There are many tests reported in the literature, commonly including:
- Apley’s compression
- Joint line tenderness
- End range flexion/extension overpressure
This conclusion must be taken with caution since frequent methodological design flaws exist within the included studies, most studies suffered from various biases, and between-study heterogeneity makes pooled data unreliable.”
We don’t even do the Apley’s compression test. Never saw a value, like the Thessaly Test. Nice in theory but just not good enough when tried in a clinical practice.
Even need to Diagnose Meniscus Tears?
We must accurately diagnose and explain to the patient that many people have meniscal tears in their knee when they have trauma . The recent literature builds a strong case for a very good recovery without surgery. That’s right, surgery is often not needed for many people diagnosed with a meniscus tear.
This paper really created waves when it was released in 2013. They stated that “outcomes after arthroscopic partial meniscectomy were no better than those after a surgical procedure.”
Don’t get me wrong, surgery may be needed, especially for the people sustaining an acute meniscus tear. But that may only be a small portion of the people presenting to us in the clinic.
In these people, We reduce the inflammation and restore ROM , strength and see how they do. Maybe a 6 week PT course is all they need, you never know.
The research does not support using these tests to diagnose and may add to the fear avoidance a patient may exhibit after such a diagnosis. This systematic review and meta-analysis in the British Medical Journal stated:
“The results of this systematic review indicate that the accuracy of McMurray’s, Apley’s, JLT and Thessaly to diagnose meniscal tears remains poor.
What meniscus tests do do?
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