Apley grinding Test

 Apley grinding Test

  • Patient is prone.
  • Patient then flexes affected knee to 90°
  • Examiner’s one hand grasps patient’s heel and ankle while the other hand stabilizes the leg.
  • Examiner compresses the flexed knee joint and the menisci –by pushing the patient’s foot and tibia down into the table, followed by internal and external rotation of the tibia.

  • POSITIVE SIGN:
    • Pain on the medial aspect = medial meniscus damage/injury.
    • Pain on the lateral aspect = lateral meniscus injury/damage.

  • Sensitivity: 83 %
  • Specificity: 71 %



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