摘要
[目的]检查Helfet试验对膝关节半月板损伤诊断的准确性。[方法]运用前瞻性对比研究方法,分析研究2007年4月-2007年10月北医三院收治的外侧半月板损伤患者52例,其中男34例,女18例,平均25.3岁(15~43岁),内侧半月板损伤23例,其中男14例,女9例。本院外侧半月板患者15例,其中男9例,女6例。内侧半月板患者6例。分别进行Helfet试验检查,依胫骨结节屈伸时是否内外旋来判断半月板损伤,并与麦氏征,摇摆试验,KS征和及关节镜下所见为对照。[结果]所有外侧半月板损伤患者,Helfet试验阳性率81.4%,与半月板其他几个试验麦氏征,KS征,摇摆试验,关节镜的诊断相符合,对于半月板提篮伤及横裂等类型阳性率分别为89.6%、87.2%,对内侧半月板诊断阳性率差。[结论]Helfet试验对外侧半月板损伤的诊断准确率较高,尤对于半月板提篮伤及横裂等引起绞锁症状的前体部为主的患者。而且操作简便、无创、适合推广应用。对内侧半月板诊断阳性率差。
[ Objective ] To study the accuracy of Helfet test in the diagnosis of the knee meniscus tear. [ Method ] From Apr. 2007 to Oct. 2007,52 cases of the lateral meniscus tear and 23 cases of the medial meniscus tear were checked-up with Helfet test,McMurray test , KS test,and arthroscope comparatively. [ Result] The Helfet Test was positive in most of the lateral meniscus tear cases. The consistency with McMurray test and arthroscope was lateral meniscus tear, especially to bucket-handle and Horizontal tear high respectively. The rate of accuracy to lateral menicus was 81.4%. The rate of accuracy to bucket-handle and Horizontal tear were 89.6% and 87.2% respectively. [ Conclusion]The "Helfet" test is sensitive to the knee lateral meniscus tear. It is fast,simple,reliable,reproducible,positive for diagnose of lateral meniscus tear,and is worth of being used widely.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2008年第20期1550-1552,共3页
Orthopedic Journal of China