Apley's test is a clinical test to try to identify possible damage to the meniscus.

Page updated November 2023 by Dr Sheila Strover (Clinical Editor)

Apley grinding test
variant of apley grinding test

 

How to perform Apley's test

The patient lies on their tummy with the knee bent to 90 degrees. The examiner supports the thigh using his one hand or his own knee, while at the same time grasping the foot and pressing the downwards, simultaneously rotating the lower limb outwards. If the patient experiences pain it is suggestive of meniscal damage.

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How sensitive and specific is the Apley test?

The test is not all that sensitive or specific, and other tests and imaging are also indicated before any surgery is undertaken.

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Peer-reviewed papers

  • Quote:

    .."it is crucial to understand that the test is not 100% sensitive, and an MRI should be utilized to confirm the diagnosis."

    Citation: Agresti D, Jeanmonod R. Apley Grind Test. [Updated 2023 Apr 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470549/

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Video

See YouTube

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Synonyms: 
Apley test
Apley grind test
Apley compression test
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Dr Sheila Strover (Editor)
BSc (Hons), MB BCh, MBA

See biography...

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