Knee Orthopaedic Test: Ege's Test

Ege's test is a physical examination technique used to assess for a meniscal tear in the knee joint. Here are the steps to perform Ege's test:

1. Have the patient lie down on their back on the examination table with their legs straight.
2. Flex the patient's affected knee to 90 degrees.
3. Place one hand on the patient's ankle and the other hand on the patient's knee.
4. Rotate the patient's foot and lower leg externally, or away from the midline of the body.
5. While maintaining external rotation, apply a valgus stress to the knee, or push the knee outward.
6. Ask the patient to straighten their knee while maintaining the external rotation and valgus stress.
7. Observe the patient's face for any signs of pain or discomfort.

If the patient experiences pain or discomfort at the joint line or along the medial aspect of the knee, this may indicate a meniscal tear. However, it is important to note that Ege's test should be used in conjunction with other examination techniques and diagnostic tests to accurately diagnose knee injuries.

References:

1. Ege, R. (1992). The diagnostic value of the external rotation test for the meniscus sign. Acta orthopaedica Scandinavica, 63(6), 667-668.
2.  Magee, D. J. (2014). Orthopedic physical assessment. Elsevier Health Sciences.
3. Akseki, Devrim, et al. "A new weight-bearing meniscal test and a comparison with McMurray’s test and joint line tenderness." Arthroscopy: The Journal of Arthroscopic & Related Surgery 20.9 (2004): 951-958.