Apley’s test is Basically , done for knee meniscus injury and ligamentous injury.
Also called the apley’s compression test.
History of this apley’s test?
This was given after the name of British orthopaedic surgeon.
Named as, Alan Graham apley.
This test is performed in conjunction with the apley’s test.
Its relevancy is 58% in patients
Which means that it showed positive results only in 58% of the patients in musculo-skeletal clinics and hospitals.
Also read about :- Thomas Test
Meniscal injuries ?
Meiscal injuries are very common and associated with significant pain and rigidity.
More common in adults and less common in children .
Adults playing games like includes marathoners, sprinters, football ,rugby and so on.
There is a higher prevalence in males as compared to females.
Generally, the meniscus gets teared ,when we rotate in contact sports .
And not just this grinding and compression test, will do , but MRI is must to check out the grades of meniscus tear.
Meniscus is a more like cresent shaped moon like structure.
2 types of menisci are present:-
- Medial meniscus
- Lateral Meniscus
Its blood supply is very low , and gets blood supply through diffusion .
The meniscus acts like a cushion or shock absorber for the knee joint .
When to perform the apley’s test?
Generally , when the patients complains such as clicking, catching, locking or inability to fully extend the knee.
So this is time, you ask the patients to properly take out the MRI and perform these test.
Technique for performing this test:-
To perform this test, take the patient in prone position.
Check the alignment of
Ask the patient to flex the knee at 90° angle.
First distract the knee joint .
Then passively, rotate the tibia laterally and medially both side .
If the patient complaints pain or painful movement , then it is said to be ligamentous injury.
If we compress the knee joint , and then rotate the tibia laterally and medially , then it is said to be meniscus injury.
Sensitivity of apley’s test?
So basically, the crux is that research and reports suggested that this test was not relevant .
For both clinics as well as hospital.
According to meta analysis , report the findings were as follow.
The sensitivity of the test is 60%
The specificity of the test is 70%.