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Special Test

Ege’s Test | Weight-Bearing McMurray Test

Ege’s Test (also called the weight-bearing McMurray test) is used to detect a tear of the lateral or medial meniscus of the knee.

It is called the weight-bearing McMurray test because when patients perform this test, they have to put weight on their knees.

How it’s Performed?

Ege’s test is performed in a standing position, the knees are in extension and the patient stands with feet 30-40cm apart.

For Medial Meniscus tears:

  • The patient squats with both lower legs in maximum external rotation and then stands up slowly.
  • The distance between the knees increases and each knee becomes externally rotated as the squatting proceeds.
  • By performing the squat in maximum external rotation, genu varus will be induced.
  • The patient squats as far as possible and then returns to the starting position (extension of the knee).
Ege's Test
For Medial Meniscus tears

For Lateral Meniscus tears:

  • Both lower extremities are held in maximum internal rotation of the knee while the patient squats and stands up.
  • The distance between the knees decreases and the knees become internally rotated as the squatting proceeds.
  • By performing the squat in maximal internal rotation, genu valgus will be induced.
  • The patient squats as far as possible and then returns to the starting position (extension of the knee).
Ege's Test
For Lateral Meniscus tears

What does a positive Ege’s Test mean?

Ege’s test is positive when pain and/ or a click is felt by the patient at the related site of the joint line.

Pain and/or click are typically felt at around 90° of knee Flexion.

See Also: Knee Meniscus Tear

Sensitivity & Specificity

A Prospective controlled trial, clinical study by Devrim Akseki 1 to compare a new weight-bearing McMurray’s test (Ege’s test) with McMurray’s test and joint line tenderness (JLT). He found the sensitivity, and specificity rates were as following:

  • Sensitivity: 67 %
  • Specificity: 81 %

Reference

  • Akseki D, Ozcan O, Boya H, Pinar H. A new weight-bearing meniscal test and a comparison with McMurray’s test and joint line tenderness. Arthroscopy. 2004 Nov;20(9):951-8. doi: 10.1016/j.arthro.2004.08.020. PMID: 15525928.
  • Filardo, G., Andriolo, L., Naouri, J.F., Perdisa, F., Lefevre, N. (2016). Clinical Examination, Standard X-Rays. In: Hulet, C., Pereira, H., Peretti, G., Denti, M. (eds) Surgery of the Meniscus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49188-1_13
  • Netter’s Orthopaedic Clinical Examination An Evidence-Based Approach 3rd Edition Book
  • Clinical Tests for the Musculoskeletal 3rd Ed. Book
Last Reviewed
February 3, 2024
Contributed by
OrthoFixar

Orthofixar does not endorse any treatments, procedures, products, or physicians referenced herein. This information is provided as an educational service and is not intended to serve as medical advice.

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