Hi, First of all thanks for sharing this content, I had meniscal suture surgery for complex radial rupture of the join of the body with the anterior horn of the lateral meniscus 5 months ago. I am a long-distance runner and 10 days ago I had a new MRI scan to see the healing and a hyperintense stroke emerged at the junction of the body with the anterior horn. Since surgery, I have a medium sized parameniscal cyst that presents a little pain during the test, however, every week I have been stronger, more flexible, and recently I have been trying plyometrics at therapy sessions but I am still a little concerned about the cyst and the slight pain pricks during the test.
Could you have a meniscus tear without any pain and swelling? I have clicking and popping and really minor pain bm that resolved with exercising the surrounding muscles. However knee is still clicking /catching when I walk
Hi, I twisted my knee 7 weeks ago and I still have a pain only during Tesaaly test (internal rotation tibia - pain on medial size od knee). MRI shows nothing. Have you some idea if not meniscus?
Internal rotation will stress the medial meniscus posterioly and the lateral meniscus anteriorly. The ligaments can be tested with several tests that can be found on our channel.
I had many tests by physios, but until I got the MRI done there was no confirmed diagnosis. After that I had to have key-hole surgery to clean up the damaged parts of the miniscus. My biggest mistake was not going to a doctor early to get the confirmed diagnosis and then referral for the operation. This meant that the damage was much more extensive, as a result of almost a year delay after symptoms first presented.
I have got grade 1 Meniscus around 5 months ago... and over time my pain is healing drastically due to my intensive care, and unusual stress on the knee. Does this indicates my torn meniscus is getting repaired? with this can i also do cardio activity? just the elliptical/airwalk? - Please respond! Thanks
Hey Waleed, it depends on where your meniscus was torn. If it was on the outside (red zone) then it has a good chance to heal, if it was on the inside (white zone) it will not regenerate. Even if it doesn't regenerate, most people can live with it without any problems if the knee is not locking or instable. The best advice we can give is to see a local physiotherapist as therapeutic exercises usually have good outcomes in case of smaller tears like yours. You should be able to do cardio without any problems, but this would also be something you can gradually start under the supervision and advice of a physio.
Hi! Thank you very much for the reponse, i highly regard it! this is what the MRI impressions were: "Small hyperintense signal intensity area seen in the posterior horn of the medial meniscus not reaching the articular surface, suggestive of Grade I meniscal tear. 2. Anterior Crucuate ligament appears bulky, suggestive of sprain. 3. Minimal joint effusion noted. This was 4 months ago, at that time my pain was sharp and my knee had visible swelling and i couldnt move/lean my knee forward due to the pain. Now, The pain has drastically disappeared as explained and all the swelling has gone, my knee doesnt locked and never locked (thankfully) and exactly appears the same as my left knee. Can you enlighten me with your best advice if i can resume cardio only with elliptical/airwalk? I will highly appreciate your advice!
Like mentioned already, our best advice we can give is to see a local physiotherapist in order to start supervised exercise therapy. You should also be able to resume cardio in any form (running, elliptical, airwalker) given that you start gradually.
Can I please get some clarification on this test’s specificity and sensitivity? Many resources and my university still claim it is very sensitive and specific for Meniscal tears. Thank you
@@Physiotutors I believe my university still uses the original study by Karachalios et al., 2005. I have brought up this issue with my teacher. Hopefully by next week, I will have an answer as to why they still use the original study. Link to the study: pubmed.ncbi.nlm.nih.gov/15866956/
You guys are by far the best out there!
Wow- thanks a lot for the great compliment maestro!
my practical exam when i saw your videos ♥️↗️↗️↗️↗️
Short and sweet and informative can’t wait to try it on my patient
you are getting me through my ortho rotation
That's our goal!
Thank you for explaining about the meniscus.
Thank you very much sir for your information it helped me alot in my PT ORTHO exam
That's the goal! happy it helped!
Lol my name is Thessaly what a coincidence 😂
So u will never forget this test 😛😂😂😂
😂
😂😂😂😂
U gave this test lol
how to instruct the patient to rotate on tibia but not hip or ankle?
These are great videos. Clear and concise, wish I found these back in med school. Thank you! Oh and you are very handsome lol
It’s never too late and thanks for the kind words 👍🏼
if the patient feels pain in one direction and not on the other direction, would it pertain to a specific meniscus or ligament?
also wondering the same thing
I think the direction In which the pain is present indicates whether it is the medial or lateral meniscus.
Hi, First of all thanks for sharing this content,
I had meniscal suture surgery for complex radial rupture of the join of the body with the anterior horn of the lateral meniscus 5 months ago. I am a long-distance runner and 10 days ago I had a new MRI scan to see the healing and a hyperintense stroke emerged at the junction of the body with the anterior horn. Since surgery, I have a medium sized parameniscal cyst that presents a little pain during the test, however, every week I have been stronger, more flexible, and recently I have been trying plyometrics at therapy sessions but I am still a little concerned about the cyst and the slight pain pricks during the test.
