The preoperative result was compared with visual evidence of chondromalacia patella during arthroscopy. A positive test was indicated by the presence of pain sufficient to prevent the patient from maintaining a quadriceps muscle contraction against manual resistance for longer than 2 seconds. Main Outcome Measure(s): The Clarke sign was performed on the surgical knee by a single investigator in the clinic before surgery. Patients or Other Participants: A total of 106 otherwise healthy individuals with no history of patellofemoral pain or dysfunction volunteered. Setting: All patients of one of the investigators who had knee pain or injuries unrelated to the patellofemoral joint and were scheduled for arthroscopic surgery were recruited for this study. Objective: To (1) investigate the diagnostic value of the Clarke sign in assessing the presence of chondromalacia patella using arthroscopic examination of the PF joint as the “gold standard,” and (2) provide a historical perspective of the Clarke sign as a clinical diagnostic test. The Clarke sign is one such test, but the diagnostic value of this test in assessing chondromalacia patella is unknown. He will be dearly missed.Ĭelebration of life will be held this summer in Methuen, MA on a date to be determined.Context: Various techniques have been described for assessing conditions that cause pain at the patellofemoral (PF) joint. The family would like to express appreciation to the staff of Cumberland Pointe Health Campus for the care and comfort of our father. Survived by his children, James Clarke of NH, Kathy Clarke of NH, Ellen Forman and husband, Chris of Indiana stepchildren, Scott Croteau of MA, Jennifer Works and husband, Dan of Maine and Todd Croteau of MD grandchildren, Mike DiDio, Brandie Doherty, Jamie Dumais, Allyson Clarke, Adam Dube, Camden Dube, Geneva Croteau, Sarah Croteau, Ashlyn Forman and Tyler Forman, and eight great-grandchildren.
He was predeceased by his first wife, Barbara Voigt, and his second wife, Marilyn Lever and siblings, Marilyn Spiller, Janice McCabe and Brian Clarke. He enjoyed sailing on Newfound Lake in the summer, snow skiing, playing golf, wood carving, collecting coins, gardening and became a big Purdue Basketball fan. He served his country in the US Naval Reserves. He was raised and educated in Lowell and graduated from Lowell High School, Class of 1950.
Jim was born on November 29, 1932, in Lowell, the son of the late James and Mary (Hamblin) Clarke.
Clarke, age 90, passed away in West Lafayette, Ind., on February 2, 2023, at Cumberland Pointe Health Campus. West Lafayette - Retired Methuen Fire Chief James W.
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