Apley grinding Test

 Apley grinding Test

What is Apley grinding Test?

Apley grinding Test (Apley compression test) is used to evaluate the medial or lateral Meniscal Injury of the knee joint.

How it’s Performed?

What does a positive Apley grinding Test mean?

Apley grinding Test is positive if:

Sensitivity & Specificity

A meta-analysis by B Ockert 1 to evaluate the value of the clinical examination in suspected meniscal injuries of the knee found that the Apley Grinding test has the following accuracy:

Another Systematic review and meta-analysis by Eric J Hegedus 2 to evaluate the accuracy of three physical examination tests (McMurray’s, Apley’s, and joint line tenderness), the Apley test has a sensitivity of 63 % and a specificity of 77%.

Reference

  1. Ockert B, Haasters F, Polzer H, Grote S, Kessler MA, Mutschler W, Kanz KG. Der verletzte Meniskus: Wie sicher ist die klinische Untersuchung? Eine Metaanalyse [Value of the clinical examination in suspected meniscal injuries. A meta-analysis]. Unfallchirurg. 2010 Apr;113(4):293-9. German. doi: 10.1007/s00113-009-1702-2. PMID: 19960176.
  2. Hegedus EJ, Cook C, Hasselblad V, Goode A, McCrory DC. Physical examination tests for assessing a torn meniscus in the knee: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2007 Sep;37(9):541-50. doi: 10.2519/jospt.2007.2560. PMID: 17939613.
  3. Clinical Tests for the Musculoskeletal System 3rd Edition.
  4. Dutton’s Orthopaedic Examination, Evaluation, And Intervention 3rd Edition.
  5. Sarvdeep S. Dhatt, Sharad Prabhakar – Handbook of Clinical Examination in Orthopedics.
  6. Campbel’s Operative Orthopaedics 12th edition Book.
  7. Millers Review of Orthopaedics -7th Edition Book.
  8. Ronald McRae – Clinical Orthopaedic Examination 6th Edition Book
  9. Netter’s Orthopaedic Clinical Examination An Evidence-Based Approach 3rd Edition Book

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