I have heard of Lowery's 5-item cluster ((1) a history of "catching" or "locking" as reported by the patient, (2) pain with forced hyperextension, (3) pain with maximum flexion, (4) pain or an audible click with McMurray's maneuver, and (5) joint line tenderness to palpation), just wanted to see what other clusters have proven successful for clinical examination
The weight bearing tests: Ege, Thessaly have been helpful along with the one's you mention in the "Lowery's 5-item" to add to the helpfulness of a cluster. In addition to the weight-bearing or If there is some reason weight-bearing can't be used I will use an unpublished test and case study presented in fulfillment of my doctorate: the Homer Test.
I know you're looking for other tests, but honestly +history and +joint line tenderness are about all are needed but I'll check with a McMurrays. If those aren't conclusive, I'll usually do an Apley's for good measure. I also like the Homer test because it improves upon the Apleys compression by varying angles. If I'm still uncertain at this point, I'll try the Thessalys test. Even though it is a great test, I have found that it often causes quite a bit of pain which is often unnecessary if the other tests mentioned are conclusive.
I agree entirely, with Dr. Boerger. The history, hemarthosis and the classic tests of McMurray and Appley are quite sufficient in case of a real meniscal lesion. If you would like to find out more details, then proceed with MRI.
Duly noted, thank you all! I have never heard of Homer's test until now, sounds fascinating! I also like the Thessaly's for its high specificity and joint line tenderness as criteria.
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