, Wanda van Niekerk, Selena Horner and Kim Jackson

Objective

To identify individuals who likely have meniscal pathology based on specific characteristics and examination findings.

Intended Population

CPR Components

  • History of catching or locking reported by the patient
  • Joint line tenderness
  • Pain with forced hyperextension (modified bounce home test)
  • Pain with maximal passive knee flexion
  • Pain or audible click with McMurray's maneuver

Method of Use

Evidence

Reliability

Validity

 Composite test scores (note: in knees treated surgically)

Number of Positive Criteria
Sensitivity
Specificity
LR+
PPV (%)
>3
30.8
90.2
3.15
76.7
>4
16.86
96.1
4.29
81.8
5
11.2
99.0
11.45
92.3

Responsiveness

Suggestions for Use in Clinic

Links

References

Lowery DJ, Farley TD, Wing DW, Sterett WI, Steadman JR. A clinical composite score accurately detects meniscal pathology. Arthroscopy. 2006; 22(11): 1174-9.