Signs and Evidence

Making clinical sense of scientific data


Beware of the limitations of this tool

Meniscal tear - acute

Calculated pretest probability: 10.9 %
Relevant inclusion criteria: All ages, knee injury 

Clinical signs

1McMurray's test
2Apley's test
3Joint line tenderness

Sources used:

1.Rinonapoli G et al. The clinical diagnosis of meniscal tear is not easy. Reliability of two clinical meniscal tests and magnetic resonance imaging. Int J Immunopathol Pharmacol. 2011 Jan-Mar;24(1 Suppl 2):39-44
2.Corea JR et al. McMurray's test tested. Knee Surg Sports Traumatol Arthrosc. 1994;2(2):70-2
3.Evans PJ et al. Prospective evaluation of the McMurray test. Am J Sports Med. 1993 Jul-Aug;21(4):604-8
4.Fowler PJ et al. The predictive value of five clinical signs in the evaluation of meniscal pathology. Arthroscopy 1989;5:184-6
5.Kurosaka M et al. Efficacy of the axially loaded pivot shift test for the diagnosis of a meniscal tear. Int Orthop 1999;23:271-4
6.Shelbourne KD et al. Correlation of joint line tenderness and meniscal lesions in patients with acute anterior cruciate ligament tears. Am J Sports Med 1995; 23: 166–9
7.Peat G et al. Population-wide incidence estimates for soft tissue knee injuries presenting to healthcare in southern Sweden: data from the Skåne Healthcare Register. Arthritis Res Ther. 2014; 16(4): R162