Knee Orthopaedic Test: Steinman Test

The Steinmann test, also known as the McMurray test, is a physical examination technique used to assess for meniscal pathology in the knee joint. Here is a step-by-step procedure for performing the Steinmann test:

1. Position the patient in a supine position with the affected knee flexed to 90 degrees.
2. Grasp the patient's heel with one hand and the knee joint with the other hand.
3. Place your hand on the lateral side of the knee and use your thumb to palpate the joint line.
4. Slowly externally rotate the tibia while applying a valgus stress to the knee joint.
5. While maintaining the rotation and stress, slowly extend the knee joint.
6. Repeat the same procedure with internal tibial rotation while applying a varus stress to the knee joint.
7. The test is considered positive if the patient experiences pain or clicking in the joint during the rotation and extension.

References:

1. Steinman Test. StatPearls. [Updated 2022 Jul 16]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441902/
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