Indications

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.

Procedure

  1. Patient prone with knee flexed 90°
  2. Examiner stabilizes patient’s thigh by placing knee over the patient’s distal posterior thigh
  3. Examiner then applies long axis distraction above the maleoli at the ankle (pulls up) and internally and externally rotates leg.
  4. Apley's orthopaedic test for knee joint (Distraction Test)

    Examiner places knee over the patient’s distal posterior thigh and applies long axis distraction above the maleoli at the ankle (pulls up) and internally and externally rotates leg.

Interpretation

Positive Apley’s Distraction Test

Pain with distraction: Capsule/ligamentous lesion at the knee or collateral ligament sprain.
Decreased pain following distraction: Meniscal lesion.