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Apley Compression/Distraction Test
CreatedApril 14, 2020
Last UpdatedApril 14, 2020
byMeghan
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Used to differentiate the cause of knee pain between ligamentous and meniscus causes
Compression:
- With the patient prone, flex the knee to 90 degrees, apply a moderate force to the knee into the table and internally and externally rotate
- If positive (pain produced) then there is either a ligamentous OR a meniscal cause
Distraction:
- Hold the thigh by placing the examiner’s knee on the posterior upper leg proximal to the popliteal fossa, apply a moderate traction on the distal lower limb and externally and internally rotate
- If positive (pain produced) there is a LIGAMENTOUS cause for the pain, ruling out the meniscus as the pain generator
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