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Volume 10, Issue 5, Pages (May 2018)

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1 Volume 10, Issue 5, Pages 472-482 (May 2018)
Diagnostic Validity of Combining History Elements and Physical Examination Tests for Traumatic and Degenerative Symptomatic Meniscal Tears  Simon Décary, PT, PhD candidate, Michel Fallaha, MD, Pierre Frémont, MD, PhD, Johanne Martel-Pelletier, PhD, Jean-Pierre Pelletier, MD, PhD, Debbie E. Feldman, PhD, Marie-Pierre Sylvestre, PhD, Pascal-André Vendittoli, MD, MSc, FRSC, François Desmeules, PT, PhD  PM&R  Volume 10, Issue 5, Pages (May 2018) DOI: /j.pmrj Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

2 Figure 1 Diagnostic clusters to rule in or rule out a traumatic SMT. Clinical decision to rule in or rule out SMT after trauma is based on the clusters of history elements and physical examination test reaching LR+ ≥5 or LR– <0.2, indicating at least a moderate change in posttest probability. SMT = symptomatic meniscal tear; LR = likelihood ratio. PM&R  , DOI: ( /j.pmrj ) Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

3 Figure 2 Diagnostic clusters to rule in degenerative SMT. Clinical decision to rule in degenerative SMT after trauma is based on the clusters of history elements and physical examination test reaching LR+ ≥5, indicating a moderate change in posttest probability. SMT = symptomatic meniscal tear; LR = likelihood ratio. PM&R  , DOI: ( /j.pmrj ) Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

4 Figure 3 Diagnostic clusters to rule out degenerative SMT. Clinical decision to rule out degenerative MT after trauma is based on the clusters of history elements and physical examination test reaching LR+ ≤0.2, indicating a moderate change in negative posttest probability. SMT = symptomatic meniscal tear; LR = likelihood ratio. PM&R  , DOI: ( /j.pmrj ) Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions


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