The Apley test is used to evaluate for meniscal pathology. The test consists of two components: the grind and the distraction. To perform this test, have the patient lie prone with her knee flexed to 90 degrees. With one hand, stabilize the patient’s thigh and with the other hand, apply a downward force at the foot or ankle while internally and externally rotating the tibia to execute the grind. Then, pull up on the tibia while internally and externally rotating the tibia to execute the distraction. The test is positive if pain on the affected side occurs during the grind and is reduced during the distraction.