Rob J.P.M. Scholten, MD, PhD Walter L.J.M. Devillé, MD, PhD Wim Opstelten, MD Dick Bijl, MD Cees G. van der Plas, MD Lex M. Bouter, PhD Amsterdam, Utrecht, and Monnickendam, the Netherlands Submitted, revised, June 8, 2001. From the Institute for Research in Extramural Medicine, Vrije Universiteit Medical Center, Amsterdam, (R.J.S., W.L.D., D.B., L.M.B.); the Julius Center for General Practice and Patient Oriented Research, University Medical Center, Utrecht (W.O.); and private practice, Monnickendam (C.G.v.d.P.). Reprint requests should be addressed to Rob J.P.M. Scholten, MD, PhD, Dutch Cochrane Centre, J2-229, Academic Medical Center, P.O. Box 22700, 1100 DE Amsterdam, the Netherlands. E-mail: R.J.Scholten@AMC.UvA.NL.
Recommendations For Clinical Practice
For the time being, there is little evidence that the diagnosis of meniscal lesions of the knee can be improved by applying the assessment of joint effusion, the McMurray test, JLT, or the Apley compression test. The need for applying more advanced diagnostic methods (eg, MRI) or referral for surgical treatment can be based only on the severity of the patient’s complaints.
