Steinman's test is a physical examination maneuver used to assess potential injuries in the knee joint, specifically targeting the menisci and collateral ligaments. It helps clinicians determine if pain during the test indicates a problem with these structures.
How Steinman's Test is Performed
The test is performed with the patient lying on their back (supine). The examiner flexes the patient's knee and then rotates the lower leg laterally and medially while palpating the knee joint. A positive test, indicating potential injury, is suggested by pain or tenderness along the joint line during rotation.
- Procedure: The knee is flexed, and the examiner stabilizes the knee while holding the ankle. The lower leg is then rotated internally and externally.
- Positive Sign: Pain or tenderness along the joint line during the rotation suggests a potential meniscal tear or collateral ligament injury.
What Steinman's Test Evaluates
Multiple sources indicate that Steinman's test is used to evaluate different knee structures:
- Menisci: Several sources highlight Steinman's test's role in assessing medial and lateral meniscus lesions. Pain during the test can suggest a meniscal tear.
- Medial Collateral Ligament (MCL): At least one source specifically mentions the Steinman test's use in evaluating potential MCL injuries.
- Joint Line Tenderness: A common finding in a positive Steinman's test is tenderness along the joint line of the knee.
It's important to note that Steinman's test is not conclusive on its own. A positive test suggests further investigation is necessary to confirm a diagnosis. Other diagnostic tools and physical examination maneuvers will likely be used.
It is crucial to remember that this information is for educational purposes only and should not be considered medical advice. Always consult a healthcare professional for any concerns regarding knee pain or injuries.
