Testing for:
Injury to the Menisci
Procedure:
- Patient is supine, their affected hip and knee are flexed
- Therapist cups one hand over the patient’s knee (palm over the patella and fingers/thumb over the joint line)
- Therapist grasps patient’s heel with the other hand
- Therapist slowly extends the patient’s knee, while applying different stresses (#s 1 & 2 below) to check both menisci
- external rotation of the tibia and valgus stress on the knee to assess medial meniscus
- internal rotation of the tibia and varus stress on the knee to assess lateral meniscus
Positive Sign:
Click or Catch in the extension of the knee. (A negative test does not completely rule out meniscal tear)