Diagnostic Utility of Ultrasound Versus Physical Examination in Assessing Knee Effusions: A Systematic Review and Meta-analysis.

effusion physical examination sensitivity specificity ultrasound

Journal

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
ISSN: 1550-9613
Titre abrégé: J Ultrasound Med
Pays: England
ID NLM: 8211547

Informations de publication

Date de publication:
Jan 2022
Historique:
revised: 23 01 2021
received: 27 10 2020
accepted: 10 02 2021
pubmed: 7 3 2021
medline: 21 12 2021
entrez: 6 3 2021
Statut: ppublish

Résumé

Knee effusion can be detected by physical examination, ultrasound and MRI, but the utility of each test is unclear. This study aimed to analyze the diagnostic value of physical examination and ultrasound for knee effusion. A systematic literature search of electronic databases was completed. Bivariate mixed-effects regression modelling was used to estimate sensitivity, specificity and diagnostic odds ratio of physical examination and ultrasound diagnosis of knee effusion. Sensitivity of ultrasound diagnosis of knee effusion was higher than the bulge sign and patellar tap, leading to improved positive and negative predictive values.

Identifiants

pubmed: 33675099
doi: 10.1002/jum.15676
doi:

Types de publication

Journal Article Meta-Analysis Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

17-31

Subventions

Organisme : NIH HHS
ID : UL1 TR003098
Pays : United States
Organisme : NIH HHS
ID : UL1 TR003098
Pays : United States

Informations de copyright

© 2021 American Institute of Ultrasound in Medicine.

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Auteurs

Ryan Meyer (R)

Johns Hopkins University, Baltimore, Maryland, USA.

Christina Lin (C)

Johns Hopkins University, Baltimore, Maryland, USA.

Gayane Yenokyan (G)

Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.

Mark Ellen (M)

The Orthopaedic Institute, Gainesville, Florida, USA.

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