Guest guest Posted March 31, 2012 Report Share Posted March 31, 2012 Hi ,It sounds like meniscus... although I have usually found that meniscal tears tend to happen after 6 weeks if they are going to... (i.e. when the dog is feeling a little more spry and less acute).Whether you are testing the caudal aspect of the medial or lateral meniscus depends not just on the rotation, but whether you are in flexion or extension. I have stopped teaching this part as being so definitive (as it was too confusing)...and if you are going to bet on which side the meniscus is on, you better bet on the medial side, as laterals are much less common. (Biomechanically speaking - extension + external rotation 'should be' caudal aspect of the medial meniscus.) Best of luck!Laurie I have a 31# dog who is 3 weeks out on a lateral suture repair for a torn ACL. He had been doing great - > 50 % WB at 2 weeks! Today he came in toe touching lame on the leg - occurred acutely several days ago. His owner came home and found him that way. On exam he has no drawer. He really resists extension of the knee. I can feel a slight pop medially at the joint line near the end of extension. He does not show more pain when I'm feeling the pop. I did the McMurray test and he has some pain on extension with internal rotation ( about the same as normal extension) and has a empty end feel with extension and external rotation. Questions: Am I right in thinking that I am testing the caudal pole of the lateral meniscus when I am rotating externally? If so does it sound like this is a mensicle tear? I feel a small pop medially (no sound) but only get the empty end feel with external rotation. If this doesn't sound like a meniscus any other thoughts on what might be going on? Thanks for any help. Falch, DVM Laurie Edge-, BScPT, MAnimSt(Animal Physio), CAFCI, CCRTCo-Owner,The Canine Fitness Centre Ltd.Calgary, AB, Canadawww.caninefitness.comCEO,Four Leg Rehab Inc.www.fourleg.comPast-Chair,The Animal Rehab DivisionThe Canadian Physiotherapy Associationwww.animalptcanada.comInstructor,The Canine Rehab Institutewww.caninerehabinstitute.comGuest Lecturer,Faculty of Veterinary MedicineThe University of Calgarywww.vet.ucalgary.caVice-President,International Association of Physical Therapists in Animal PracticeWorld Confederation for Physical Therapywww.wcpt.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 1, 2012 Report Share Posted April 1, 2012 There is not really an end feel involved with the McMurray test. The key is to feel what is happening to the joint during the extension while palpating near the appropriate meniscus. The test involves testing the medial and lateral meniscus, and a VERY GENTLE varus stress is imposed with internal rotation to test the lateral meniscus, and a VERY GENTLE valgus is imposed with external rotation to test the medial meniscus. Both of these VERY GENTLE!!!! forces are imposed while also extending the stifle. The int/ext rotation of the tibia is done via the hock. This is a test that I would only do if you were very gentle and really knew what you were doing, as it would be possible to damage an already compromised meniscus and cruciate (and/or collateral) ligaments as well. Liz Powers, MPT, CCRT > > > I have a 31# dog who is 3 weeks out on a lateral suture repair for a torn ACL. He had been doing great - > 50 % WB at 2 weeks! Today he came in toe touching lame on the leg - occurred acutely several days ago. His owner came home and found him that way. On exam he has no drawer. He really resists extension of the knee. I can feel a slight pop medially at the joint line near the end of extension. He does not show more pain when I'm feeling the pop. I did the McMurray test and he has some pain on extension with internal rotation ( about the same as normal extension) and has a empty end feel with extension and external rotation. > > > > Questions: Am I right in thinking that I am testing the caudal pole of the lateral meniscus when I am rotating externally? > > > > If so does it sound like this is a mensicle tear? I feel a small pop medially (no sound) but only get the empty end feel with external rotation. > > > > If this doesn't sound like a meniscus any other thoughts on what might be going on? > > Thanks for any help. > > > > Falch, DVM > > > > > > Laurie Edge-, BScPT, MAnimSt(Animal Physio), CAFCI, CCRT > > Co-Owner, > The Canine Fitness Centre Ltd. > Calgary, AB, Canada > www.caninefitness.com > > CEO, > Four Leg Rehab Inc. > www.fourleg.com > > Past-Chair, > The Animal Rehab Division > The Canadian Physiotherapy Association > www.animalptcanada.com > > Instructor, > The Canine Rehab Institute > www.caninerehabinstitute.com > > Guest Lecturer, > Faculty of Veterinary Medicine > The University of Calgary > www.vet.ucalgary.ca > > Vice-President, > International Association of Physical Therapists