Meniscus Tests

Question 0

What is a positive Apley’s test?

Answer 0

Pain or apprehension on rotation when compression is applied. This is then eased when distraction is applied instead.

Question 1

How do you perform Apley’s test?

Answer 1

Patient: Prone with knee in 90o flexion
Clinician: Knee on patients lower thigh to stabilise.
Action: Rotation of tibia with both distraction and compression. Both internal and external rotation

Question 2

What does a positive Apley’s test show?

Answer 2

Meniscal injury or pathology

Question 3

How to perform McMurray’s test?

Answer 3

Patient: supine
Clinician: One hand placed above the patella and fingers and thumb palpate joint line. Patient’s heel is cupped with the other hand so that the forearm is along the medial aspect of the foot
Action: knee in full flexion and external rotation, varus and valgus stresses can also be added (modified McMurrays)

Question 4

What is a positive McMurray’s Test?

Answer 4

Reproduction of the patient’s pain, click or apprehension

Question 5

What does a positive McMurray’s test indicate?

Answer 5

Meniscal pathology