McMurray's test; MacMurray maneuver

Introduction

Rotation of the tibia on the femur.

Indications

• test for meniscal injury

Procedure

• with the patient supine, the knee & hip flexed initially at 90 degrees, holding the lower leg with one hand under the foot & the other hand under the medial knee to support the leg, employ passive knee & hip extension, simultaneously applying either external or internal rotation at the ankle

Interpretation

• a palpable or audible pop or click with medial or lateral knee pain at or near full extension is a positive sign
• medial knee pain with external rotation indicates injury to the medial meniscus
• lateral knee pain with internal rotation indicates lateral meniscus injury

More general terms

• physical examination of the knee

Additional terms

• knee pain
• medial meniscus (meniscus medialis, faliciform cartilage)