Daniel J McDonald, Nima Nakahara, Arnon Gal, Richard A S Mitchell
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Medial joint line tenderness is an indicator for meniscal injuries in dogs.
Background: Medial meniscal injury is an important aspect of cranial cruciate ligament disease in dogs. This study examines whether caudomedial joint line palpation of the stifle is correlated with medial meniscal injury in canine stifles with concurrent cranial cruciate ligament disease.
Methods: A total of 91 dogs (97 stifles) presenting with cranial cruciate ligament disease were assessed by palpation of the caudomedial joint line of the affected stifle by a single surgeon. Surgery was then performed to assess for injury to the medial meniscus. The odds of dogs with pain on palpation having a medial meniscal tear were then calculated, with the significance level set at p-value of 0.05.
Results: Dogs showing pain on caudomedial joint palpation had 34.5 times (95% confidence interval 9.7‒125) greater odds of having a medial meniscal tear. Pain on caudomedial joint line palpation had a sensitivity of 0.86, specificity of 0.85, positive predictive value of 0.94, negative predictive value of 0.70 and accuracy of 0.86 for identifying dogs with a medial meniscal tear.
Limitations: The amount of pressure placed on the caudomedial joint line was not assessed and a control group was not included.
Conclusion: Medial joint line tenderness has a significant relationship with medial meniscal tear in dogs with cranial cruciate ligament disease.
期刊介绍：
Veterinary Record (branded as Vet Record) is the official journal of the British Veterinary Association (BVA) and has been published weekly since 1888. It contains news, opinion, letters, scientific reviews and original research papers and communications on a wide range of veterinary topics, along with disease surveillance reports, obituaries, careers information, business and innovation news and summaries of research papers in other journals. It is published on behalf of the BVA by BMJ Group.
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