College of Massage Therapists of British Columbia (CMTBC) Practice Exam

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What is being tested when a patient's knee pain is recreated by passive flexion and compression with tibial rotation?

Popliteus
Meniscus
Joint capsule
Anterior cruciate ligament

The correct answer is: Meniscus

The correct answer relates to the mechanism of the meniscus in the knee joint. When passive flexion of the knee, combined with compression and tibial rotation, recreates the patient's knee pain, it suggests that the meniscus may be injured or compromised. The meniscus functions as a cushion between the femur and tibia, absorbing shock and stabilizing the joint. During knee flexion and rotation, especially under load, the meniscus is subject to stress and is known to be vulnerable to tears. These characteristics are particularly evident during activities that involve pivoting or sudden changes in direction, which can strain the meniscal tissue. Recreating pain through this specific combination of movements aligns with the typical presentation of meniscus injuries, as the pain usually arises from the meniscal tear when it is compressed and rotated. Symptoms often include a "catching" or "locking" sensation, which can further support the diagnosis of a meniscal issue in clinical evaluations.