Which Thessaly test result is most indicative of a meniscal tear?

Which Thessaly test result is most indicative of a meniscal tear?

• A. Joint line pain during rotation.
• B. Pain only in the ankle.
• C. No pain.
• D. Pain that is relieved with rest.

Answer: (A)

The Thessaly test looks for a tear by stressing the knee through axial loading and rotation while weight-bearing. When a meniscal tear is present, twisting the knee with the leg bearing load pinches the torn edge between the femur and tibia, causing pain along the joint line. That joint line pain during rotation is the strongest sign that the meniscus is involved, often accompanied by a catching or clicking sensation. Pain confined to the ankle isn’t related to the meniscus, and no pain or pain that goes away with rest suggests there isn’t a mechanical tear in the knee.

The Thessaly test looks for a tear by stressing the knee through axial loading and rotation while weight-bearing. When a meniscal tear is present, twisting the knee with the leg bearing load pinches the torn edge between the femur and tibia, causing pain along the joint line. That joint line pain during rotation is the strongest sign that the meniscus is involved, often accompanied by a catching or clicking sensation.

Pain confined to the ankle isn’t related to the meniscus, and no pain or pain that goes away with rest suggests there isn’t a mechanical tear in the knee.