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Thessaly Test

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Other Names

Thessaly Test
Demonstration of Thessaly Test[1]
  • Thessaly’s Test

Purpose


Description

  • The examination should be performed first on the unaffected limb to familiarize patient with test
  • The patient is standing on affected leg with knee flexed to 5° - 20°
  • Examiner and/or examination table can be used to help patient maintain balance.
  • The patient then internally and externally rotates their knees 3-4 times
  • This can be repeated at both 5° and 20°
    • Positive test is pain

Pathology


Evidence

  • Medial Meniscus
    • Sensitivity: 66% - 89% [2]
    • Specificity: 96% - 97%
    • LR+: 16.5 - 29.67
    • LR-: 0.11 - 0.35
  • Lateral Meniscus
    • Sensitivity: 81% - 92%
    • Specificity: 91% - 96%
    • LR+: 9 - 23
    • LR-: 0.21 - 0.21

See Also


References

  1. Image courtesy of uptodate.com and Bret Jacobs, DO
  2. Karachalios T, Hantes M, Zibis AH, Zachos V, Karantanas AH, Malizos KN. Diagnostic accuracy of a new clinical test (the Thessaly test) for early detection of meniscal tears. J Bone Joint Surg Am. 2005;87(5):955-962.
Created by:
John Kiel on 13 August 2019 03:16:15
Authors:
Last edited:
8 November 2023 16:48:39
Category: