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Related Experiment Video

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Fu's Subcutaneous Needling for Knee Osteoarthritis Pain
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The moving patellar apprehension test for lateral patellar instability.

Christopher S Ahmad1, Moira McCarthy, Jaime A Gomez

  • 1Department of Orthopaedic Surgery, Center for Shoulder, Elbow, and Sports Medicine, New York, NY 10032, USA. Csa4@columbia.edu

The American Journal of Sports Medicine
|February 6, 2009
PubMed
Summary

The moving patellar apprehension test accurately diagnoses patellar instability. This physical exam maneuver is highly sensitive and specific, improving diagnostic accuracy for knee injuries.

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Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Diagnostic techniques

Background:

  • Physical examination for patellar instability often lacks accuracy.
  • Developing reliable diagnostic methods is crucial for effective treatment.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of the "moving patellar apprehension test" for patellar instability.
  • To determine the sensitivity and specificity of this novel examination technique.

Main Methods:

  • A cohort study (Level 3 evidence) was conducted comparing the moving patellar apprehension test with examination under anesthesia.
  • The test involves specific patellar manipulations during knee flexion and extension in 51 patients.
  • Patient apprehension and quadriceps activation were recorded as positive indicators.

Main Results:

  • The moving patellar apprehension test demonstrated high diagnostic accuracy (94.1%).
  • It achieved 100% sensitivity and 88.4% specificity when compared to examination under anesthesia.
  • Positive and negative predictive values were 89.2% and 100%, respectively.

Conclusions:

  • The moving patellar apprehension test is a reliable and accurate method for diagnosing patellar instability.
  • Correct performance and interpretation yield highly sensitive and specific results.
  • This technique offers a valuable tool for orthopedic clinicians.