McMurray's Test |
Examination type |
Menisci test |
Patient & Body Segment Positioning |
The patient lies
supine with the knee and hip fully flexed. The patient should
not contract the leg muscles. This test will be done passively
by the examiner. |
Examiner Position |
One of the
examiner’s hands holds the heel of the ankle, while the
other hand holds the knee, with the first and long finger in the
medial and lateral joint lines. |
Tissues
Being Tested |
Medial and
lateral meniscus of the knee |
Performing the Test |
The examiner
palpates the joint lines with one hand while taking the knee of
the patient into full flexion & extension with it internally
rotated & externally rotated with the other hand. This should
be done passively by the examiner. It should be performed at
different angles. Flexion & external rotation with valgus force
draws the medial meniscus anteriorly and the lateral meniscus
posteriorly. Flexion and internal rotation with varus force
draws the lateral meniscus anteriorly and the medial meniscus
posteriorly. Extension and internal rotation with varus force
compresses the lateral meniscus. Extension and external
rotation with valgus force compresses the medial meniscus. |
Positive Test |
Click" heard or
palpated while doing the test or joint line tenderness or pain
upon palpation |
Interpretation |
If this test is
positive, the patient has a meniscal tear or irritation |
Common errors in
performing exam |
The
examiner must have his/her hands in the right place to move the
knee better and to feel for a click. |
Factors possibly
resulting in misinterpretation |
If the patient
is not fully relaxed, the test may taken as negative. If
the examiner does not go through the whole range of motion such
as extreme flexion or extreme extension. |
Related tests |
Medial & Lateral Compression (Grind) tests,
Apley's compression test, Bounce Home Test, O'Donohue's Test,
Modified Helfet Test, Test for Retreating or Retracting
Meniscus, Steidman's Tenderness Displacement Test, Payr's Test,
Bohler's Sign, Bragard's Sign, Kromer's Sign, Childress Sign,
Anderson Medial-Lateral Grind Test, Passler Rotational Grind
Test, Cabot's Popliteal Sign, Ege’s test
|
References |
McMurray Test.
http://www.fpnotebook.com/ORT97.htm
Comparison of Three Tests for Meniscal Tear
http://www.eorthopod.com/eorthopodV2/index.php/fuseaction/news.detail/ID/3a680c091a62a9749e0730167371c81b/NewsID/0af4382371fb3198c85349675587c1d9/area/17 |
Links: |
http://www.healthcentral.com/ency/408/001071.html
http://www.latrobe.edu.au/podiatry/Knee.html
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