What is medial joint line pain?
Pain along the medial or lateral joint lines may be indicative of a joint capsule tear, joint capsule irritation, meniscus tear, chondromalacia, osteochonritis dissecans, arthritis or other joint pathologies.
What is a positive Apley grind test?
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.2021-07-18
How do doctors check for a torn meniscus?
Imaging tests But X-rays can help rule out other problems with the knee that cause similar symptoms. MRI . This uses a strong magnetic field to produce detailed images of both hard and soft tissues within your knee. It’s the best imaging study to detect a torn meniscus.2022-01-06
How do you do Apley’s compression test?
The examiner should apply a downward axial loading force to compress on the patient’s knee’; this occurs by compressing down on the sole while using the other hand to hold down the posterior thigh for stabilization. Internal and external rotation should be applied along with compression.2021-07-18
What do the McMurray and Apley test evaluate for?
McMurray’s test is used to determine the presence of a meniscal tear within the knee. Technique.
How do you perform Apley?
Test Description Appley’s grinding test involves placing the patient in the prone position with the knee flexed to 90 degrees. The patient’s thigh is then rooted to the examining table with the examiner’s knee.
What are two special test you can perform for a meniscus tear?
Clinical Significance. Diagnosis of a meniscal injury by physical exam and special tests, including Apley’s grind test and Apley’s distraction test, in conjunction with advanced imaging, can guide a physician to provide the correct course of treatment.
What does McMurray’s test of the knee joint test for?
The McMurray test, also known as the McMurray circumduction test is used to evaluate individuals for tears in the meniscus of the knee. A tear in the meniscus may cause a pedunculated tag of the meniscus which may become jammed between the joint surfaces.
What does a positive McMurray’s test indicate how is the test performed?
A positive test is indicated by pain in association with a clunk, as the torn meniscus fragment is manipulated between the femur and tibia. It is possible to trap a meniscus fragment and cause the knee to lock completely.
What does the McMurray test determine?
McMurray’s test is used to determine the presence of a meniscal tear within the knee.
What does Apley’s distraction test test for?
The Apley’s Distraction test is used to detect the presence of ligamentous instability of the knee. With the patient in the prone position, flex the patient’s knee to 90˚ while stabilizing the distal thigh against the table.
How do you examine the meniscus?
To test for a suspected medial meniscus tear (on the inner side of the knee), you’ll be asked to turn your toes outward, externally rotating the knee. You’ll then squat and slowly stand back up. The person who examines your knee will be on the alert for a clicking sound or feeling.2022-02-22
What is the medial joint line?
The joint line palpation of the knee starts from the medial border of the patellar ligament towards the posterior aspect of the knee. Beginning at the lateral border of the patellar ligament, the lateral joint line was palpated in a similar way along the joint line in the posterior direction.
What does a positive medial McMurray test mean?
The test is considered positive for a torn meniscus if the examiner appreciates a palpable or auditory click while rotating and extending the knee.
How do you perform a McMurray test?
McMurray’s test is performed with the patient supine and relaxed. The examiner grasps the patient’s heel with one hand and the joint line of the knee with the other hand. The knee is flexed maximally, with external tibial rotation (medial meniscus) or internal tibial rotation (lateral meniscus).
How does a meniscus tear get diagnosed?
An MRI test can tell whether you have a meniscus tear or other related injuries, and it can help with treatment decisions. Arthroscopy can identify a meniscus tear and treat it at the same time. It can also see if you have other injuries.
What tests are done for a torn meniscus?
MRI . This uses a strong magnetic field to produce detailed images of both hard and soft tissues within your knee. It’s the best imaging study to detect a torn meniscus.2022-01-06
How do you perform Apley’s compression test?
Test Description The examiner laterally and medially rotates the tibia, combined first with distraction, while noting any excessive movement, restriction or discomfort. The process is then repeated using compression instead of distraction.