Ege’s Test / Weight-bearing McMurray’s Test | Meniscus Tear Assessment
Many orthopedic tests for meniscus tears are performed in non-weight-bearing positions, whereas most of the symptoms of a torn meniscus occur during weight-bearing activities. The Ege’s test tries to overcome this shortcoming by mimicking McMurray’s Test in a weight-bearing position. Due to its provocative nature, it is not suitable for patient’s in the very acute stage after injury, as they have to be able to bear weight and squat without pain and limitations in range of motion.
A study by Akseki et al. (2004) evaluated Ege’s test. They found a sensitivity for later and medial meniscus tears of 64 and 67% and a specificity of 90 and 81% respectively. In this single, but well-conducted study, the test performed better than McMurray’s test and joint line tenderness, but findings yet have to be confirmed.
We, therefore, give this test a moderate clinical value.
To perform the Ege’s Test, the patient stands with fully extended knees and both feet 30 to 40 centimeters apart. To detect a medial meniscal tear, the patient is asked to squat with both legs in maximal external rotation and then slowly stand up. The distance between the knees increases and each knee becomes externally rotated as the squatting proceeds. For lateral meniscal tears, both lower extremities are held in maximum internal rotation while the patient squats and stands up. A full squat in internal rotation is almost impossible even in healthy individuals. So a slightly less than full squat is required in internal rotation and the patient is allowed to use an object nearby as a support. In contrast to the medial meniscus test, the distance between the knee decreases, and each knee becomes internally rotated as the squatting proceeds.
This test is positive when pain and/or a click (which is sometimes audible by the examiner) is felt by the patient at the related site of the joint line. Further squatting is stopped as soon as the pain and/or click is felt. If the patient experiences pain while moving out of the squat, the test is scored positive as well.
The authors mention that pain is usually felt around 90 degrees of flexion. Anteriorly located tears produce symptoms in earlier knee flexion, whereas tears on the posterior horn produce symptoms in more knee flexion. While accuracy was decreased in patients with degenerative arthritis and Patellofemoral disease, interestingly the test was even more accurate in ACL-deficient knees and in knees with effusion.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
Other common tests to assess for meniscus injuries are:
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.