title: Significance of the arthroscopic meniscal flounce sign: a prospective study.
abstract: BACKGROUND
  The meniscal flounce sign is a fold in the free, nonanchored inner edge of the medial meniscus that can be noted during routine arthroscopy of the knee.
  
  
  OBJECTIVE
  The meniscal flounce sign can be a significant indicator of the presence or absence of medial meniscus injury.
  
  
  METHODS
  Cohort study (diagnosis); Level of evidence, 4.
  
  
  METHODS
  One hundred sixty-eight patients were prospectively evaluated at the time of the arthroscopy for the presence or absence of the arthroscopic meniscal flounce sign. These results were then correlated with the presence of medial meniscus tears.
  
  
  RESULTS
  The presence of the meniscal flounce sign has a positive predictive value of a normal meniscus of 0.97 (63/65). The absence of the meniscal flounce sign has a positive predictive value of an abnormal meniscus of 0.98 (101/103). Specificity is 98%, and sensitivity is 97%.
  
  
  CONCLUSIONS
  The absence of the arthroscopic meniscal flounce sign is a sensitive and specific predictor of the presence of medial meniscus tears that should alert the surgeon to probe carefully for an occult medial meniscus tear.
authors.affiliation: Department of Orthopedic Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St Louis, MO 63110, USA. rwwright1@aol.com
authors.forename: Rick W
authors.initials: RW
authors.lastname: Wright
authors.forename: Dory S
authors.initials: DS
authors.lastname: Boyer
mesh_terms: D000328:Adult; D001182:Arthroscopy; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000473:pathology; D007718:Knee Injuries / Q000473:pathology*; D008297:Male; D008592:Menisci, Tibial / Q000473:pathology*; D011237:Predictive Value of Tests; D011446:Prospective Studies; D000070600:Tibial Meniscus Injuries