{"id":8528,"date":"2021-11-12T10:19:14","date_gmt":"2021-11-12T09:19:14","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&#038;p=8528"},"modified":"2026-10-29T08:29:29","modified_gmt":"2026-10-29T07:29:29","slug":"apleys-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/apleys-test\/","title":{"rendered":"Apley&#8217;s Test"},"featured_media":8529,"template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":""},"class_list":["post-8528","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"free_access":"","app_link":"","sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":8529,"background_image_alt_text":"Apley's test"},"heading":"Apleys' Test for Meniscus Tears","subheading":"Knee Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":null,"label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Free sample","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-6","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Try Premium free","button_style":"button-three","button_internal_link":26802,"button_anchor":"","button_url":"","button_file":""},"button_description":""},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Apley's Test for Meniscus Tears<\/h2>\nAccording to research by <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26243431\/\" target=\"_blank\" rel=\"noopener\">Blyth et al. (2015)<\/a>, the statistical accuracy of this test was as low as 58%, which means that only 58% of the patients were correctly diagnosed by musculoskeletal clinicians. Later on, <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17939613\/\" target=\"_blank\" rel=\"noopener\">Hegedus et al. (2007)<\/a> performed a systematic review with meta-analysis and found a sensitivity of 61% and a specificity of 70%. This means that this test's accuracy to confirm or rule out meniscus tears is weak.\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=6Z_9lfX_Pc8[\/embed]\n\n<\/div>\nTo perform this test, have your patient in prone position. Then, fixate the tested leg with your own leg and bring the knee into 90\u00b0 of flexion. While you give distraction, perform lateral rotation of the tibial and medial rotation.\n\nYou are looking for excessive rotation compared to the other side or discomfort.\n\nThen, repeat the same procedure, while you are giving compression.\u00a0In this case, you are looking for decreased rotation or discomfort.\n\nIf rotation plus distraction is more painful or shows increased rotation relative to the normal side, the lesion is most probable ligamentous.\nIf rotation plus compression is more painful or shows decreased rotation relative to the normal side, the lesion is most probable meniscus damage.\n\nOther common tests to assess for meniscus injuries are:\n<ul>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/mcmurray-test\/\">McMurray Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/thessaly-test\/\">Thessaly Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/joint-line-tenderness\/\">Joint Line Tenderness<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/eges-test\/\">Ege's Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/duck-walk-test\/\">Duck Walk Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/finochietto-test\/\">Finochietto Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/bounce-home-test\/\">Bounce Home Test<\/a><\/li>\n<\/ul>\n&nbsp;\n\n&nbsp;\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17939613\/\" target=\"_blank\" rel=\"noopener\">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. journal of orthopaedic &amp; sports physical therapy. 2007 Sep;37(9):541-50.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26243431\/\" target=\"_blank\" rel=\"noopener\">Blyth, M., Anthony, I., Francq, B., Brooksbank, K., Downie, P., Powell, A., ... &amp; Norrie, J. (2015). Diagnostic accuracy of the Thessaly test, standardised clinical history and other clinical examination tests (Apley's, McMurray's and joint line tenderness) for meniscal tears in comparison with magnetic resonance imaging diagnosis.\u00a0<i>Health Technology Assessment<\/i>.<\/a>"}},{"acf_fc_layout":"cta-form-v2","content_editor":"<h2>Get the <strong>21 most useful<\/strong> orthopedic tests<\/h2>\r\n<p>Download our <strong>free<\/strong> e-book with the 21 most useful orthopedic tests per body region, to help you reach the right diagnosis.<\/p>","form":"39","image":29349,"image_alt_text":"Free e-book with 21 orthopedic tests"},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">Get the full Physiotutors <strong>Assessment Book<\/strong><\/p>\n\n<ul>\n \t<li>600+ pages on orthopedic assessment<\/li>\n \t<li>Video demonstrations and direct links to the PubMed studies<\/li>\n \t<li>Statistical values for every special test, from the latest research<\/li>\n \t<li>Free lifetime updates<\/li>\n \t<li>Available in English, German, French, Spanish, Italian, Portuguese and Turkish<\/li>\n<\/ul>","button_type":"internal_link","button_label":"See the Assessment Book","button_style":"button-two","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Apley&#039;s Test (Grind Test): How to Perform + Accuracy<\/title>\n<meta name=\"description\" content=\"Video guide to Apley&#039;s grind test for meniscus tears. 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