in Animal Practice > World Confederation for Physical Therapy > www.wcpt.org > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 1, 2012 Report Share Posted April 1, 2012 Liz,While I agree that you should be gentle and careful - because it is likely to be painful if a meniscal lesion is present. The testing would not damage the meniscus or cruciate unless you really took a run at it from across the room with these techniques.LaurieLaurie Edge-, BScPT, MAnimSt(Animal Physio), CAFCI, CCRTCo-Owner,The Canine Fitness Centre Ltd.Calgary, AB, Canadawww.caninefitness.comCEO,Four Leg Rehab Inc.www.fourleg.comPast-Chair,The Animal Rehab DivisionThe Canadian Physiotherapy Associationwww.animalptcanada.comInstructor,The Canine Rehab Institutewww.caninerehabinstitute.comGuest Lecturer,Faculty of Veterinary MedicineThe University of Calgarywww.vet.ucalgary.caVice-President,International Association of Physical Therapists in Animal PracticeWorld Confederation for Physical Therapywww.wcpt.org There is not really an end feel involved with the McMurray test. The key is to feel what is happening to the joint during the extension while palpating near the appropriate meniscus. The test involves testing the medial and lateral meniscus, and a VERY GENTLE varus stress is imposed with internal rotation to test the lateral meniscus, and a VERY GENTLE valgus is imposed with external rotation to test the medial meniscus. Both of these VERY GENTLE!!!! forces are imposed while also extending the stifle. The int/ext rotation of the tibia is done via the hock. This is a test that I would only do if you were very gentle and really knew what you were doing, as it would be possible to damage an already compromised meniscus and cruciate (and/or collateral) ligaments as well. Liz Powers, MPT, CCRT > > > I have a 31# dog who is 3 weeks out on a lateral suture repair for a torn ACL. He had been doing great - > 50 % WB at 2 weeks! Today he came in toe touching lame on the leg - occurred acutely several days ago. His owner came home and found him that way. On exam he has no drawer. He really resists extension of the knee. I can feel a slight pop medially at the joint line near the end of extension. He does not show more pain when I'm feeling the pop. I did the McMurray test and he has some pain on extension with internal rotation ( about the same as normal extension) and has a empty end feel with extension and external rotation. > > > > Questions: Am I right in thinking that I am testing the caudal pole of the lateral meniscus when I am rotating externally? > > > > If so does it sound like this is a mensicle tear? I feel a small pop medially (no sound) but only get the empty end feel with external rotation. > > > > If this doesn't sound like a meniscus any other thoughts on what might be going on? > > Thanks for any help. > > > > Falch, DVM > > > > > > Laurie Edge-, BScPT, MAnimSt(Animal Physio), CAFCI, CCRT > > Co-Owner, > The Canine Fitness Centre Ltd. > Calgary, AB, Canada > www.caninefitness.com > > CEO, > Four Leg Rehab Inc. > www.fourleg.com > > Past-Chair, > The Animal Rehab Division > The Canadian Physiotherapy Association > www.animalptcanada.com > > Instructor, > The Canine Rehab Institute > www.caninerehabinstitute.com > > Guest Lecturer, > Faculty of Veterinary Medicine > The University of Calgary > www.vet.ucalgary.ca > > Vice-President, > International Association of Physical Therapists in Animal Practice > World Confederation for Physical Therapy > www.wcpt.org > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 7, 2012 Report Share Posted April 7, 2012 Update and a question-The day I did the McMurray on this boy I also did distraction and twisting and he seemed more comfortable in extension at the end of his visit but still very lame. I saw him back today and he is much more comfortable and ~ 40 % weight bearing. His McMurray was not positive today but he does still have a pop sensation medially that I can feel when I extend his knee. Is this what I should expect if his meniscus flipped back? If so what could the pop be?If the meniscus flipped back how quickly should I expect him to progress? If he's not progressing well when do you decide that surgery should be considered? Thanks for any help. I find this all very interesting and exciting! Falch, DVM  Liz,While I agree that you should be gentle and careful - because it is likely to be painful if a meniscal lesion is present.  