Apleys Grind/Compression Test |
Examination type |
Cartligentous |
Patient & Body Segment Positioning |
Prone and knee flexed 90 degrees |
Examiner Position |
Beside the patient standing |
Tissues
Being Tested |
Medial and lateral meniscus |
Performing the Test |
Athlete is prone with knee flexed to 90 degrees.
Downward pressure is then applied to the heel while the tibia is
internally and externally rotated. The examiner places the
other hand on posterior side of the knee with the first and
second fingers resting in the medial and lateral joint line. |
Positive Test |
Pain in either the lateral or medial side or a
clicking or popping is felt with the opposite hand |
Interpretation |
Tear either lateral or medial menisci
|
Common errors in
performing exam |
Not applying enough pressure or not
rotating the tibia enough to get pain. |
Factors possibly
resulting in misinterpretation |
Crepetius in the knee joint might be confused with a meniscus
tear. Test is positive if clicking and pain is felt with
movement. |
Related tests |
McMurray Test, Bounce Home Test,
Pivot Shift can also be used to find a meniscus tears but is
usually used for ACL. |
References |
Magee, David
J, Orthopedic Physical Assessment
Hoppenfield,
Stanley, Physical Examination of the Spine Extremities.
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Links: |
http://www.whonamedit.com/synd.cfm/2371.html |
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