Download PDF
Sportphysio 2023; 11(04): 187-196
DOI: 10.1055/a-2095-9221
Update

Meniskustests – „Verbunden werden auch die Schwachen mächtig“

Bettina Haupt-Bertschy‡
,
Jonas Maurer‡
,
Thorsten Müller‡
› Further Information
Also available at
    Permissions and Reprints

Um herauszufinden, ob ein Patient an einer Meniskusverletzung leidet, kommen in der Praxis verschiedene spezifische Tests wie der McMurray, Apley und Thessaly zum Einsatz. Einzeln können diese eine Meniskusläsion zwar nicht sicher erkennen, doch in Kombination sind die Tests eine gute Ergänzung zum MRT und zur Arthroskopie.



Publication History

Article published online:
31 August 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Allen CR, Wong EK, Livesay GA. et al. Importance of the medial meniscus in the anterior cruciate ligament-deficient knee. J Orthop Res 2000; 18: 109-115
    CrossrefPubMedGoogle Scholar
  • 2 Bronstein RD, Schaffer JC. Physical examination of the knee: Meniscus, cartilage, and patellofemoral conditions. J Am Acad Orthop Surg 2017; 25 (05) 365-374
    CrossrefPubMedGoogle Scholar
  • 3 Caffrey E, Docherty CL, Schrader J. et al. The ability of 4 single-limb hopping tests to detect functional performance deficits in individuals with functional ankle instability. J Orthop Sport Phys Ther 2009; 39 (11) 799806
    CrossrefPubMedGoogle Scholar
  • 4 Clark NC, Reilly LJ, Davies SC. Intra-rater reliability, measurement precision and inter-tester correlations of 1RM single-leg leg-press, knee-flexion, and knee-extension in uninjured adult agility-sport athletes: Considerations for right and left unilateral measurements in knee injury control. Phys Ther Sport 2019; 4: 128-136
    CrossrefPubMedGoogle Scholar
  • 5 Cuellar JM, Scuderi GJ, Cuellar VG. et al. Diagnostic utility of cytokine biomarkers in the evaluation of acute knee pain. J Bone Joint Surg Am 2009; 91: 2313-2320
    CrossrefPubMedGoogle Scholar
  • 6 Dürselen L, Freutel M. Biomechanik des Meniskus, Orthopädie und Unfallchirurgie up2date. 2015; 10 (03) 215-227
    PubMedGoogle Scholar
  • 7 Fitzgerald GK, Piva SR, Irrgang JJ. et al. Quadriceps activation failure as a moderator of the relationship between quadriceps strength and physical function in individuals with knee osteoarthritis. Arthritis Rheum 2004; 51 (01) 40-48
    CrossrefPubMedGoogle Scholar
  • 8 Hagmeijer MH, Hevesi M, Desai VS. et al. Secondary meniscal tears in patients with anterior cruciate ligament injury: Relationship among operative management, osteoarthritis, and arthroplasty at 18-year mean follow-up. Am J Sports Med 2019; 47 (07) 1583-1590
    CrossrefPubMedGoogle Scholar
  • 9 Horga L, Hirschmann A, Henckel J. et al. Prevalence of abnormal findings in 230 knees of asymptomatic adults using 3.0 T MRT. Skeletal Radiol 2020; 49: 1099-1107
    CrossrefPubMedGoogle Scholar
  • 10 Karachalios T, Hantes M, Zibis AH. et al. Diagnostic accuracy of a new clinical test (the Thessaly Test) for early detection of meniscal tears. J Bone Joint Surg Am 2005; 8: 955-62
    CrossrefPubMedGoogle Scholar
  • 11 Kopf S, Beaufils P, Hirschmann MT. et al. Management of traumatic meniscus tears: The 2019 ESSKA meniscus consensus. Knee Surg Sports Traumatol Arthrosc 2020; 28 (04) 1177-1194
    CrossrefPubMedGoogle Scholar
