Assess Clinical Improvement Regarding Joint Line Tenderness and Childress’ Test (Duck Walk Test) after Arthroscopic Partial Meniscectomy in a Tertiary Care Hospital

Abstract

Background: Clinical weight bearing provocation tests, like to determine the sensitivity and specificity of the childress’ test (duck walk test) and joint line tenderness in diagnosing meniscal tears and to determine whether the location of tear and severity of injury is important. However, evidence of the diagnostic accuracy of the childress’ test (duck walk test) and joint line tenderness test are lacking and the cause of tear (traumatic versus degenerative), and ACL insufficiency were associated with differences in the sensitivity and specificity of the test. Objectives: The aim of this study was to assess the clinical improvement regarding joint line tenderness and childress’ test (duck walk test) in a tertiary care hospital. Methods: This is a prospective interventional study. The study used to be carried out in the admitted patient’s Department of Orthopedic, National Institute of Traumatology and Orthopedic Rehabilitation (NITOR) Sher-E-Bangla Nagar, Dhaka, Bangladesh. In Bangladesh for the duration of the period from January 2013 to December 2014. Results: This study conducted on 20 patients aged 16 to 40 years, Childress test (Duck walk test) was positive in case of 80% patients and post operatively the test became negative in all patients Out of 20 patients 90% regained normal to near-normal knee function and stability after surgery. Pain and swelling were also significantly reduced. Conclusions: Meniscus injury frequently takes place in young adult population who are very active, which reduces their endeavor level and ultimately become an economic burden. So, early intervention and partial meniscectomy, which offers very accurate momentary result, is imperative to make them healthy and return to their normal activity.