Thessaly Test

Other Names

Demonstration of Thessaly Test^[1]

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

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

↑ Image courtesy of uptodate.com and Bret Jacobs, DO
↑ 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:

25 May 2023 05:45:13

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