Ashish Dev Gera (he/him/his)

I’ve come to learn over time that meniscal tests are low yield generally If you suspect a meniscal tear from the story and confirming its presence is going to influence you’re treatment options, then get an MRI Meniscal tests can hurt the patient - and even cause harm in a ‘locked’ knee or flipped fragment presentation if you’re too exuberant (eg ratcheting the joint into passive extension & converting a partial to full ACL tear) The two tests I find of use are - 1. joint line palpation - this tells me if they have significant meniscocapsular synovitis which is extremely common in peripheral meniscal tears and can respond well to a joint line / capsular injection versus intra-articular 2. Observing if the patient will allow the knee to drop flat to the bed (removing a supporting pillow or arm slowly) whilst distracting them - for a truly locked knee vs guarding