What special test is used to determine if a patient has a meniscus tear?
The Apley’s grind test (Apley Compression test) is used to evaluate individuals for problems of the meniscus in the knee. This test is named after Alan Graham Appley (1914 – 1996), a British orthopedic surgeon, who discovered this assessment technique.
What is the most sensitive test for meniscal tear?
Based on MRI, Thessaly was the most sensitive for medial meniscus tears (56.2%), while McMurray and joint- line tenderness were more specific (89.1% and 88.0%, respectively).
Which is the best clinical test when assessing for a meniscal tear?
Conclusion. Clinical examination, performed by an experienced examiner, can have equal or even more diagnostic accuracy compared to MRI to evaluate meniscal lesions. In this study, the Thessaly test has been approved as a reliable clinical test in the diagnosis of meniscal tears.
What does a positive Apley test indicate?
If there is pain or restriction with compression and internal or external rotation, this is a positive test. If the patient experiences pain over the medial aspect of the knee, this is indicative of a medial meniscus injury.
What is a negative McMurray test?
The more specific a test is, the fewer the false negatives. A false negative refers to the patient who has a negative McMurray test as if nothing is wrong when there really is a meniscal tear present.
What is a medial McMurray test?
The McMurray test (also known as the McMurray circumduction test) is used to detect internal tears in the knee joint. It is a procedure by which the knee is systemically rotated to identify where tears in the cartilage (called the meniscus) may have occurred or developed.
What is a positive Thessaly test?
1] The test is considered positive for a meniscus tear if the patient experiences medial or lateral joint line discomfort or a sense of locking/ catching in the knee.
How to detect a medial meniscus tear?
To detect a medial Meniscus tear: 1 Stand with your knees 30-40 cm apart 2 Fully extend your knees as you stand 3 Align your feet so that your heels are facing each other 4 Squat up to 90 degrees if you can 5 Slowly stand up again
What is an MRI of the meniscus?
Magnetic resonance imaging (MRI) is a test that provides pictures of organs, bones, and joints. It makes these images by using a magnetic field and pulses of radio wave energy. MRI gives a good picture of the size of a meniscus tear and where it is. It also shows ligaments, cartilage, and tendons.
Is there a meniscal test for joint line tenderness?
A new weight-bearing meniscal test and a comparison with McMurray’s test and joint line tenderness. Arthroscopy. 2004;20:951–958.
What are the references for the study of the meniscus?
References 1. Sutton B. Bristol Med Chir J (1883)Vol. 15. London: HK Lewis; 1897. Ligaments: their nature and morphology; p. 344. [Google Scholar] 2. The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration. Makris EA, Hadidi P, Athanasiou KA. Biomaterials. 2011;32:7411–7431.