Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Methods > Comp Eval: Knee > Flashcards

Comp Eval: Knee Flashcards

1
Q

6-191 Bimanual grasp/proximal tibia with knee extension; long axis distraction

A

PP: Supine, affected leg abducted off side of table, (knee slightly flexed 5-10o)
-DP: ‘Bunny hop’ position, legs grasping distal tibia above malleoli
-CH: Bilateral grasp to proximal tibia
-VEC: LAD; knees extend while pullin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

6-193 Bimanual grasp/ proximal tibia with knee extension; internal or external rotation in extension

A

PP: Supine, affected leg abducted off side of table, (knee slightly flexed 5-10o) DP: ‘Bunny hop’ position, legs grasping distal tibia above malleoli CH: Bilateral grasp to proximal tibia, internally or externally rotate VEC: Rotation with LAD extension of knees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

6-194 Hypothenar proximal tibia with leg stabilization; medial to lateral glide restriction

A

PP: Supine, hip flexed ~45o
-DP: Standing between patient’s legs with leg in axilla
-CH: Cephalad hand hypothenar/ pisiform on medial proximal tibia
-IH: Caudal hand on stabilizing proximal tibia, holding leg to torso
-VEC: M to L, shallow impulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

6-195 Hypothenar proximal tibia with leg stabilization; lateral to medial glide restriction

A

-PP: Supine, hip flexed ~45o
-DP: Standing on involved side with lateral distal tibia stabilized against axilla
-CH: Cephalad hand hypothenar/ pisiform on lateral proximal tibia
-IH: Caudal hand on stabilizing proximal tibia, holding leg to torso
-VEC: L to M, shallow impulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

6-196 Reinforced mid- hypothenar (knife edge) proximal tibia pull; posterior to anterior glide in flexion

A

PP: Prone, knee flexed just less than 90o
-DP: Standing at foot of table, pt’s foot resting on your INSIDE shoulder
-CH: bilateral knife edge to proximal tibia
-VEC: P to A; shallow impulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

6-197 Bimanual grasp distal tibia (at the ankle) with knee thigh stabilization; internal and external rotation in flexion Flex knee

A

-PP: Prone, knee flexed 90o
-DP: Side of table on affected side, knee gently on distal femur of pt
-CH: grasp distal tibia bilaterally, fingers interlaced
-VEC: Rotation; gently apply LAD and internally or externally rotate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

6-198 Bimanual web patella

A

-PP: Supine with knee in relaxed extension
-DP: On involved side of table CH: Bilateral web contact; circling patella
-VEC: Depends on dysfunction
Superior medial to inferior lateral
Superior lateral to inferior medial
Inferior medial to superior lateral
Inferior lateral to superior medial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

6-199 Index/proximal fibula, palmer ankle push; posterior to anterior glide in flexion

A

-PP: Supine, leg flexed and knee and hip
-DP: Standing cephalad on involved side
-CH: Cephalad hand index on posterior proximal fibula
-IH: Caudal hand grasps distal tibia
-VEC: P to A; IH pushes heel to buttock with slight P to A with CH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

6-200 Reinforced thumbs/ proximal fibula; anterior to posterior in flexion

A

-PP: Supine; knee bent to 90o, foot flat on table
-DP: Sit or gently kneel on pt foot for stabilization -CH: Outside hand thumb on anterior proximal fibula
-IH: Inside hand thumb reinforces CH VEC: A to P

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

6-201 Reinforced mid/hypothenar (knife edge)/proximal fibula pull; posterior to anterior glide in flexion

A

-PP: Prone, knee flexed to ~90o
-DP: At foot of table, with patient’s foot on INSIDE shoulder
-CH: Bilateral (reinforced) knife edge/ pisiform on proximal fibula
-VEC: P to A with shallow impulse thrust

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

6-202 Reinforced mid/hypothenar (knife edge) /proximal fibula push; inferior to superior glide in eversion

A

-PP: Side lying affected leg up; both knees slightly flexed
-DP: At foot of table; pt foot rests against your thigh maintaining ankle eversion
-CH: Cephalad hand knife edge on inferior fibular head
-IH: Reinforced cephalad hand in the snuff box VEC: I to S; impulse thrust

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

6-203 Reinforced mid/hypothenar (knife edge) /proximal superior fibular push; superior to inferior to glide in inversion

A

-PP: Side lying involved side up with leg resting on table with ankle off end of table so it hangs in inversion
-DP: At side of table behind facing caudal
-CH: Knife edge/pisiform on superior fibular head
-IH: reinforced in CH snuff box
-VEC: S to I; impulse thrust

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Patella Ballottement

A

• Positive: Floating sensation of the patella indicating a large amount of swelling in knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Fouchet’s Sign

A

Audible or palpable grinding or pain at margin of the patella. indicates patellar tracking disorder, peripatellar syndrome, or patellofemoral dysfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Patella Grinding Test (second part of Fouchet’s)

A

Pain under patella indicates chondromalacia patella. Pain over patella indicates prepatellar bursitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Clarke’s Sign

A

Pain in patella and/or failure to hold contraction indicates chondromalacia patella

17
Q

Patella Apprehension Test

A

Patient sensing that the patella is going to dislocate with a look of apprehension, pain or to prevent it they will contract their quad. Indicates an unstable patella possibly a shallow trochlear grove

18
Q

Drawer test of the knee

A

-Increased P to A movement compared to the normal knee is indicative of a partial or complete anterior cruciate ligament tear.

-Increased A-P is a posterior cruciate ligament tear.
-Normal motion is = 6mm

19
Q

Slocum’s

A

Excessive tibial movement and/or a soft end feel indicates a torn ACL, Posterolateral capsule, Fibular collateral ligament, IT band

20
Q

Lachman’s

A

Anterior movement of the tibia indicates a tear of the anterior cruciate ligament and posterior oblique ligament

21
Q

McMurray

A

A palpable or audible click/ snap indicates a torn meniscus. The more the knee is flexed when the pop is felt the more posterior the tear is

22
Q

Wilson’s

A

If knee locks or is painful around 30o then externally rotate. Pain disappears when the tibia is externally rotated indicates a possible Osteochondritis dissecans of the knee

23
Q

Steinmann’s

A

• If the pain moves posterior on flexion and anterior on extension, then it is a sign of a
meniscal tear
-If pain remains in one place consider coronary
ligaments damage

24
Q

Knee Adduction (Varus) and Abduction (Valgus) Stress Test

A

-Lateral knee pain or increase in movement during Varus stress indicative of a torn lateral collateral ligament.
-Medial knee pain or increase in movement during Valgus stress indicative of a torn medial collateral ligament

25
Q

Bounce Home

A

Knee does not fully extend or a rubbery end feel is felt when the knee extends or causes severe pain indicates meniscus tear

26
Q

Apley’s Compression Test

A

Apley’s grinding test: Pain or crepitus on either side of the knee indicates a meniscus injury on that side

27
Q

Apley’s Distraction Test

A

Pain indicates nonspecific ligaments injury or instability of the medial and lateral collateral ligaments

Methods (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions