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Emergency Medicine Journal 2008;25:105-107; doi:10.1136/emj.2007.056663
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

BEST EVIDENCE TOPIC REPORTS

BET 3. WHICH IS THE BEST CLINICAL TEST FOR DIAGNOSING A KNEE MENISCAL INJURY?

Michael Callaghan, Research and Senior 2 physiotherapist, Stephanie Pugh, Research and Senior 2 physiotherapist

Manchester Royal Infirmary, Manchester, UK

The first 150 words of the full text of this article appear below.

Report by Michael Callaghan, Stephanie Pugh, Research and Senior 2 physiotherapists

Institution: Manchester Royal Infirmary, Manchester, UK

A short cut review was carried out to establish if there is a single best test for the diagnosis of meniscal injuries. A total of 101 papers were found using the reported search, of which four represented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are shown in table 3. The clinical bottom line is that there is no single, pathognomonic clinical test to diagnose a meniscal tear adequately.


 

Three-part question

In [adults with a suspected meniscal injury] is [one clinical test better than another] at [diagnosing meniscal injury]?

Clinical scenario

A 28-year-old man presents to the Accident and Emergency Department knee . . . [Full text of this article]


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