Could you have a meniscus tear without any pain and swelling? I have clicking and popping and really minor pain bm that resolved with exercising the surrounding muscles. However knee is still clicking /catching when I walk
Excellent explanation! Thank you!
Thankss❤️
Continue ⚘️⚘️⚘️
Thank you very much 😊 ❤️
You are great 👍🏻
Hey you didn’t mentioned which side rotation will hamper which side meniscus
I wonder what the specificity would be if all Apley, McMurray and this one are negative.
It slightly hurts and I'm 14 years old.. I'm also complaining about pain in my knee during quats and wand sitting. What should I do?
Hi,
I twisted my knee 7 weeks ago and I still have a pain only during Tesaaly test (internal rotation tibia - pain on medial size od knee). MRI shows nothing. Have you some idea if not meniscus?
I'd like to add that knee is completely stable and no other movements are painfull. Hmm
@@elprofesor7872 maybe the medial collateral ligament? Or ligamentum anterior cruciatum? Could also just be joint capsule.
Pain during internal rotation in Thessaly test caused due to medial or lateral meniscus??...is there a way to differentiate individual ligament....
Internal rotation will stress the medial meniscus posterioly and the lateral meniscus anteriorly.
The ligaments can be tested with several tests that can be found on our channel.
I had many tests by physios, but until I got the MRI done there was no confirmed diagnosis. After that I had to have key-hole surgery to clean up the damaged parts of the miniscus.
My biggest mistake was not going to a doctor early to get the confirmed diagnosis and then referral for the operation. This meant that the damage was much more extensive, as a result of almost a year delay after symptoms first presented.
I have got grade 1 Meniscus around 5 months ago... and over time my pain is healing drastically due to my intensive care, and unusual stress on the knee. Does this indicates my torn meniscus is getting repaired?
with this can i also do cardio activity? just the elliptical/airwalk? - Please respond! Thanks
Hey Waleed, it depends on where your meniscus was torn. If it was on the outside (red zone) then it has a good chance to heal, if it was on the inside (white zone) it will not regenerate. Even if it doesn't regenerate, most people can live with it without any problems if the knee is not locking or instable.
The best advice we can give is to see a local physiotherapist as therapeutic exercises usually have good outcomes in case of smaller tears like yours. You should be able to do cardio without any problems, but this would also be something you can gradually start under the supervision and advice of a physio.
Hi! Thank you very much for the reponse, i highly regard it!
this is what the MRI impressions were:
"Small hyperintense signal intensity area seen in the posterior horn of the medial meniscus not reaching the articular surface, suggestive of Grade I meniscal tear.
2. Anterior Crucuate ligament appears bulky, suggestive of sprain.
3. Minimal joint effusion noted.
This was 4 months ago, at that time my pain was sharp and my knee had visible swelling and i couldnt move/lean my knee forward due to the pain.
Now, The pain has drastically disappeared as explained and all the swelling has gone, my knee doesnt locked and never locked (thankfully) and exactly appears the same as my left knee. Can you enlighten me with your best advice if i can resume cardio only with elliptical/airwalk? I will highly appreciate your advice!
Like mentioned already, our best advice we can give is to see a local physiotherapist in order to start supervised exercise therapy. You should also be able to resume cardio in any form (running, elliptical, airwalker) given that you start gradually.
Physiotutors Thank you very much :)
@@movania89 hi ahmed how are you doing
Wonderful 👌💕💕
Can I please get some clarification on this test’s specificity and sensitivity? Many resources and my university still claim it is very sensitive and specific for Meniscal tears. Thank you
Which resources? Would ask for a link to the respective PubMed meta-analysis.
@@Physiotutors I believe my university still uses the original study by Karachalios et al., 2005. I have brought up this issue with my teacher. Hopefully by next week, I will have an answer as to why they still use the original study.
Link to the study: pubmed.ncbi.nlm.nih.gov/15866956/
But eventually you might want to send your patient to get an MRI 🤷♀️
Why is the test repeated 3x each side, is this a researched stat or just for reliability? Thanks
+Alice Cook that’s how it is described in the literature
Can this aggravate pain for an mcl injury?
Could be, as we know that concurrent ligament injuries render tests for the menisci less valid and the other way around.
I feel pain but not very much did i have a ménisque pliz respond me
For any personal health or rehab questions we recommend to consult with our partners at yourphysio.online for a remote physiotherapy consultation.
What is the name of the journal!?? 2015 ?
+PDC Ghada it is linked in the video description.
This is external rotation test?
no its the Thessaly test
Please add Korean text in another video
Anyone who speaks Korean can add subtitles to the videos
Check the video description for a link
Can you get the occasional false positive with this test?
Definitely false positives and false negatives. Not the best test
Ugh these are it
you are so handsome :)
Haha, thx a lot!;)
Never do that test. You can seriously injure your meniscus.
Hey I did injure I guess
And I didn't read your comment and it badly now 😮💨
@@AniketSurve-mo5hx I hope you are fine. Just focus on your daily routines. Knee recovers itself.
@@onur321 I need to do a xray and a mri to insure this wasn't tear it happens when I playing in a rainy and my feet slept over there 😓
wish I saw your comment first