Which physical examination test is used to evaluate a meniscal tear?

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The McMurray test is specifically designed to assess for meniscal tears in the knee joint. During this examination, the healthcare provider manipulates the knee joint while the patient is in a supine position, rotating the tibia and flexing and extending the knee. A click or popping sound, accompanied by pain during the movement, suggests a meniscal tear.

Other tests are also important for knee injuries but serve to evaluate different structures or instabilities. The Lachman test assesses the integrity of the anterior cruciate ligament (ACL) by moving the tibia forward and noting any excessive movement compared to the femur. The anterior drawer test also evaluates the ACL by pulling the tibia forward with the knee flexed. The pivot shift test focuses on assessing the ACL's stability during dynamic movements rather than specifically identifying meniscal damage. Therefore, the McMurray test is the correct choice for evaluating a meniscal tear.

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