Procedure

  1. Patient supine with hip flexed 90° and knee flexed 90°
  2. Examiner palpates the medial joint line anterior to the medial collateral ligament and with the opposite hand, rotates the leg internally and externally by twisting the ankle
  3. Examiner observes for the presence or disappearance of the meniscus.
Retreating Meniscus Test - Orthopaedic knee exam

Examiner palpates the medial joint line anterior to the medial collateral ligament and with the opposite hand, rotates the leg internally and externally by twisting the ankle.

Interpretation

Positive Retreating Meniscus Test

Meniscus does not disappear while rotating the leg: Meniscal lesion, tear

Clinical Notes

This test works on the premise that with the knee flexed 90° to motion of the meniscus should follow the tibia and the meniscus should become more or less prominent with internal or external rotation.