) ACL( مقايسه ارزش تشخيص آزمون هاي باليني با يافته هاي آرتروسكوژي در تشخيص ضايعات منيسك ها ورباط متقاطع قدامي زانو

Comparison of Diagnostic Value between Clinical ʹTests and Arthroscopic Findings in Diagnosis of Meniscus and Anterior Cruciate Ligament(ACL) Injuries

Anterior cruciate ligament (ACL) and meniscus injuries are the most common injuries in athletes. History, physical exam, MIR, arthrography and arthroscopy are used to confirm the diagnosis. In the present observational descriptive analytical study, the diagnostic value of clinical test was compared with arthroscopic findings. 68 athletes suspected of meniscus or ACL injuries, were selected by history and physical exams after completion of data sheet. McMurray test, joint line tenderness and Latchman test were performed and then diagnostic arthroscopy was done. Diagnostic value of each method was compared. Clinical results of joint line tenderness and McMurray test were positive only in 58% of the patients with concurrent ACL and meniscus injury. However, in pure meniscus injuries, joint line tenderness was positive in all of the cases. Isolated ACL injuries(29%) and concurrent ACL with medial meniscus injuries(29%) were the most common injuries in arthroscopic findings. Bucket handle tearing was the most common type of meniscus injuries and Latchman test was positive in 90% of the cases with ACL injuries. It seems that in isolated meniscus injuries, performing clinical test has high diagnostic value. However, in concurrent cruciate ligament and meniscus injuries, the clinical tests have low diagnostic value in assessment of ACL injuries.