OnExam

This variant on McMurray's test is used to assess for tears in the medial meniscus.

Performing the Test

  1. For the patient's right leg, place them supine, knee maximally flexed, with examiner thumb and index finger of left hand along joint line and left palm on patella
  2. The examiner then uses their right hand, grasping the bottom of the ipsilateral foot, to internally rotate the leg while extending the knee
  3. Positive: reproduces patient’s pain or pain with palpable click
  4. Sensitivity: 52%; specificity: 97%
  5. LR+ = 17; LR- = 0.5

References

  1. Pawa J, Lesniak, D., & Lott, A. Approach to the OSCE: The Edmonton Manual of Common Clinical Scenarios. Edmonton Manual; 2011.
  2. Baxter S, ed., McScheffrey G, ed. Toronto Notes: Comprehensive Medical Reference & Review for MCCQE 1 & USMLE 2. 26th ed. Toronto: Toronto Notes for Medical Students Inc; 2010.
  3. Bickley L. Bate’s Guide to Physical Examination and History Taking. 10th ed. New York: Lippincott Williams & Wilkins; 2009.
  4. Essential Evidence Plus. http://www.essentialevidenceplus.com. 2011. Accessed February 2011.
  5. Hurley K. OSCE and Clinical Skills Handbook. Halifax: Elsevier Canada; 2005.