Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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Provocation tests for meniscal tears

Significance

These tests are used to detect, by demonstration of clicks and / or pain, meniscal tears in the absence of actual (sub)luxations. If clicks are detected, it is wise to examine the other limb as well in order to eliminate non-pathological clicks arising from tendons snapping over bony prominences.

Test I

Positioning.

The subject lies supine with the knee fully flexed. The examiner holds his index finger and thumb at both sides of the infrapatellar tendon, level with the joint line. The other hand grasps the heel.

Procedure.

The leg is rotated quickly to and fro. When clicks are felt at the joint line, a ruptured
meniscus should be suspected.

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