Thessaly Test | Meniscus Tear Assessment | Meniscus Injury
The Thessaly test has been described as the most accurate test for meniscus lesions by Karachalios et al. in the year 2005. However, there has been new research by Goosens et al. in the year 2015 with a higher quality that states that the sensitivity is as low as 64% and the specificity is as low as 53%. This means that the Thessaly Test is not an accurate test to detect meniscus lesions. However, the Apley’s Test or the McMurray Test do not perform much better in this regard. So when you suspect a meniscus lesion from your patient history taking, you can still perform those tests, but eventually, you might want to send your patient to get an MRI.
Like with any provocative test, you first want to test the uninjured leg, before you move on to the injured leg. To perform this test, have your patient stand on the injured leg which is flexed to 20°. Your patient may hold onto your arms for support. Then rotate over the tibia three times on each side. This test is positive if your patient is complaining about pain in the joint line during the rotations.
Other common tests to assess for meniscus injuries are:
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