Ocjena valjanosti kombinacije kliničkih testova u dijagnostici ozljede meniska

doctoral thesis

• Title (english): Validation of the combination of clinical tests in the diagnosis of meniscus injury
• Author: Alan Mahnik
• Mentor: Ivan Bojanić (mentor)
• Committee member: Mislav Jelić (predsjednik povjerenstva)
• Committee member: Domagoj Delimar (član povjerenstva)
• Committee member: Saša Janković (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2021-10-20, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics
• Universal decimal classification (UDC): 616 - Pathology. Clinical medicine

Abstract

Do sada je opisano više desetaka kliničkih testova za postavljanje dijagnoze ozljede meniska koji pomažu ispitivaču da razluči ovaj tip ozljede od drugih ozljeda u koljenu. Novija istraživanja ukazuju da se kombinacijom kliničkih testova za procjenu ozljede meniskusa postiže veća valjanost testa nego od bilo kojeg kliničkog testa pojedinačno. Cilj ovog istraživanja bio je usporediti kombinaciju tri klinička testa za procjenu ozljede meniskusa (Thessaly test, test bolnosti zglobne pukotine na palpaciju, McMurray test) sa šest kliničkih testova pojedinačno (Thessaly test, test bolnosti zglobne pukotine na palpaciju, McMurray test, Ege test, Steinmann I test, atrofija natkoljenične muskulature). U istraživanju je sudjelovalo 84 ispitanika koji su bili podijeljeni u dvije skupine, skupinu OP su činili ispitanici kojima je postavljena dijagnoza ozljede meniska te im je zbog toga učinjena artroskopska meniscektomija i skupinu KN koju su činili ispitanici koji u anamnezi nisu imali podatak o ozljedi koljena te koji u trenutku pregleda nisu imali nikakve tegobe s koljenima. Ovim istraživanjem utvrđeno je da se korištenjem kombinacije tri klinička testa koja se rabe za procjenu ozljede meniskusa (Thessaly test, test bolnosti zglobne pukotine na palpaciju, McMurray test), ako kombinaciju smatramo pozitivnom kada su dva testa pozitivna, postiže veća valjanost od šest kliničkih testova pojedinačno.

Abstract (english)

So far, dozens of clinical tests have been described to diagnose meniscus injury that help the examiner distinguish this type of injury from other knee injuries. Recent studies indicate that the combination of two clinical tests for assessing meniscal tear gets a higher sensitivity and specificity of any clinical test separately. The main goal of this research was to compare a combination of three clinical tests to assess meniscus injury (Thessaly test, joint line tenderness, McMurray test) with six clinical tests individually (Thessaly test, joint line tenderness, McMurray test, Ege test, Steinmann I test, atrophy of the thigh muscles). The study involved 84 subjects who were divided into two groups, the „OP group“ consisted of subjects diagnosed with meniscus injury and therefore underwent arthroscopic meniscectomy and the „KN group“ consisting of subjects who had no history of knee injury and who at the time of the examination had no discomfort with their knees. This study found that using a combination of three clinical tests used to assess meniscus injury (Thessaly test, joint cracking pain test, McMurray test), if the combination is considered positive when two tests are positive, has greater validity than six clinical tests performed individually.

• Keywords: Meniscektomija; Bedro; Ozljede koljena; Artroskopija; Zglob koljena; Meniskus; Atrofija; Bol; Mišići
• Keywords (english): Meniscectomy; Thigh; Knee Injuries; Arthroscopy; Knee Joint; Meniscus; Atrophy; Pain; Muscles
• Language: croatian
• URN:NBN: urn:nbn:hr:105:616669
• Study programme: Title: Biomedicine and Health Sciences; Study programme type: university; Study level: postgraduate; Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstvo (doktor/doktorica znanosti, područje biomedicine i zdravstvo)
• Type of resource: Text
• Extent: 116 str.
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-11-30 10:49:27