The testing would not damage the meniscus or cruciate unless you really took a run at it from across the room with these techniques. LaurieLaurie Edge-, BScPT, MAnimSt(Animal Physio), CAFCI, CCRTCo-Owner, The Canine Fitness Centre Ltd.Calgary, AB, Canadawww.caninefitness.comCEO,Four Leg Rehab Inc. www.fourleg.comPast-Chair,The Animal Rehab DivisionThe Canadian Physiotherapy Associationwww.animalptcanada.com Instructor,The Canine Rehab Institutewww.caninerehabinstitute.comGuest Lecturer, Faculty of Veterinary MedicineThe University of Calgarywww.vet.ucalgary.caVice-President,International Association of Physical Therapists in Animal Practice World Confederation for Physical Therapywww.wcpt.org  There is not really an end feel involved with the McMurray test. The key is to feel what is happening to the joint during the extension while palpating near the appropriate meniscus. The test involves testing the medial and lateral meniscus, and a VERY GENTLE varus stress is imposed with internal rotation to test the lateral meniscus, and a VERY GENTLE valgus is imposed with external rotation to test the medial meniscus. Both of these VERY GENTLE!!!! forces are imposed while also extending the stifle. The int/ext rotation of the tibia is done via the hock. This is a test that I would only do if you were very gentle and really knew what you were doing, as it would be possible to damage an already compromised meniscus and cruciate (and/or collateral) ligaments as well. Liz Powers, MPT, CCRT > > > I have a 31# dog who is 3 weeks out on a lateral suture repair for a torn ACL. He had been doing great - > 50 % WB at 2 weeks! Today he came in toe touching lame on the leg - occurred acutely several days ago. His owner came home and found him that way. On exam he has no drawer. He really resists extension of the knee. I can feel a slight pop medially at the joint line near the end of extension. He does not show more pain when I'm feeling the pop. I did the McMurray test and he has some pain on extension with internal rotation ( about the same as normal extension) and has a empty end feel with extension and external rotation. > > > > Questions: Am I right in thinking that I am testing the caudal pole of the lateral meniscus when I am rotating externally? > > > > If so does it sound like this is a mensicle tear? I feel a small pop medially (no sound) but only get the empty end feel with external rotation. > > > > If this doesn't sound like a meniscus any other thoughts on what might be going on? > > Thanks for any help. > > > > Falch, DVM > > > > > > Laurie Edge-, BScPT, MAnimSt(Animal Physio), CAFCI, CCRT > > Co-Owner, > The Canine Fitness Centre Ltd. > Calgary, AB, Canada > www.caninefitness.com > > CEO, > Four Leg Rehab Inc. > www.fourleg.com > > Past-Chair, > The Animal Rehab Division > The Canadian Physiotherapy Association > www.animalptcanada.com > > Instructor, > The Canine Rehab Institute > www.caninerehabinstitute.com > > Guest Lecturer, > Faculty of Veterinary Medicine > The University of Calgary > www.vet.ucalgary.ca > > Vice-President, > International Association of Physical Therapists in Animal Practice > World Confederation for Physical Therapy > www.wcpt.org > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 7, 2012 Report Share Posted April 7, 2012 Hey ,You're dog's improvement sounds promising. I'd keep my fingers crossed and do another round of the meniscal treatment technique as you did already. For myself, I expect a near full resolution within 2 weeks from starting the therapies (with twice a week rehab sessions - the distraction/rotation technique + laser or ultrasound and/or other modalities (PEMF for cartilage, E-stim for muscle atrophy, swelling reduction, & pain relief) or other services (i.e. acupuncture) that might benefit the stifle.)With less confidence in your manual technique, I'd give it 3 weeks for resolution. The longest I've waited was 4 weeks, but mostly because the owners needed some extra time to come to terms with their dog needing surgery.I have felt substantial clicking/clunking turn to a soft click and then resolve fully or remain (but not seem to affect function). Biomechanically speaking, as to what 'exactly' might be causing the soft click, I cannot say for certain. It would be a fascinating thing to MRI through!!All the best!Laurie Update and a question-The day I did the McMurray on this boy I also did distraction and twisting and he seemed more comfortable in extension at the end of his visit but still very lame. I saw him back today and he is much more comfortable and ~ 40 % weight bearing. His McMurray was not positive today but he does still have a pop sensation medially that I can feel when I extend his knee. Is this what I should expect if his meniscus flipped back? If so what could the pop be?If the meniscus flipped back how quickly should I expect him to progress? If he's not progressing well when do you decide that surgery should be considered? Thanks for any help. I find this all very interesting and exciting! Falch, DVM Liz,While I agree that you should be gentle and careful - because it is likely to be painful if a meniscal lesion is present. The testing would not damage the meniscus or cruciate unless you really took a run at it from across the room with these techniques. LaurieLaurie Edge-, BScPT, MAnimSt(Animal Physio), CAFCI, CCRTCo-Owner, The Canine Fitness Centre Ltd.Calgary, AB, Canadawww.caninefitness.comCEO,Four Leg Rehab Inc. www.fourleg.comPast-Chair,The Animal Rehab DivisionThe Canadian Physiotherapy Associationwww.animalptcanada.com Instructor,The Canine Rehab Institutewww.caninerehabinstitute.comGuest Lecturer, Faculty of Veterinary MedicineThe University of Calgarywww.vet.ucalgary.caVice-President,International Association of Physical Therapists in Animal Practice World Confederation for Physical Therapywww.wcpt.org There is not really an end feel involved with the McMurray test. The key is to feel what is happening to the joint during the extension while palpating near the appropriate meniscus. The test involves testing the medial and lateral meniscus, and a VERY GENTLE varus stress is imposed with internal rotation to test the lateral meniscus, and a VERY GENTLE valgus is imposed with external rotation to test the medial meniscus. Both of these VERY GENTLE!!!! forces are imposed while also extending the stifle. The int/ext rotation of the tibia is done via the hock. This is a test that I would only do if you were very gentle and really knew what you were doing, as it would be possible to damage an already compromised meniscus and cruciate (and/or collateral) ligaments as well. Liz Powers, MPT, CCRT > > > I have a 31# dog who is 3 weeks out on a lateral suture repair for a torn ACL. He had been doing great - > 50 % WB at 2 weeks! Today he came in toe touching lame on the leg - occurred acutely several days ago. His owner came home and found him that way. On exam he has no drawer. He really resists extension of the knee. I can feel a slight pop medially at the joint line near the end of extension. He does not show more pain when I'm feeling the pop. I did the McMurray test and he has some pain on extension with internal rotation ( about the same as normal extension) and has a empty end feel with extension and external rotation. > > > > Questions: Am I right in thinking that I am testing the caudal pole of the lateral meniscus when I am rotating externally? > > > > If so does it sound like this is a mensicle tear? I feel a small pop medially (no sound) but only get the empty end feel with external rotation. > > > > If this doesn't sound like a meniscus any other thoughts on what might be going on? > > Thanks for any help. > > > > Falch, DVM > > > > > > Laurie Edge-, BScPT, MAnimSt(Animal Physio), CAFCI, CCRT > > Co-Owner, > The Canine Fitness Centre Ltd. > Calgary, AB, Canada > www.caninefitness.com > > CEO, > Four Leg Rehab Inc. > www.fourleg.com > > Past-Chair, > The Animal Rehab Division > The Canadian Physiotherapy Association > www.animalptcanada.com > > Instructor, > The Canine Rehab Institute > www.caninerehabinstitute.com > > Guest Lecturer, > Faculty of Veterinary Medicine > The University of Calgary > www.vet.ucalgary.ca > > Vice-President, > International Association of Physical Therapists in Animal Practice > World Confederation for Physical Therapy > www.wcpt.org > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 9, 2012 Report Share Posted April 9, 2012 Hi Laurie, Would you mind describing the distraction/rotation technique you are referrring to? Thanks, Franzini CVT,CCRP Re: McMurray test Hey , You're dog's improvement sounds promising. I'd keep my fingers crossed and do another round of the meniscal treatment technique as you did already. For myself, I expect a near full resolution within 2 weeks from starting the therapies (with twice a week rehab sessions - the distraction/rotation technique + laser or ultrasound and/or other modalities (PEMF for cartilage, E-stim for muscle atrophy, swelling reduction, & pain relief) or other services (i.e. acupuncture) that might benefit the stifle.) With less confidence in your manual technique, I'd give it 3 weeks for resolution. The longest I've waited was 4 weeks, but mostly because the owners needed some extra time to come to terms with their dog needing surgery. I have felt substantial clicking/clunking turn to a soft click and then resolve fully or remain (but not seem to affect function). Biomechanical ly speaking, as to what 'exactly' might be causing the soft click, I cannot say for certain. It would be a fascinating thing to MRI through!! All the best! Laurie Update and a question- The day I did the McMurray on this boy I also did distraction and twisting and he seemed more comfortable in extension at the end of his visit but still very lame. I saw him back today and he is much more comfortable and ~ 40 % weight bearing. His McMurray was not positive today but he does still have a pop sensation medially that I can feel when I extend his knee. Is this what I should expect if his meniscus flipped back? If so what could the pop be? If