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Re: MCL vs. medial meniscus ?
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Re: MCL vs. medial meniscus ? - May 16, 2005 4:50:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
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I'm one for one, now, too.
It was Thessaly at 20 that brought symptoms on...
MRI confirms.
J
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Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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Re: MCL vs. medial meniscus ? - May 17, 2005 5:53:00 PM
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jbeneciuk
Posts: 112
Joined: November 26, 2004
From: Jacksonville, FL
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Hello everyone:
Just a little follow-up on the original pt mentioned at the beginning of this thread...
After approx 2 weeks (5 sessions), today the patient presented with a significant decrease in her subjective complaints (this has been the case over the past 2 sessions). She performed some raking of stones in her yard the otherday, with no sx during or afterward. Arising from a chair no longer seems awkward and when asked she said "it is much easier". I haven't yet performed a full re-eval, in fear of re-provoking her sx and instilling a negative mindset for the patient... palpation for tenderness at the medial joint line is significantly decreased, with still some minimal sx...I've been keeping much of her exercises below 90 degrees of knee flexion; (any thaughts on increasing her range with knee flx in a closed chain activity ??)
I still feel she may be in a stage where if I did progress her, I would be in jeopardy of aggravating her sx..any thaughts ??
thanks for all the great responses !!
JBeneciuk
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Re: MCL vs. medial meniscus ? - May 17, 2005 6:26:00 PM
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steve
Posts: 470
Joined: May 14, 2003
From: Canada
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I've picked up on using the test, the only thing is I cant have the test confirmed for months. Seems to be positive with patients who report a suspect history, ie. click with pain and locking. With a meniscus tear you will be waiting at minimum a month for MRI. I'm not sure about this Canadian public medical system sometimes.....
Steve
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Re: MCL vs. medial meniscus ? - June 2, 2005 3:50:00 AM
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Alex Brenner PT MPT OCS
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Joined: February 29, 2004
From: Kentucky
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A colleague of mine pointed out the "disco" test in Magee (knee chapter) that appears to be exactly the same as the Thessaly test. The Greek authors describe their test as a "new" clinical test. It appears not to be however this may be the first time that sensitivities and specificities were reported in a quality study.
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Alex Brenner, PT, MPT, OCS
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Re: MCL vs. medial meniscus ? - June 2, 2005 2:07:00 PM
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jma
Posts: 2414
Joined: August 24, 2000
From: NY
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I wonder if the disco test has a reference to it and if so, what do the authors of that test think of the thessaly test. That is, if they are aware of the similaries between the two.
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Re: MCL vs. medial meniscus ? - June 3, 2005 3:16:00 PM
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karmzack
Posts: 181
Joined: March 20, 2005
From: Hawaii
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The two tests look the same, here is the exerpt from Magee
"For the disco test, the patient stands on one leg with the knee flexed 10 deg. to 20 deg. The patient is asked to rotate or twist left and right while holding the flexed position. Aprehension during the test or refusal to do the test is a positive sign for rotary instability. If pain is felt on the joint line, it may be indicative of meniscus pathology, in which case it is called Merke's sign. Pain on medial rotation along the joint line implies medical meniscus pathology, and pain on lateral rotation implies lateral meniscus pathology."
Magee makes 2 references for this test but they are both texts, not peer reviewed journals.
_____________________________
Zack Solomon MPT, OCS, CSCS
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Re: MCL vs. medial meniscus ? - June 3, 2005 3:28:00 PM
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jma
Posts: 2414
Joined: August 24, 2000
From: NY
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Hmm,I guess now that the test is in a peer reviewed journal, it can be referenced to from now on.
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Re: MCL vs. medial meniscus ? - June 20, 2005 12:44:00 AM
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KAK
Posts: 200
Joined: December 1, 2004
Status: offline
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Re: Thassley test.
I had a true-negative result.
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