Apley’s Distraction test is an orthopaedic test to assess the ligamentous integrity of the knee joint. It may also show signs of meniscal lesions. Often used along side Apley’s Grind test.
- Patient prone with knee flexed 90°
- Examiner stabilizes patient’s thigh by placing knee over the patient’s distal posterior thigh
- Examiner then applies long axis distraction above the maleoli at the ankle (pulls up) and internally and externally rotates leg.
Positive Apley’s Distraction Test
Pain with distraction: Capsule/ligamentous lesion at the knee or collateral ligament sprain.
Decreased pain following distraction: Meniscal lesion.