Apley's Test | Meniscus Injury

[@Physiotutors]

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[@ashajayalath5660]

Pain on lateral rotation indicates a medial meniscal tear while that on medial rotation indicates a lateral meniscal tear.

[@paulgeorge6945]

yes- u should add compression with it to distinguish it from collateral lig

[@jwisungpark]

Thanks for helping me, for my OSCE preparation.

[@SeoSeo95]

Thank you for the Korean subtitles!

[@Physiotutors]

Someone from our community supplied them

[@emmapong1736]

if rotation feel pain means ligamentous damage, if rotation and compression painful the lesion is meniscus damage. good

[@nazimamanjra6800]

emma pong rotation + distraction = ligaments injury

[@orandaxi]

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.

[@flaminmongrel6955]

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.

[@coachmenotti4704]

I really like the point about possible ligament damage. I've seen this before myself in the clinic.

[@hfdhfc4277]

It's valuable point to assess the patient.. Thank you

[@mamounhamed624]

So clear and helpful, thank youuuuu !

[@mariamramzy6973]

Your videos are so helpful. Thank you so much!!

[@billbill6886]

Likeed the video, but some more differntiaton between apley distraction test and compression test would he helpful.

[@HafizahHoshni]

Thank you!

[@Nourelhouda-ou4ic]

Thank you so much ❤

[@Physiotutors]

You’re welcome 😉

[@kartikaagarwal5513]

How the discomfort can reduce in compression if there is meniscal injury the rotation will be decreased but it will remain painful

[@costincomba]

Thank you verry much for your work. You help us so much. Thank you again.

[@minasan5970]

thank you very much

[@Physiotutors]

You're welcome!

[@Canyon2-w7k]

thanks a lot

[@kelapamuda7915]

Please make Indonesian subtitle in your vidio sir,so that make the student of physical therapy in Indonesia understand well with your vidio🙏🏻

[@fall973]

Is there any specific ligament or all the ligaments are included

[@rebeccaimpellizzeri1419]

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.

[@baronknight3774]

awesome!

[@bluebell7043]

What means distraction? And should we do the test for tow leges and comare

[@olafaleh1346]

it is very useful thanks

[@Physiotutors]

Ur welcome!

[@claudiovener5113]

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?

[@Physiotutors]

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.

[@claudiovener5113]

@@Physiotutors ok! Thank you, this channel is saving me!! Greetings from Argentina!!

[@MrPrasanth9]

@@Physiotutors so we can't particularly differentiate between medial or lateral meniscus in apleys compression test ?

[@Theuser-f9d]

Same here​@@claudiovener5113

[@MsOdiel]

Great demonstration. His ankle does go into alot dorsiflexion with the compression component though. Looks hypermobile

[@Physiotutors]

Thanks Shaniel! Andreas is pretty mobile in dorsiflexion, wouldn't say hypermobile thought. Helps him squat deeper!;)

[@omaryasser7865]

but which ligament exactly is damaged ? acl or pcl or laterl or medial ligaments

[@fall973]

Did you got the answer

[@essentialofphysios.]

ACL

[@امءليلى]

Thaaaaaaaaaanks

[@mariamfatima6195]

i love you kai

[@Physiotutors]

Haha thanks Mariam!

[@SuperInternetuser]

If I rotate the tibia externally and have a positive result, does it mean the inner meniscus is damaged?

[@emmapong1736]

have another menicus test is squat test, ask patient to fully squat and both legs alternately internal and external rotation

[@Physiotutors]

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!

[@navicevsh]

Hi everyone! Somebody, please, explain me for what we need to make this test if there is an MRI?

[@Physiotutors]

MRI is very expensive

[@rangaswamy7605]

Fantastic bro

[@Physiotutors]

Thanks 😊

[@vaghelarajendra3608]

Hello sir,ask me fshd muscular dystrophy any treatment

[@nabilarahman5162]

Love your videos....you'll are doing a great job 👍🏻

[@Physiotutors]

thx nabila

[@anindanuradzani5337]

So good

[@Physiotutors]

Thanks aninda!

[@lhamothondup8596]

You are doing the lateral&medial rotation is reversed while demonstrating....saying lateral rotation then you rotate the tibia medial & vice verse.

[@Physiotutors]

Just watched the video again...it's correct like we show it.

[@altinmaka744]

I only feel pain on rotation intern with compresion so that means its menisque?!

[@Physiotutors]

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

[@altinmaka744]

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

[@altinmaka744]

I never had swelling

[@sapnakhot3727]

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..

[@Physiotutors]

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.

[@nicholasbarnhill5976]

Nice job.

[@Physiotutors]

thanks cap!

[@aaykumar-tf6gy]

Ur maneovre hav some technically missing ,u didnt performed mjl&ljl(medial& lateral joint tenderness)during external rotation?

[@Physiotutors]

+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.

[@pensadoraapocaliptica4184]

i Cant't be thankful enough, you are very handsome by the way

[@Physiotutors]

No worries and thanks for the compliment!

[@itzspookyz]

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! (:

[@Physiotutors]

For health related questions we'd advise you to contact a local physio or get in touch with our partners from yourphysio.online

[@ninakalyne9712]

This looks painful watching it 😥😩

[@srijithvalsan]

Isn't this Mc Murray & appleeys are the same?

[@Physiotutors]

Short answer: no ;)

[@momox60]

That gluteus Maximus though 🤪

[@Gr-of6nh]

Many orthepedic doctors cannot perform this test properly.

[@Physiotutors]

Send them a link to our channel 😎

[@ayam419]

My leg can't even bend to 90°

[@cyberteron]

nice biceps

[@thedoctorgreg]

58%? Damn, a guy could almost just flip a coin.

[@Physiotutors]

yeah don't rely on it as a standalone test

[@niekschouten2249]

dubbel p

[@noyasmoon]

Is it me or does he sound Danish

[@Physiotutors]

Danish people and Germans have pretty similar accents in english

[@paige1513]

GET TO DA CHOPPAH !

[@Physiotutors]

Kind of never gets old !;)

[@alviyt6627]

Who is here from plabable in 2023?

[@christokuriakose9231]

2024

[@andrescampos4774]

musculoskilital clinicians haha

[@sally2197]

Thank you ❤❤

[@Physiotutors]

You're welcome 😊