A novel clinical test for assessing patellar cartilage changes and its correlation with magnetic resonance imaging and arthroscopy. (3rd August 2019)

• Record Type: Journal Article
• Authors: Khoo, Paul; Ghoshal, Abhijeet; Byrne, Damien; Subramaniam, Ramesh; Moran, Raymond
• Is Part Of: Physiotherapy theory and practice. Volume 35:Number 8(2019)
• Page Start: 781
• Page End: 786
• Publication Date: 2019-08-03
• Subjects: Arthroscopy -- Chondromalacia patella -- examination -- magnetic resonance imaging; Physical therapy -- Periodicals; 615.82
• DOI: 10.1080/09593985.2018.1457116
• Languages: English
• ISSNs: 0959-3985

Abstract

ABSTRACT: Controversy still exists regarding the best clinical assessment test for chondromalacia patellae (CMP). Our study aims to evaluate the specificity and sensitivity of a novel clinical test for CMP, the "Patella Slide Test" (PST) against the findings of magnetic resonance imaging (MRI) and arthroscopy. We included 221 consecutive patients planned for elective knee arthroscopic surgery. An MRI scan of the symptomatic knee was performed prior to surgery. On the day of surgery, each patient was examined using the PST followed by a knee arthroscopy to assess the quality of the chondral surfaces of the patellofemoral joint. The MRI and PST results were compared against the arthroscopic findings that served as the gold standard. The PST (0.89) was statistically more sensitive than MRI (0.67) in diagnosing CMP. The PST (0.89) also had a greater negative predictive value (NPV) than MRI (0.74). However, MRI (0.94) was more specific than the PST (0.85). The differences in accuracy and positive predictive value of the PST versus MRI were not statically significant. In conclusion, the PST shows high sensitivity and has a greater NPV than MRI as a clinical test for diagnosing CMP.