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To test the medial meniscus, the hand at the heel applies a valgus force and external rotates the leg while extending the knee. To test for the lateral meniscus, the varus force, internal rotation are applied to the leg while extending the knee. Any clicking, popping, or catching at the respective joint line indicates the corresponding meniscal ...
The McMurray test is named after Thomas Porter McMurray, [2] a British orthopedic surgeon from the late nineteenth and early twentieth century who was the first to describe this test. The description of the test has since been altered from the original by various authors. [3] Most commonly, varus and valgus stress to the knee is added. These ...
Knee locking: A classic symptom where the displaced fragment physically blocks full extension of the knee; Pain: Sudden, sharp pain localized to the joint line; Swelling: Acute hemarthrosis (blood in the joint) due to associated trauma; Mechanical symptoms: Popping, clicking, or catching during movement
The knee is examined for swelling. In meniscal tears, pressing on the joint line on the affected side typically produces tenderness. The McMurray test involves pressing on the joint line while stressing the meniscus (using flexion–extension movements and varus or valgus stress).
An incision is made over the medial knee 4 cm medial to the patella, and extended distally 7 to 8 cm past the joint line, directly over the pes anserinus tendons. [27] Within the distal borders of the incision, the semitendinosus and gracilis tendons are found beneath the sartorius muscle fascia.
In order to perform the test, the patient lies prone (face-down) on an examination table and flexes their knee to a ninety degree angle. The examiner then places his or her own knee across the posterior aspect of the patient's thigh. The tibia is then compressed onto the knee joint while being externally rotated. If this maneuver produces pain ...
Joint pain. Joint swelling. Skin around the affected joint that’s red and warm to the touch. Early-stage gout symptoms might be less intense. But when gout flares up, symptoms peak after 12 to ...
If these structures have been disrupted by injury, there is no tension to stabilize the lateral meniscus and the lateral meniscus can displace medially into the joint causing the patient pain and reproducing their symptoms at the lateral joint line. [27] As always, the injured knee should be compared to the contralateral normal side. [28]