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Table 3 Clinical test results and indices of diagnostic utility in the diagnosis of DTSI using arthroscopic findings as the reference standard

From: Standing on single foot-binding test yields satisfactory results as a novel method for the diagnosis of distal tibiofibular syndesmosis instability: a prospective, cross-sectional diagnostic-accuracy study

TEST

Arthroscopic diagnosis

+ -

Sensitivity (%)

(95% CI)

Specificity (%)

(95% CI)

PPV (%)

(95% CI)

NPV (%)

(95% CI)

LR+

(95% CI)

LR-

(95% CI)

Diagnostic

accuracy (%)

20° SOSF-B test

+

28

7

87.5

(70.07–95.92)

86.79

(74.05–94.09)

80

(62.54–90.94)

92

(79.89–97.41)

6.625

(3.28–13.37)

0.14

(0.06–0.36)

87.06

-

4

46

0° SOSF-B test

+

27

7

84.38

(66.45–94.10)

86.79

(74.05–94.09)

79.41

(61.59–90.66)

91.2

(77.81–96.33)

6.39

(3.15–12.94)

0.18

(0.08–0.41)

85.88

-

5

46

MRI

+

25

16

78.13

(59.56–90.06)

69.81

(55.49–81.26)

60.98

(44.54–75.38)

84.09

(69.33–92.84)

2.59

(1.65–4.05)

0.31

(0.16–0.61)

72.94

-

7

37

Palpation

+

23

19

71.88

64.15

54.76

79.07

2.01

0.44

67.06

-

9

34

(53.02–85.60)

(49.75–76.51)

(38.83–69.83)

(63.52–89.42)

(1.32–3.05)

(0.25–0.78)

  1. Statistically significant (P < 0.05). PPV, positive predictive value; NPV, negative predictive value; LR+, positive likelihood ratio; LR−, negative likelihood ratio