Table 1.

Interobserver and intraobserver reliability of clinical tests for knee osteoarthritis.

Clinical EvaluationInterobserver ReliabilityIntraobserver Reliability
Outcome CategoryPrevalence^K Values95% CI% Raw AgreementPrevalence^Κ Values95% CI% Raw Agreement
Bony enlargementPresent vs absent/unsure0.220.660.32–1.0088.00.370.980.93–1.0098.9
Quadriceps wastingPresent vs absent/possible0.240.780.40–1.0084.00.620.830.72–0.9590.9
Knee joint crepitusPresent palpable/audible vs absent/unsure0.900.780.36–1.0096.00.910.780.55–1.0096.6
Medial tibiofemoral joint tendernessPresent vs absent0.540.760.50–1.0088.00.480.640.49–0.8081.8
Lateral tibiofemoral joint tendernessPresent vs absent0.281.001.00–1.00100.00.220.600.39–0.8086.4
Patellofemoral joint tendernessPresent vs absent0.300.530.16–0.8980.00.360.660.60–0.9284.1
Anserine tendernessPresent vs absent0.260.480.09–0.8780.00.220.730.61–0.9990.9
Effusion: bulge sign5-point Likert scale0.960.78*0.55–1.0080.00.640.83*0.73–0.9485.2
Effusion: ballottement test**Present with/without click vs absent0.660.730.45–1.0088.00.180.770.60–0.9593.2
  • ^ Prevalence calculated as the average of positive findings between the 2 rated scores.

  • * Weighted κ.

  • ** Ballottement test defined as positive click/tap or downward movement of the patella on pressure and rebounding of patella upon removal of pressure.