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next we will the APLEY GRIND TEST. For this test, the patient is in a prone position. The knee is bent 90 degrees. The examiner pushes down on the heel and rotate foot both ways looking for pain in the knee during the movement. A positive test is produced when there is pain, clicking or restriction. Next the examiner applies her left knee at the back of the patient’s thigh. The foot is grasp in both hands, the knee is bent and rotated. An increase in pain or change in location of pain indicates ligamentous rather than meniscal pathology.