Which test is used to detect meniscal tears in the knee?

Which test is used to detect meniscal tears in the knee?

• A. Pivot shift test
• B. Lachman test
• C. Apley compression test
• D. Valgus stress test

Answer: (C)

Testing the knee for meniscal pathology relies on a maneuver that directly loads and twists the menisci. The Apley compression test (grind test) does this by flexing the knee to about 90 degrees, applying downward pressure on the heel, and rotating the tibia. If this maneuver reproduces pain, a click, or crepitus, it suggests a meniscal tear. In contrast, the Lachman and pivot-shift tests assess the ACL, and the valgus stress test targets the medial collateral ligament, so the Apley compression test is the best choice for detecting meniscal tears.

Testing the knee for meniscal pathology relies on a maneuver that directly loads and twists the menisci. The Apley compression test (grind test) does this by flexing the knee to about 90 degrees, applying downward pressure on the heel, and rotating the tibia. If this maneuver reproduces pain, a click, or crepitus, it suggests a meniscal tear. In contrast, the Lachman and pivot-shift tests assess the ACL, and the valgus stress test targets the medial collateral ligament, so the Apley compression test is the best choice for detecting meniscal tears.