EAS Journal of Orthopaedic and Physiotherapy Abbreviated Key Title: EAS J Orthop Physiother ISSN 2663-0974 (Print) | ISSN 2663-8320 (Online) Published By East African Scholars Publisher, Kenya Volume-4 | Issue-5 | Nov-Dec, 2022 | DOI: 10.36349/easjop.2022.v04i05.002 *Corresponding Author: Dr. Md. Muag Bin Jabal 35 Assistant Professor, Department of Orthopaedics, Bangabandhu Sheikh Mujib Medical College, Faridpur, Bangladesh Original Research Article Assess Clinical Improvement Regarding Joint Line Tenderness and Childress’ Test (Duck Walk Test) after Arthroscopic Partial Meniscectomy in a Tertiary Care Hospital Dr. Md. Muag Bin Jabal 1* , Dr. Md. Mohiuddin Aslam 2 , Dr. Md. Amirul Islam 3 , Dr. Md. Mizanur Rahman 4 Dr. Md. Shamimul Kabir 5 1 Assistant Professor, Department of Orthopaedics, Bangabandhu Sheikh Mujib Medical College, Faridpur, Bangladesh 2 Assistant Professor, Shaheed Ziaur Rahman Medical College, Bogura, Bangladesh 3 RS casualty, Sher-e-Bangla Medical College, Barisal, Bangladesh 4 Assistant Professor, Department of Orthopaedics, Bangabandhu Sheikh Mujib Medical College, Faridpur, Bangladesh 5 Junior Consultant, National Institute of Traumatology and Orthopaedic Rehabilitation, Dhaka, Bangladesh Article History Received: 15.10.2022 Accepted: 23.11.2022 Published: 29.11.2022 Journal homepage: https://www.easpublisher.com Quick Response Code Abstract: Background: Clinical weight bearing provocation tests, like to determine the sensitivity and specificity of the childress’ test (duck walk test) and joint line tenderness in diagnosing meniscal tears and to determine whether the location of tear and severity of injury is important. However, evidence of the diagnostic accuracy of the childress’ test (duck walk test) and joint line tenderness test are lacking and the cause of tear (traumatic versus degenerative), and ACL insufficiency were associated with differences in the sensitivity and specificity of the test. Objectives: The aim of this study was to assess the clinical improvement regarding joint line tenderness and childress’ test (duck walk test) in a tertiary care hospital. Methods: This is a prospective interventional study. The study used to be carried out in the admitted patient’s Department of Orthopedic, National Institute of Traumatology and Orthopedic Rehabilitation (NITOR) Sher-E-Bangla Nagar, Dhaka, Bangladesh. In Bangladesh for the duration of the period from January 2013 to December 2014. Results: This study conducted on 20 patients aged 16 to 40 years, Childress test (Duck walk test) was positive in case of 80% patients and post operatively the test became negative in all patients Out of 20 patients 90% regained normal to near- normal knee function and stability after surgery. Pain and swelling were also significantly reduced. Conclusions: Meniscus injury frequently takes place in young adult population who are very active, which reduces their endeavor level and ultimately become an economic burden. So, early intervention and partial meniscectomy, which offers very accurate momentary result, is imperative to make them healthy and return to their normal activity. Keywords: Childress test (Duck walk test); medial meniscal tears; Arthroscopic Partial Meniscectomy. Copyright © 2022 The Author(s): This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY-NC 4.0) which permits unrestricted use, distribution, and reproduction in any medium for non-commercial use provided the original author and source are credited. INTRODUCTION Meniscal tears appear commonly, and but the specific clinical diagnosis of the tear is no longer constantly possible, even for the experienced orthopedic surgeon. A thorough patient records and physical examination are fundamental for the analysis of meniscal disease. The diagnosis can be made accurately 75% of the time on the foundation of records taking alone [1, 2]. In addition to a cautiously taken history, the physical examination stays the popular approach for affirmation of a meniscal tear. Various physical diagnostic assessments are accessible to verify meniscal lesions, such as comparison of joint effusion and joint line tenderness, the McMurray test, the Apley compression test, the squat test and block to extension [3-5]. Fowler and Lubliner [6] informed that the McMurray test is particularly particular in detecting pathologic menisci when combined with a block to extension. However, different research exhibits the limitations of the McMurray test [7, 8]. The Apley compression and distraction tests correlate poorly with meniscal lesions [9, 10]. The squat test is the most beneficial provocative manoeuver to distinguish meniscal pain from patello- femoral pain. Joint line tenderness is the most correct medical signal of a meniscal tear and is current in 77% to 86% of the instances [11, 12].