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This is a clinical screening tool for meniscal tears/ lesions. Patients with suspected meniscal tears experience medial or lateral joint-line discomfort and may have a sense of locking or catching. The Thessaly test is a dynamic reproduction of joint loading in the knee and the theory behind the test is that the . See moreThe patient stands flat footed on one leg while the examiner supports the patient by holding their outstretched hands. The patient then flexes . See moreIn his original study from 2005, Karachalios found the following statistics for his test: Thessaly Test at 5° Thessaly Test at 20° In more recent studiesfrom 2015, the Thessaly test has been found to be no better than other tests such as the McMurray test and . See more The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine. Clin J Sport Med. 2009;19(1):9-12. Email letter.
The Thessaly test has been described as the most accurate test for meniscus lesions by Karachalios et al. (2005). However, there has been new research by Goosens et al.(2015) with a higher quality that states that the sensitivity is as .Diagnostic accuracy of the Thessaly test, standardised clinical history and other clinical examination tests (Apley’s, McMurray’s and joint line tenderness) for meniscal tears in comparison with magnetic resonance imaging diagnosis. .The Thessaly Test (or Thesally’s Test) is a test for detecting meniscal tears/lesions of the knee. Involved Structures. medial meniscus of the knee; lateral meniscus of the knee; Starting . Meniscal tears are common sports-related injuries in young athletes and can also present as a degenerative condition in older patients. Diagnosis can be suspected clinically with joint line tenderness and a positive .
More recently Karachalios et al. 25 have described a new physical test to detect meniscal tears – the Thessaly Test. When performed at 20° of knee flexion the Thessaly Test is reported to .The Thessaly test is used to assess the integrity of the medial and lateral meniscus, specifically testing meniscal tears. See how to do the thessaly test. Left untreated, large complex tears can impair smooth motion of the knee, cause joint effusions, and may lead to premature osteoarthritis. Meniscal injuries can occur in ."The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine." Clin J Sport Med. Jan 2009;19(1):9-12. . 09/05/2012. Karachalios T, Hantes M, Zibis AH, Zachos .
This test appears to be a valuable alternative to other meniscal clinical tests usually performed, but additional diagnostic accuracy data are required. Methods: Patients with suspected meniscal tears, referred to a hospital for arthroscopic surgery, were eligible. The Thessaly test alone and the combination of the Thessaly and McMurray tests .Diagnostic accuracy of a new clinical test (the Thessaly test) for early detection of meniscal tears. J Bone Joint Surg. 2005;87(5): 955–62. ↑ Herschmiller T.A et al. The Trapped Medial Meniscus Tear: An Examination Maneuver Helps Predict Arthroscopic Findings; OJSM 2015; ↑ Poulsen MR, Johnson DL. Meniscal injuries in the young .The Thessaly test is a dynamic reproduction of joint loading in the knee and the theory behind the test is that the knee with a meniscal tear will produce the same symptoms the patient . Hantes M, Zibis AH, Zachos V, Karantanas AH, Malizos KN. Diagnostic accuracy of a new clinical test (the Thessaly test) for early detection of meniscal tears .
Results: The Thessaly test at 20 degrees of knee flexion had a high diagnostic accuracy rate of 94% in the detection of tears of the medial meniscus and 96% in the detection of tears of the lateral meniscus, and it had a low rate of false-positive and false-negative recordings. Other traditional clinical examination tests, with the exception of .
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NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. Blyth M, Anthony I, Francq B, et al. Diagnostic accuracy of the Thessaly test, standardised clinical history and other clinical examination tests (Apley’s, McMurray’s and joint line tenderness) for meniscal tears in comparison with magnetic resonance imaging diagnosis.Your meniscus is a rubbery wedge of cartilage in your knee between your femur (thigh bone) and tibia (shin bone). It’s like a shock absorber that cushions your bones and knee joints. Any sudden and intense jerking motion on your knee can tear your meniscus. Traumas like falls and car accidents can also tear your meniscus. The Thessaly test is used to assess the integrity of the medial and lateral meniscus, specifically testing for meniscal tears. How to Perform Thessaly TestPo.
Meniscal injuries of the knee are common. Acute meniscal tears occur most often from twisting injuries; chronic degenerative tears occur in older patients and can occur with minimal twisting or stress. Left untreated, large complex tears can impair smooth motion of the knee, cause joint effusions, and may lead to premature osteoarthritis.Of the 66 patients with a positive Thessaly test, 65 had an arthroscopically verified meniscal tear. The Thessaly test revealed a sensitivity of 90.3%, specificity of 97.7%, positive predictive value of 98.5%, negative predictive value of 86.0%, likelihood ratio for a positive test of 39.3, likelihood ratio for a negative test of 0.09, and diagnostic accuracy of 88.8%.The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine. Clin J Sport Med 2009;19:9–12. Search PubMed; The Royal Australian College of General Practitioners. Detailed review of funding for diagnostic imaging services. Submission to the Department of Health and Ageing. 2010. Mirzatolooei F, Yekta Z, Bayazidchi M, Ershadi S, Afshar A. Validation of the Thessaly test for detecting meniscal tears in anterior cruciate deficient knees. Knee. 2010;17(3):221-223. 15. Ben-Galim P, Steinberg E, Amir H, Ash N, Dekel S, Arbel R. Accuracy of magnetic resonance imaging of the knee and unjustified surgery. Clin .
The Thessaly test at 20 degrees of knee flexion can be used effectively as a first-line clinical screening test for meniscal tears, reducing the need for and the cost of modern magnetic resonance .Thessaly Test | Meniscus Tear Assessment | Meniscus Injury. The Thessaly test has been described as the most accurate test for meniscus lesions by Karachalios et al. (2005).However, there has been new research by Goosens et al.(2015) with a higher quality that states that the sensitivity is as low as 64% and the specificity is as low as 53%. This means that the .More recently Karachalios et al. have described a new physical test to detect meniscal tears – the Thessaly Test [Karachalios T, Hantes M, Zibis AH, Zachos V, Karantanas AH, Malizos KN. Diagnostic accuracy of a new clinical test (the Thessaly test) for early detection of meniscal tears. J Bone Joint Surg Am 2005;87:955–62]. The Thessaly . Thessaly Test For Meniscus Tears. May 10, 2024. Clinicians use the “Thessaly Test” as a clinical tool to diagnose meniscal tears in the knee. The meniscus is a piece of cartilage in your knee that cushions and .
Common symptoms of meniscal tears are pain (92%), discomfort (95%), swelling (56%), a clicking sound (47%), and locking of the knee (12%). 11, 18, 31 Diagnosing meniscal tears in clinical practice requires detailed history . The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine. Clin J Sport Med. 2009 Jan;19(1):9-12. doi: 10.1097/ JSM.0b013e31818f1689. PMID: 19124977. Karachalios T, Hantes M, Zibis AH, Zachos V, Karantanas AH, Malizos KN. Diagnostic accuracy of a new clinical test (the . The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine. Clin J Sport Med. 2009;19(1):9-12.
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The study found that neither the Thessaly Test alone or in combination with other physical tests could be reliably used by primary care clinicians as an alternative, or surrogate, for magnetic resonance imaging (MRI) scanning to diagnose meniscal tears in the knee. In addition, data generated by this study suggests that MRI diagnosis of meniscal tears in comparison with . By contrast, 2022 evidence notes that an MRI is 93% sensitive and 88% specific for medial meniscus tears and 79% sensitive and 96% specific for lateral meniscus tears. The McMurray test is not .The Thessaly test is a valid and reproducible physical examination technique for predicting meniscal tears. The Thessaly test shows promise as an easily performed maneuver that may have better diagnostic accuracy than traditional tests. However, this study was performed at a referral center; therefore, the diagnostic relevance cannot be . The Thessaly test for detection of meniscal tears: validation of a new physical examination technique for primary care medicine. Clin J Sport Med. 2009;19(1):9-12.
ligament tears and meniscal tears. Both studies used arthroscopy as the reference test. 11,23. Based on these data and because earlier meniscal tests have shown gener-ally poor diagnostic accuracy values, the Thessaly test seems to be a potentially valuable clinical test to help identify meniscal tears. The high incidence of meniscal tears,
Thessaly’s test is used to evaluate for meniscus tears. The patient is standing on the affected leg with knee flexed about 5 to 20 degrees. The patient may n.
Our objective was to study the role of physical diagnostic tests in screening for meniscal tears and to validate the diagnostic accuracy of the Thessaly test. We examined 109 patients (80 male, 29 female; average age: 39 years; range: 16-56) who were presented with a history suggestive of a meniscal tear. . Our study showed a much lower .
Meniscal injuries are frequently associated with anterior cruciate ligament (ACL) tears. Clinical tests that are useful for detecting meniscal tears may not be valid in this setting. The Thessaly test, a newly described dynamic clinical examination, has been shown to have a very high diagnostic accuracy for detecting meniscal tears. This study evaluates the accuracy of the .
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thessaly test for meniscal tears|how to determine meniscus tear