CPR for Meniscal Pathology

Original Editor - Evan Thomas

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

Objective

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

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

Evidence

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

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.