The pivot test, or Apley's grind test, is used to assess for meniscal tears.

Performing the Test

  1. Position the patient prone
  2. Flex the patient’s knee to 90 degrees, grasping the sole of foot in examiner’s hand and applying a downward pressure while pivoting back and forth
  3. The test is positive if the patient feels pain with pressure and rotation


  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. Magee D. Orthopedic Physical Assessment. 1st ed. Philadelphia:Saunders; 1986.