the meniscus flipped back how quickly should I expect him to progress? If he's not progressing well when do you decide that surgery should be considered? Thanks for any help. I find this all very interesting and exciting! Falch, DVM Liz, While I agree that you should be gentle and careful - because it is likely to be painful if a meniscal lesion is present. The testing would not damage the meniscus or cruciate unless you really took a run at it from across the room with these techniques. Laurie Laurie Edge-, BScPT, MAnimSt(Animal Physio), CAFCI, CCRT Co-Owner, The Canine Fitness Centre Ltd. Calgary, AB, Canada www.caninefitness.com CEO, Four Leg Rehab Inc. www.fourleg.com Past-Chair, The Animal Rehab Division The Canadian Physiotherapy Association www.animalptcanada.com Instructor, The Canine Rehab Institute www.caninerehabinstitute.com Guest Lecturer, Faculty of Veterinary Medicine The University of Calgary www.vet.ucalgary.ca Vice-President, International Association of Physical Therapists in Animal Practice World Confederation for Physical Therapy www.wcpt.org There is not really an end feel involved with the McMurray test. The key is to feel what is happening to the joint during the extension while palpating near the appropriate meniscus. The test involves testing the medial and lateral meniscus, and a VERY GENTLE varus stress is imposed with internal rotation to test the lateral meniscus, and a VERY GENTLE valgus is imposed with external rotation to test the medial meniscus. Both of these VERY GENTLE!!!! forces are imposed while also extending the stifle. The int/ext rotation of the tibia is done via the hock. This is a test that I would only do if you were very gentle and really knew what you were doing, as it would be possible to damage an already compromised meniscus and cruciate (and/or collateral) ligaments as well. Liz Powers, MPT, CCRT > > > I have a 31# dog who is 3 weeks out on a lateral suture repair for a torn ACL. He had been doing great - > 50 % WB at 2 weeks! Today he came in toe touching lame on the leg - occurred acutely several days ago. His owner came home and found him that way. On exam he has no drawer. He really resists extension of the knee. I can feel a slight pop medially at the joint line near the end of extension. He does not show more pain when I'm feeling the pop. I did the McMurray test and he has some pain on extension with internal rotation ( about the same as normal extension) and has a empty end feel with extension and external rotation. > > > > Questions: Am I right in thinking that I am testing the caudal pole of the lateral meniscus when I am rotating externally? > > > > If so does it sound like this is a mensicle tear? I feel a small pop medially (no sound) but only get the empty end feel with external rotation. > > > > If this doesn't sound like a meniscus any other thoughts on what might be going on? > > Thanks for any help. > > > > Falch, DVM > > > > > > Laurie Edge-, BScPT, MAnimSt(Animal Physio), CAFCI, CCRT > > Co-Owner, > The Canine Fitness Centre Ltd. > Calgary, AB, Canada > www.caninefitness.com > > CEO, > Four Leg Rehab Inc. > www.fourleg.com > > Past-Chair, > The Animal Rehab Division > The Canadian Physiotherapy Association > www.animalptcanada.com > > Instructor, > The Canine Rehab Institute > www.caninerehabinstitute.com > > Guest Lecturer, > Faculty of Veterinary Medicine > The University of Calgary > www.vet.ucalgary.ca > > Vice-President, > International Association of Physical Therapists in Animal Practice > World Confederation for Physical Therapy > www.wcpt.org > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 9, 2012 Report Share Posted April 9, 2012 Hi ,It is basically a treatment technique modified from what we do with humans for a presumed meniscal lesion.Essentially, you start with the stifle in some degree of comfortable flexion (usually mid-range), you distract the joint (stabilize the distal femur - hang on, and pull down the length of the tibia via the tarsus), and then you add rotation while you extend and then flex the stifle as you maintain the distraction. Sounds easier than it actually is... it's really quite difficult to get it all coordinated together. It's much better to see and be taught it in person I'm afraid. And even then, it takes a good deal of practice to turn it into an 'art'!!Laurie Hi Laurie, Would you mind describing the distraction/rotation technique you are referrring to? Thanks, Franzini CVT,CCRP Re: McMurray test Hey , You're dog's improvement sounds promising. I'd keep my fingers crossed and do another round of the meniscal treatment technique as you did already. For myself, I expect a near full resolution within 2 weeks from starting the therapies (with twice a week rehab sessions - the distraction/rotation technique + laser or ultrasound and/or other modalities (PEMF for