The diagnostic value of the Clarke sign in assessing chondromalacia patella
Gespeichert in:
| Deutscher übersetzter Titel: | Der diagnostische Wert des Clarke-Zeichens bei der Beurteilung einer Chondromalacia patellae |
|---|---|
| Autor: | Doberstein, Scott T.; Romeyn, Richard L.; Reineke, David M. |
| Erschienen in: | Journal of athletic training |
| Veröffentlicht: | 43 (2008), 2, S. 190-196, Lit. |
| Format: | Literatur (SPOLIT) |
| Publikationstyp: | Zeitschriftenartikel |
| Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
| Sprache: | Englisch |
| ISSN: | 1062-6050, 0160-8320, 1938-162X |
| DOI: | 10.4085/1062-6050-43.2.190 |
| Schlagworte: | |
| Online Zugang: | |
| Erfassungsnummer: | PU201010007975 |
| Quelle: | BISp |
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PU201010007975 |
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Literatur |
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2012-01-25T10:17:55Z |
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Zeitschriftenartikel |
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JO00000000720 |
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JOI200800020000720 |
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Journal of athletic training |
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Journal of athletic training, 2008, 2 |
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PU201010007975 |
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The diagnostic value of the Clarke sign in assessing chondromalacia patella |
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0190 |
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bisparticle |
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2008 |
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2008 |
| language |
eng |
| title |
The diagnostic value of the Clarke sign in assessing chondromalacia patella |
| spellingShingle |
The diagnostic value of the Clarke sign in assessing chondromalacia patella Chondromalazie Diagnostische Verfahren Kniegelenk Kniegelenkdiagnostik Knieschmerz Orthopädie Sportmedizin Testbewertung Testverfahren Untersuchung, empirische |
| title_sort |
the diagnostic value of the clarke sign in assessing chondromalacia patella |
| title_short |
The diagnostic value of the Clarke sign in assessing chondromalacia patella |
| title_alt |
Der diagnostische Wert des Clarke-Zeichens bei der Beurteilung einer Chondromalacia patellae |
| title_alt_lang |
deu |
| media_type |
Elektronische Ressource (online) Gedruckte Ressource |
| city |
Dallas (Tex) |
| abstract |
Context: Various techniques have been described for assessing conditions that cause pain at the patellofemoral (PF) joint. The Clarke sign is one such test, but the diagnostic value of this test in assessing chondromalacia patella is unknown Objective: To (1) investigate the diagnostic value of the Clarke sign in assessing the presence of chondromalacia patella using arthroscopic examination of the PF joint as the “gold standard,” and (2) provide a historical perspective of the Clarke sign as a clinical diagnostic test. Design: Validation study. Setting: All patients of one of the investigators who had knee pain or injuries unrelated to the patellofemoral joint and were scheduled for arthroscopic surgery were recruited for this study. Patients or Other Participants: A total of 106 otherwise healthy individuals with no history of patellofemoral pain or dysfunction volunteered. Main Outcome Measure(s): The Clarke sign was performed on the surgical knee by a single investigator in the clinic before surgery. A positive test was indicated by the presence of pain sufficient to prevent the patient from maintaining a quadriceps muscle contraction against manual resistance for longer than 2 seconds. The preoperative result was compared with visual evidence of chondromalacia patella during arthroscopy. Results: Sensitivity was 0.39, specificity was 0.67, likelihood ratio for a positive test was 1.18, likelihood ratio for a negative test was 0.91, positive predictive value was 0.25, and negative predictive value was 0.80. Conclusions: Diagnostic validity values for the use of the Clarke sign in assessing chondromalacia patella were unsatisfactory, supporting suggestions that it has poor diagnostic value as a clinical examination technique. Additionally, an extensive search of the available literature for the Clarke sign reveals multiple problems with the test, causing significant confusion for clinicians. Therefore, the use of the Clarke sign as a routine part of a knee examination is not beneficial, and its use should be discontinued. Verf.-Referat |
| abstract_lang |
eng |
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abstract |
| author2 |
Doberstein, Scott T. Romeyn, Richard L. Reineke, David M. |
| author_facet |
Doberstein, Scott T. Romeyn, Richard L. Reineke, David M. |
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Autor Autor Autor |
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|
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Doberstein, Scott T. Romeyn, Richard L. Reineke, David M. |
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|
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0/Autor/ 1/Autor/Doberstein, Scott T./ 0/Autor/ 1/Autor/Romeyn, Richard L./ 0/Autor/ 1/Autor/Reineke, David M./ |
| doi |
10.4085/1062-6050-43.2.190 |
| spelling |
10.4085/1062-6050-43.2.190 1062-6050 0160-8320 1938-162X 1202960-9 Chondromalazie Diagnostische Verfahren Kniegelenk Kniegelenkdiagnostik Knieschmerz Orthopädie Sportmedizin Testbewertung Testverfahren Untersuchung, empirische chondromalacia diagnostic procedures empirical investigation knee-joint knee-joint diagnostics knee pain orthopedics sports medicine test assessment test procedure Medizin Geschichte der Medizin Untersuchung, sportmedizinische Wasserdampf Diagnose Diagnosemethode Diagnostik Untersuchungsdiagnostik Empirie Empirismus Untersuchung, experimentelle Untersuchung Knie Genu varum Knieaussenband Kniebandverletzung Kniegelenkoperation Knieinnenband Lig. collaterale mediale Ligamentum collaterale mediale Genu valgum Lachman-Test Prüfungsverfahren Prüfverfahren Testmethode Testanalyse empirical study test judging The diagnostic value of the Clarke sign in assessing chondromalacia patella PU201010007975 201010007975 |
| url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2267328/pdf/i1062-6050-43-2-190.pdf https://dx.doi.org/10.4085/1062-6050-43.2.190 |
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fulltext fulltext |
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| issn |
1062-6050 0160-8320 1938-162X |
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1202960-9 |
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0/USA/ 1/USA/Texas/ |
| topic |
Chondromalazie Diagnostische Verfahren Kniegelenk Kniegelenkdiagnostik Knieschmerz Orthopädie Sportmedizin Testbewertung Testverfahren Untersuchung, empirische |
| topic_facet |
Chondromalazie Diagnostische Verfahren Kniegelenk Kniegelenkdiagnostik Knieschmerz Orthopädie Sportmedizin Testbewertung Testverfahren Untersuchung, empirische |
| topic_en |
chondromalacia diagnostic procedures empirical investigation knee-joint knee-joint diagnostics knee pain orthopedics sports medicine test assessment test procedure |
| topic_en_facet |
chondromalacia diagnostic procedures empirical investigation knee-joint knee-joint diagnostics knee pain orthopedics sports medicine test assessment test procedure |
| synonym |
Medizin Geschichte der Medizin Untersuchung, sportmedizinische Wasserdampf Diagnose Diagnosemethode Diagnostik Untersuchungsdiagnostik Empirie Empirismus Untersuchung, experimentelle Untersuchung Knie Genu varum Knieaussenband Kniebandverletzung Kniegelenkoperation Knieinnenband Lig. collaterale mediale Ligamentum collaterale mediale Genu valgum Lachman-Test Prüfungsverfahren Prüfverfahren Testmethode Testanalyse |
| synonym_en |
empirical study test judging |
| journal_facet |
Journal of athletic training |
| container_title |
Journal of athletic training |
| container_volume |
43 |
| container_issue |
2 |
| container_start_page |
S. 190-196 |
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1 |
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BISp |
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JO00000000720 |
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2008 |
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2 |
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1791512878957723648 |
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13,558406 |