Apley grinding test

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The Apley-Grinding-Test (named after Alan Graham Apley (1914–1996), English to grind = to grind, to rub) is a medical examination procedure for the detection of meniscus damage in the knee joint .

During the examination, the patient is prone and the knee joint is bent at right angles by the examiner. If pain in the knee joint can be triggered during passive external or internal rotation of the lower leg with simultaneous axial compression of the lower leg downwards, the test is positive. Pain with external rotation of the knee suggests a lesion of the medial meniscus, pain with internal rotation suggests a lesion of the external meniscus. If pain occurs during rotation and simultaneous pulling of the lower leg, this is an indication of an injury to the joint capsule and the collateral ligaments of the knee joint.

literature

  • Henne-Bruns, Dürig, Kremer: Dual series surgery . Thieme, 3rd edition, Stuttgart 2008, p. 866, ISBN 978-3-13-125293-7 .
  • AG Apley: The diagnosis of meniscus injuries; some new clinical methods. In: The Journal of bone and joint surgery. American volume. Volume 29, Number 1, January 1947, pp. 78-84, ISSN  0021-9355 . PMID 20284687 .