  • 12 Lepley LK. Deficits in quadriceps strength and patient-oriented outcomes at Return to Activity after ACL reconstruction: A review of the current literature. Sports Health 2015; 7 (03) 231-238
    CrossrefPubMedGoogle Scholar
  • 13 McHugh C, Matzkin E, Katz J. Mechanical symptoms and meniscal tear: A reappraisal. Osteoarthritis and Cartilage 2021; 30 (02) 178-183
    CrossrefPubMedGoogle Scholar
  • 14 Mordecai SC, Al-Hadithy N, Ware HE. et al. Treatment of meniscal tears: An evidence based approach. World J Orthop 2014; 5 (03) 233-241
    CrossrefPubMedGoogle Scholar
  • 15 Muheim LLS, Senn O, Früh M. et al. Inappropriate use of arthroscopic meniscal surgery in degenerative knee disease. Acta Orthopaedica 2017; 85 (02) 1-6
    Google Scholar
  • 16 Pihl K, Englund M, Lohmander LS. et al. Signs of knee osteoarthritis common in 620 patients undergoing arthroscopic surgery for meniscal tear. Acta Orthopaedica 2017; 88 (01) 90-5
    CrossrefPubMedGoogle Scholar
  • 17 Poulsen E, Goncalves GH, Bricca A. et al. Knee osteoarthritis risk is increased 4–6 fold after knee injury – a systematic review and meta-analysis. Br J Sports Med 2019; 53 (23) 1454-1463
    CrossrefPubMedGoogle Scholar
  • 18 Rinonapoli G, Carraro A, Delcogliano A. The clinical diagnosis of meniscal tear is not easy. Reliability of two clinical meniscal tests and magnetic resonance imaging. Int J Immunopathol Pharmacol 2011; 24: 1083-93
    CrossrefPubMedGoogle Scholar
  • 19 Schiller F. Wilhelm Tell. Im Internet: Accessed May 22, 2023 at: https://www.friedrich-schiller-archiv.de/wilhelm-tell-text/1-aufzug-3-szene/4/
    Google Scholar
  • 20 Sihvonen R, Paavola M, Malmivaara A. et al. Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med 2013; 369 (26) 2515-2524
    CrossrefPubMedGoogle Scholar
  • 21 Smith BE, Thacker D, Crewesmith A. et al. Special tests vor assessing meniscal tears within the knee: A systematic review and meta-analysis. Evid Based Med 2015; 20 (03) 88-97
    CrossrefPubMedGoogle Scholar
  • 22 Stark T, Walker B, Phillips JK, Fejer R. et al. Hand-held dynamometry correlation with the gold standard isokinetic dynamometry: A systematic review. PM & R 2011; 3 (05) 472-479
    CrossrefPubMedGoogle Scholar
  • 23 Sturgill LP, Snyder-Mackler L, Manal TJ. et al. Interrater reliability of a clinical scale to assess knee joint effusion. JOSPT 2009; 39 (12) 845-849
    CrossrefPubMedGoogle Scholar
  • 24 Thorlund JB, Juhl CB, Roos EM. et al. Arthroscopic surgery for degenerative knee: Systematic review and meta-analysis of benefits and harms. BMJ 2015; 350: h2747
    CrossrefPubMedGoogle Scholar
  • 25 Van De Graaf VA, Bloembergen CH, Willigenburg NW. et al. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. Br J Sports Med 03/2020; 54 (06) 354-359
    PubMedGoogle Scholar
  • 26 VBG-Fachwissen. Return-to-Competition. Testmanual zur Beurteilung der Spielfähigkeit nach Ruptur des vorderen Kreuzbands. Version 1.0/2015–11. Hamburg: VBG; 2015. Im Internet: Accessed May 22, 2023 at: https://www.vbg.de/SharedDocs/Medien-Center/DE/Broschuere/Branchen/Sport/return_to_competition_Kreuzbandrupturen.pdf?__blob=publicationFile&v=10
    Google Scholar
  • 27 Vedi V, Williams A, Tennant SJ. et al. Meniscal movement. An in-vivo study using dynamic MRI. J Bone Joint Surg Br 1999; 81: 37-41
    CrossrefPubMedGoogle Scholar