Exam 2- Knee Tests

Question 1

Valgus stress does lateral to medial

Answer 1

Looking for MCL strain or rupture

Question 2

Virus stress push medial to lateral

Answer 2

Looking for LCL strain or rupture

Question 3

Apley’s compression test

Answer 3

Looking for meniscus tears

Internal rotation- lateral meniscus

External rotation- medial meniscus

Question 4

Patella ballottement test

Answer 4

Looking for retropatellar effusion or intraarticular knee swelling

Patella feels spongy
Increased patella movement

Question 5

Bounce home test

Answer 5

Looking for meniscal tear

There may be pain in joint or not able to extend the knee

Question 6

Clarke’s sign

Answer 6

Looking for Chondromalacia patella or degeneration of the patellofemoral joint

Retropatellar pain

Question 7

McMurray sign

Answer 7

Internally rotated and valgus stress= lateral meniscus tear

Externally rotated and virus stress= medial meniscus tear

Pain, crepitus or clicking sound

Question 8

Lateral Pivot shift maneuver

Answer 8

Looking for ACL tear

Patient feels like knee is going to pop out or give out

Question 9

Lachman test

Answer 9

Looking for sprain or rupture of ACL

Pain with normal translation- Sprain, Grade 1

Pain with increased translation- Rupture, Grade 2-3

Question 10

Drawer test

Answer 10

Looking for sprain or rupture of ACL or PCL

Pain with normal translation- Sprain

Pain with increased translation- Rupture

Question 11

Q angle test

Answer 11

An angle less than 13 suggest patellofemoral dysfunction or patella Alta

An angle greater than 18 suggests patellofemoral dysfunction or patella valgus