The "sleeper's sign" is valid and suggestive of a medial sub-meniscal flap tear.
Adolescent
Adult
Arthroscopy
/ methods
Bone and Bones
Female
Humans
Knee Injuries
/ diagnosis
Magnetic Resonance Imaging
Male
Menisci, Tibial
/ pathology
Middle Aged
Multivariate Analysis
Pain
/ epidemiology
Posture
Retrospective Studies
Risk Factors
Sleep
Tibial Meniscus Injuries
/ diagnosis
Young Adult
Knee arthroscopy
Medial submeniscal flap tear
Sleeper's sign
Validity and diagnostic performance
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
27
02
2019
accepted:
26
07
2019
pubmed:
5
8
2019
medline:
27
3
2021
entrez:
5
8
2019
Statut:
ppublish
Résumé
To describe, evaluate and validate the diagnostic performance of a new clinical sign, the sleeper's sign, for the diagnosis of a medial submeniscal flap tear (MSMFT). This retrospective single-center series included patients aged 18-55 years old who underwent arthroscopic treatment in 2013-2015 for a medial meniscal tear. This study was performed according to STARD (standards for reporting of diagnostic accuracy) guidelines, and the reference test was a peroperative diagnosis of a MSMFT. The preoperative consultation reports were all analyzed to search for the sleeper's sign, defined as night time medial tibiofemoral pain when the patient is in the fetal position with both knees in contact and no pain during daytime activities. Three-hundred and ten patients responded to the study criteria, mean age 41.7 ± 9.7 years old. The sleeper's sign was identified in 39 (12.6%) patients and a MSMFT was confirmed during arthroscopy in 47 (15.2%) cases, with significant agreement between this sign, arthroscopy (kappa = 0.78, p = 10 The "sleeper's sign" is a new, valid, highly specific clinical sign for the diagnosis of a medial submeniscal flap tear. MRI was found to be more sensitive than the sleeper's sign. II.
Identifiants
pubmed: 31377828
doi: 10.1007/s00167-019-05655-4
pii: 10.1007/s00167-019-05655-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
51-58Subventions
Organisme : Fonds de Dotation pour la Recherche Clinique en Orthopédie et Pathologie du Sport, Paris, FRANCE.
ID : 2019
Investigateurs
Olivier Grimaud
(O)
Serge Herman
(S)
Alain Meyer
(A)
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