cartilage, E-stim for muscle atrophy, swelling reduction, & pain relief) or other services (i.e. acupuncture) that might benefit the stifle.) With less confidence in your manual technique, I'd give it 3 weeks for resolution. The longest I've waited was 4 weeks, but mostly because the owners needed some extra time to come to terms with their dog needing surgery. I have felt substantial clicking/clunking turn to a soft click and then resolve fully or remain (but not seem to affect function). Biomechanical ly speaking, as to what 'exactly' might be causing the soft click, I cannot say for certain. It would be a fascinating thing to MRI through!! All the best! Laurie Update and a question- The day I did the McMurray on this boy I also did distraction and twisting and he seemed more comfortable in extension at the end of his visit but still very lame. I saw him back today and he is much more comfortable and ~ 40 % weight bearing. His McMurray was not positive today but he does still have a pop sensation medially that I can feel when I extend his knee. Is this what I should expect if his meniscus flipped back? If so what could the pop be? If the meniscus flipped back how quickly should I expect him to progress? If he's not progressing well when do you decide that surgery should be considered? Thanks for any help. I find this all very interesting and exciting! Falch, DVM Liz, While I agree that you should be gentle and careful - because it is likely to be painful if a meniscal lesion is present. The testing would not damage the meniscus or cruciate unless you really took a run at it from across the room with these techniques. Laurie Laurie Edge-, BScPT, MAnimSt(Animal Physio), CAFCI, CCRT Co-Owner, The Canine Fitness Centre Ltd. Calgary, AB, Canada www.caninefitness.com CEO, Four Leg Rehab Inc. www.fourleg.com Past-Chair, The Animal Rehab Division The Canadian Physiotherapy Association www.animalptcanada.com Instructor, The Canine Rehab Institute www.caninerehabinstitute.com Guest Lecturer, Faculty of Veterinary Medicine The University of Calgary www.vet.ucalgary.ca Vice-President, International Association of Physical Therapists in Animal Practice World Confederation for Physical Therapy www.wcpt.org There is not really an end feel involved with the McMurray test. The key is to feel what is happening to the joint during the extension while palpating near the appropriate meniscus. The test involves testing the medial and lateral meniscus, and a VERY GENTLE varus stress is imposed with internal rotation to test the lateral meniscus, and a VERY GENTLE valgus is imposed with external rotation to test the medial meniscus. Both of these VERY GENTLE!!!! forces are imposed while also extending the stifle. The int/ext rotation of the tibia is done via the hock. This is a test that I would only do if you were very gentle and really knew what you were doing, as it would be possible to damage an already compromised meniscus and cruciate (and/or collateral) ligaments as well. Liz Powers, MPT, CCRT > > > I have a 31# dog who is 3 weeks out on a lateral suture repair for a torn ACL. He had been doing great - > 50 % WB at 2 weeks! Today he came in toe touching lame on the leg - occurred acutely several days ago. His owner came home and found him that way. On exam he has no drawer. He really resists extension of the knee. I can feel a slight pop medially at the joint line near the end of extension. He does not show more pain when I'm feeling the pop. I did the McMurray test and he has some pain on extension with internal rotation ( about the same as normal extension) and has a empty end feel with extension and external rotation. > > > > Questions: Am I right in thinking that I am testing the caudal pole of the lateral meniscus when I am rotating externally? > > > > If so does it sound like this is a mensicle tear? I feel a small pop medially (no sound) but only get the empty end feel with external rotation. > > > > If this doesn't sound like a meniscus any other thoughts on what might be going on? > > Thanks for any help. > > > > Falch, DVM > > > > > > Laurie Edge-, BScPT, MAnimSt(Animal Physio), CAFCI, CCRT > > Co-Owner, > The Canine Fitness Centre Ltd. > Calgary, AB, Canada > www.caninefitness.com > > CEO, > Four Leg Rehab Inc. > www.fourleg.com > > Past-Chair, > The Animal Rehab Division > The Canadian Physiotherapy Association > www.animalptcanada.com > > Instructor, > The Canine Rehab Institute > www.caninerehabinstitute.com > > Guest Lecturer, > Faculty of Veterinary Medicine > The University of Calgary > www.vet.ucalgary.ca > > Vice-President, > International Association of Physical Therapists in Animal Practice > World Confederation for Physical Therapy > www.wcpt.org > Quote Link to comment Share on other sites More sharing options...
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