title: PHYSICAL EXAMINATIONS FOR DIAGNOSING MENISCAL INJURIES: CORRELATION WITH SURGICAL FINDINGS.
abstract: OBJECTIVE
  A set of five maneuvers for meniscal injuries (McMurray, Apley, Childress and Steinmann 1 and 2) was evaluated and their sensitivity, specificity, accuracy and likelihood were calculated. The same methods were applied to each test individually.
  
  
  METHODS
  One hundred and fifty-two patients of both sexes who were going to undergo videoarthroscopy on the knee were examined blindly by one of five residents at this hospital, without knowledge of the clinical data and why the patient was going to undergo an operation. This examination was conducted immediately before the videoarthroscopy and its results were recorded in an electronic spreadsheet. The set of maneuvers was considered positive when one was positive. In the individual analysis, it was enough for the test to be positive.
  
  
  RESULTS
  The analysis showed that the set of five meniscal tests presented sensitivity of 89%, specificity of 42%, accuracy of 75%, positive likelihood of 1.53 and negative likelihood of 0.26. Individually, the tests presented accuracy of between 48% and 53%.
  
  
  CONCLUSIONS
  The set of maneuvers for meniscal injuries presented a good accuracy and significant value, especially for ruling out injury. Individually, the tests had less diagnostic value, although the Apley test had better specificity.
authors.affiliation: Member of the Brazilian Society of Knee Surgery (Sociedade Brasileira de Cirurgia do Joelho); Member of the Brazilian Society of Orthopedics and Traumatology (Sociedade Brasileira de Ortopedia e Traumatologia); Former Resident of the Knee Group of the Orthopedics and Traumatology Clinic of Hospital São Lucas, PUCRS - Porto Alegre, RS, Brazil.
authors.forename: Ricardo da Rocha
authors.initials: Rda R
authors.lastname: Gobbo
authors.affiliation: Member of the Brazilian Society of Orthopedics and Traumatology; Former Resident Physician of the Orthopedics and Traumatology Clinic of Hospital São Lucas, PUCRS - Porto Alegre, RS, Brazil.
authors.forename: Victor de Oliveira
authors.initials: Vde O
authors.lastname: Rangel
authors.affiliation: Master's degree in Human Movement Sciences; Doctor's degree in Medicine; Member of the Knee Group of the Orthopedics Clinic of Hospital São Lucas, PUCRS - Porto Alegre, RS, Brazil.
authors.forename: Francisco Consoli
authors.initials: FC
authors.lastname: Karam
authors.affiliation: Master's degree in Human Movement Sciences; Head of the Orthopedics and Traumatology Clinic of Hospital São Lucas, PUCRS - Porto Alegre, RS, Brazil.
authors.forename: Luiz Antônio Simões
authors.initials: LA
authors.lastname: Pires
keywords: Arthroscopy; Comparative Study; Knee; Physical Examination; Video-Assisted Surgery