assessment of the knee

Question 1

flexion ROM

Answer 1

135 deg

Question 2

extension ROM

Answer 2

0 deg

Question 3

end feel

Answer 3

flexion can be soft or firm
extension is firm

Question 4

loose packed position

Answer 4

25 deg flexion

Question 5

closed packed position

Answer 5

full extension with external rotation of tibia

Question 6

capsular pattern

Answer 6

flexion > extension

Question 7

ottawa knee rules

Answer 7

need one of the 5 after knee injury

age 55 or older
isolated tenderness of patella
tenderness of head of fibula
inability to flex to 90 deg
inability to weight bear for 4 steps

Question 8

pittsburgh knee rules

Answer 8

need one of two after blunt force trauma to knee

age < 12 or > 50
unable to walk 4 steps

Question 9

patella

Answer 9

prominent in anterior knee

Question 10

patellar ligament

Answer 10

1 inch wide band
inferior from patella

Question 11

tibial tuberosity

Answer 11

distal attachment of patellar ligament

Question 12

medial and lateral meniscus

Answer 12

soft structures in anterior joint space

Question 13

medial femoral condyle

Answer 13

bony prominence medial to patella

Question 14

adductor tubercle

Answer 14

distal bony prominence at distal adductors
proximal to medial femoral condyle

Question 15

medial collateral ligament

Answer 15

attaches to medial femoral condyle and tibial plateau
firm structure that pushes out of medial joint space

Question 16

pes anserine

Answer 16

proximal, medial slope of tibia
inferior from joint line

Question 17

lateral femoral condyle

Answer 17

bony prominence lateral to patella

Question 18

lateral collateral ligament

Answer 18

firm structure that pushes out of lateral joint space

Question 19

fibular head

Answer 19

distal and posterior to lateral femoral condyle

Question 20

gerdy’s tubercle

Answer 20

prominent bump halfway between tibial tub and fibular head

Question 21

biceps femoris tendon

Answer 21

lateral in slightly flexed knee

Question 22

semitendinosus and semimembranosus tendons

Answer 22

medial in slight knee flexion

Question 23

medial and lateral heads of gastroc

Answer 23

proximal to articular surface of medial and lateral femoral condyles

Question 24

popliteal fossa

Answer 24

space between borders

Question 25

knee flexion ROM

Answer 25

stationary arm: greater trochanter fulcrum: lateral epicondyle of knee movement arm: lateral malleolus normal flexion: 0-135 deg normal extension: 0 deg documentation 0 - 0 - 135

Question 26

knee flexion 3-5

Answer 26

prone resistance applied near ankle

Question 27

knee extension 3-5

Answer 27

seated resistance applied over mid tibia

Question 28

knee flexion 0-2

Answer 28

side lying with PT in front of pt test hip on table PT stabilizes top leg

Question 29

knee extension 0-2

Answer 29

side lying with PT behind pt test hip on table PT stabilizes top leg

Question 30

tibio femoral joint distraction

Answer 30

client's leg off side of table, knee bent 25 deg both hands on proximal tibia pull parallel to long axis of tibia

Question 31

tibiofemoral joint anterior glide

Answer 31

pull tibia anterior from femur

Question 32

tibiofemoral joint posterior glide

Answer 32

push tibia posterior from feumr

Question 33

patellofemoral superior glide

Answer 33

pt supine knee flexed 5 - 10 deg patella in web of hand and push upward

Question 34

patellofemoral infererior glide

Answer 34

pt supine knee flexed 5 - 10 deg patella in web of hand and push downward

Question 35

patellofemoral medial glide

Answer 35

pt supine knee flexed 5 - 10 deg thumbs on lateral patella and push inward

Question 36

patellofemoral lateral glide

Answer 36

pt supine knee flexed 5 - 10 deg thumbs on medial patella and push outward

Question 37

patellofemoral medial tilt

Answer 37

pt supine knee flexed 5 - 10 deg push patella laterally then push down on medial side

Question 38

q angle

Answer 38

supine and in full knee extension stationary arm: ASIS fulcrum: patella moving arm: tibial tuberosity angel greater than 10 for men and 15 for women is positive

Question 39

circumferential measurements

Answer 39

measure where the edema is measure bilaterally

Question 40

lateral pull test

Answer 40

pt supine and in full extension isometric quad contraction observe movement of patella positive: more lateral than superior

Question 41

anterior drawer

Answer 41

supine with knee flexed 90 deg and foot on table pull tibia anterior positive: soft end feel

Question 42

anteromedial instability

Answer 42

supine with knee flexed 90 deg and foot on table tibia externally rotated 15 deg pull tibia anterior positive: soft end feel

Question 43

anterolateral instability

Answer 43

supine with knee flexed 90 deg and foot on table tibia internally rotated 30 deg pull tibia anterior positive: soft end feel

Question 44

posterior drawer test

Answer 44

supine with knee flexed 90 deg and foot on table push tibia posterior positive: increased posterior translation

Question 45

valgus stress test at 30 deg knee flexion

Answer 45

supine on table with testing limb over edge and flexed to 30 deg abduct at the ankle with stabilizing the thigh

Question 46

varus stress test

Answer 46

supine on table with testing limb over edge and flexed to 30 deg adduct at the ankle with stabilizing the thigh