Apley's Test | Meniscus Injury
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- เผยแพร่เมื่อ 6 พ.ย. 2015
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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Kai demonstrates the Apley's Test for meniscus damage. Be sure to watch the McMurray and Thessaly Test at the end of the video or click on the "i" in the top right corner.
Hegedus et al. (2007): www.ncbi.nlm.nih.gov/pubmed/1...
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Pain on lateral rotation indicates a medial meniscal tear while that on medial rotation indicates a lateral meniscal tear.
yes- u should add compression with it to distinguish it from collateral lig
It's valuable point to assess the patient.. Thank you
Your videos are so helpful. Thank you so much!!
Thanks for helping me, for my OSCE preparation.
So clear and helpful, thank youuuuu !
I really like the point about possible ligament damage. I've seen this before myself in the clinic.
Thank you!
Thank you verry much for your work. You help us so much. Thank you again.
Thank you for the Korean subtitles!
Someone from our community supplied them
thanks a lot
awesome!
It´s great that you start clarifying the accuracy of these tests. Some of these are a coin toss but I guess still better to assess them than not.
I personally focus more on assessing before diagnosing because i have noticed many of the reliable tests require very precise movements to be reliably done and having the patient load we do in our hospital we need to be more efficient with time so I do perform only the tests that are marked as reliable but i still don't sometimes kick out the possibility.
i love you kai
Haha thanks Mariam!
Thank you so much ❤
You’re welcome 😉
if rotation feel pain means ligamentous damage, if rotation and compression painful the lesion is meniscus damage.
good
emma pong rotation + distraction = ligaments injury
Thaaaaaaaaaanks
thank you very much
You're welcome!
Please make Indonesian subtitle in your vidio sir,so that make the student of physical therapy in Indonesia understand well with your vidio🙏🏻
Love your videos....you'll are doing a great job 👍🏻
thx nabila
it is very useful thanks
Ur welcome!
Fantastic bro
Thanks 😊
Nice job.
thanks cap!
How the discomfort can reduce in compression if there is meniscal injury the rotation will be decreased but it will remain painful
Great demonstration. His ankle does go into alot dorsiflexion with the compression component though. Looks hypermobile
Thanks Shaniel! Andreas is pretty mobile in dorsiflexion, wouldn't say hypermobile thought. Helps him squat deeper!;)
Is there any specific ligament or all the ligaments are included
So good
Thanks aninda!
If I rotate the tibia externally and have a positive result, does it mean the inner meniscus is damaged?
Hello sir,ask me fshd muscular dystrophy any treatment
have another menicus test is squat test, ask patient to fully squat and both legs alternately internal and external rotation
Hey Emma, thanks for the input. We are familiar with this test as well and will add it to our list of videos that still need to be added!
What means distraction?
And should we do the test for tow leges and comare
What is the difference between meniscus and fat pad with these tests?? i have presented with meniscus injury for 9 months, physio doone all tests needed and agreed it was meniscus, mri scans shows slight meniscus tear also. But when suregery was done, i was told there was no tear and it was fat pad. can these symptoms be similar?? can an mri scan be wrong. Physio said i showed no symptoms of fat pad injury at all. Im very confused as is my physio with my surgeon's diagnosis. Any advice you can provide would be very helpful.
i Cant't be thankful enough, you are very handsome by the way
No worries and thanks for the compliment!
This looks painful watching it 😥😩
but which ligament exactly is damaged ? acl or pcl or laterl or medial ligaments
Did you got the answer
Hi everyone! Somebody, please, explain me for what we need to make this test if there is an MRI?
MRI is very expensive
1 query if pt falls out of 58% and clinicians not able to find out any injury but pt still complaints of pain BT i dont want to send pt for an MRI what should be my next and immediate plan..
Rule out any sinister pathology. This should always be the first step. We will never diagnose a torn meniscus. We can have a suspicion and may confirm
With imaging. Unless there is severe locking of the knee, the recommendation remains conservative treatment.
hi! i have a quick question. last june i fell and all my weight went on my knee and felt two pops. first thought it was my meniscus so i got an MRI. my doctor said the ligaments connecting my patella were stretched/strained pretty bad so i most likely only dislocated my knee and that it popped in on its own. i’m a catcher in baseball and i’ve played since the injury but it’s been some what unstable. i get instability still in my knee & pain. sometimes it shoots down into my shin, or sits where it originally did on the left side under my kneecap. i don’t know if i need to continue to strength my knee, or if some how the MRI could have missed a partial tear? thanks and i’m looking forward to a reply! (:
For health related questions we'd advise you to contact a local physio or get in touch with our partners from yourphysio.online
nice biceps
You are doing the lateral&medial rotation is reversed while demonstrating....saying lateral rotation then you rotate the tibia medial & vice verse.
Just watched the video again...it's correct like we show it.
Ur maneovre hav some technically missing ,u didnt performed mjl&ljl(medial& lateral joint tenderness)during external rotation?
+abhay kumar we have performed the appley test according to it's original description in the video. Joint line tenderness is another separate test for meniscus lesions.
I studied that compression + external rotation is positive for internal meniscus, and compression + internal rotation is positive for external meniscus, you didn't explain that. Am I wrong?
External rotation stresses the posterior portion of the medial meniscus and the anterior portion of the lateral meniscus.
Internal rotation stresses the posterior portion of the lateral meniscus and the anterior portion of the medial.meniscus.
@@Physiotutors ok! Thank you, this channel is saving me!! Greetings from Argentina!!
@@Physiotutors so we can't particularly differentiate between medial or lateral meniscus in apleys compression test ?
Same here@@claudiovener5113
I only feel pain on rotation intern with compresion so that means its menisque?!
This could be an indication yes, but the Apley test has rather weak clinical value. Have you had a trauma with a flexed knee and rotation? Swelling in the back of the knee (Baker's cyst)?
Other things that might be indicative for a meniscus lesion could be:
- Limited flexion and/or extension
- Joint Line Tenderness
- Locking sensation of the knee
- Positive McMurry Test
Physiotutors No i didn't had that kind of trauma .
I was doing back flip when i firs injured my knee and when i touched the ground the knee went in , so the weight went to the extern menisque , with some training the pain pased , lately i injured again the kne but this time hapend the oposit the knee went from in-out and the pain is back , now it feels like something is detached , thats why im confused! Thank you
I never had swelling
Isn't this Mc Murray & appleeys are the same?
Short answer: no ;)
Many orthepedic doctors cannot perform this test properly.
Send them a link to our channel 😎
That gluteus Maximus though 🤪
58%? Damn, a guy could almost just flip a coin.
yeah don't rely on it as a standalone test
dubbel p
Is it me or does he sound Danish
Danish people and Germans have pretty similar accents in english
musculoskilital clinicians haha
GET TO DA CHOPPAH !
Kind of never gets old !;)
Who is here from plabable in 2023?
2024