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Intermediate Technical IVT

McMurray test

A clinical examination maneuver used to detect meniscal tears by rotating the tibia while flexing and extending the knee.

Full Definition

The McMurray test is a provocative clinical examination technique designed to identify meniscal tears in the knee. Named after British orthopedic surgeon Thomas McMurray, the test is performed with the patient supine and the hip and knee maximally flexed. The examiner holds the foot with one hand and places the other hand on the knee joint line, then extends the knee while rotating the tibia internally (to test lateral meniscus) or externally (to test medial meniscus). A positive test produces a palpable or audible click or clunk along the joint line, often accompanied by pain, indicating a meniscal tear.

Usage

Usage note: Specify which meniscus (medial or lateral) when documenting positive findings.

In Context

  • "A positive McMurray test with lateral joint line pain suggested a lateral meniscal tear." — Physical examination
  • "The McMurray test was negative bilaterally, making significant meniscal pathology less likely." — Clinical assessment

Also known as

meniscal provocation test

Don't confuse with

Apley test joint line tenderness Thessaly test

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