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MSK basics > Knee 3 - tests and measures > Flashcards

Knee 3 - tests and measures Flashcards

1
Q

what are the two tests for ACL injuries

A

anterior drawer test

lachmans

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2
Q

what is the number one test for ACL

A

lachmans

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3
Q

what is the position of the knee for lachmans test

A

30-deg of flexion

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4
Q

what kind of end feel should the patient have a negative lachmans

A

hard firm stop

firm end feel

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5
Q

what is a positive lachmans test

A

anteriorn translation of the tibia beyond the femur with a mushy soft end feel

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6
Q

what is the position of the patient for anterior drawer

A

knee in 90-deg of flexion

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7
Q

for the anterior drawer where should the thumbs be placed

A

in the joint line

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8
Q

what is a negative anterior drawer

A

clear firm stop

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9
Q

what is a postive anterior drawer test

A

increased anterior translation of the tibia and soft end feel

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10
Q

the anterior drawer primary test what bundle of the ACL

A

Primarily tests anteromedial bundle

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11
Q

what are the test for PCL

A

posterior drawer test

posterior stag sign

quad active

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12
Q

what is a positive test for the posterior drawer test

A

excessive posterior translation and/or a soft end-feel

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13
Q

what is the procedure for the posteior sag sign

A

the patients knees are supported and flexed to 90-deg

you have to make sure that the quads are relaxed

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14
Q

what is the a positive test for a posterior sag sign

A

the anterior aspect of the tibia appear to sag

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15
Q

what is the procedure for the qaud active test

A
  • Patient will lie supine
  • Hip flexed to 45°
  • Knee flexed to 90°

PT sit on the patient foor

ask the patient to perform an isometric quad contraction

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16
Q

what is a positive test for the quad active test

A

the tibia should sag posteriorly

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17
Q

what is a negative test for the quad active test

A

clear stop

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18
Q

what is a test for the posterior lateral corner

A

the dial test

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19
Q

what is the position for the dial test

A

pt prone

knee flexed to 90 and 30

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20
Q

what is the procedure for the dial test

A

knee 30 - both

knee 90 - just posterior lateral corner

ER the foot

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21
Q

dial test - what is just isolated posterior lateral corner

A

ER difference of 15-deg at 30 but not 90

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22
Q

dial test - what is both PCL and posterior lateral corner

A

ER difference of 15-deg seen at both 30 and 90

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23
Q

what are the tests for MCL

A

palpation

valgus test

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24
Q

what is the procedure for the valgus test test

A

pt supine
knee is flexed 20-30

valgus stress is a applied at the joint line

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25
Q

what is the open packed position of the tib femoral

A

30-deg of felxion

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26
Q

what is a positive valgus test

A

the presence of laxity or pain

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27
Q

what are we expectiving with palpation of the MCL

A

tenderness of the tendon

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28
Q

what are the tests for OA

A

palpation

ROM

strength testing

functional testing

apley’s

mcmurty’s

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29
Q

OA what do we expect to with palpation

A

bony enlargement

joint line tenderness

30
Q

OA what do we expect with ROM

A

capsular pattern

Flex > ext

31
Q

what strength deficts do we expect to see with OA

A

quads

hamstrings

hip - compensations

32
Q

what functional activites do those with OA present with

A

stairs

transfers

lifting

kneeling

33
Q

what is the rule to rule in or out a men tear

A
  1. report of catching or locking
  2. joint line tenderness
  3. pain with forced hyperextension
  4. pain with max flexion
  5. pain or audible click with McMurray’s
34
Q

what is the precentage for 3 positive test my the men cluster

A

> /= 3 90.2

35
Q

what are all of the test for men injury

A

ROM

functional

palpation - joint line

strengthing

McMurty’s

apley’s comprssion and distraction

extension/flexion overpressure

thessaly’s test

36
Q

what ROM impairment do we expect with Men injury

A

flex or ext present with limited ROM

37
Q

functional issues with men

A

deep squatting and pain with hyper flexion

38
Q

what should you palpate for an men injury

A

palpate the joint line when the patient is supine with their knee bent to 90-deg

39
Q

what should we see with palaption of the joint line with men issue

A

presence of pain or tenderness

40
Q

what strength testing can you do to test the men

A

quad inhibition

has for a qua set:
uninvolved side is fine

involved side - delayed with not much of a contraction

41
Q

what is the procedure for McMurty’s

A

patient is supine with knee fully flexed

grasp the ankle of the knee

thumb over the lateral joint line

middle finger over the medial joint line

knee is maximally flexed and IR/ER and then is slowly extended

42
Q

for McMurty’s why do you turn the leg in for IR and ER

A

ER - medial men

IR - lateral men

43
Q

what is a positive McMurty’s test

A

a click or an audible snap

usually accompanied by pain

44
Q

what is the procedure for apley’s compression/ distraction

A

pt is prone
knee is flexed to 90-deg

examiner applies a compressive force through the tibia
medialy and laterally rotates the tibia (compression)

applies a distractive force through the tibia
medialy and laterally rotates the tibia
(distraction)

45
Q

what is a postive apley’s compression test

A

pain

46
Q

what is a postive apley’s distraction test

A

pain reduction

if there is pain this indicates capsuloligamentous structures

47
Q

what is the procedure for extension over pressure

A

pt supine

the examiner grasps the femur superior to the patella and provides a postereior directed force into ext

PT graspsthe great toe of the same limb and pulls the heel off the table

48
Q

what is a positive test for extension overpressure

A

Pain

or

Differences in range of motion.

49
Q

what is the procedure for the flexion over pressure test

A

the patient is supine

bring the knee into full flexion and notes the patient pain status

50
Q

what is a positive over pressure test

A

pain

51
Q

what is the procedure for thessly test

A

the patient stands on the involved leg 5-deg and 20 deg of knee flex

hold the PT hands for support

pt rotates there body medially and laterally causing rotation of the knee

52
Q

what is the tests for PFPS

A

pain with functional activities

patella tilt test

assessment for the need for tapping

53
Q

what is the type of tapping we can do for PFPS

A

medial glide

medial tilt

medial rotation

54
Q

what are some test for patellar instability

A

bruising and swelling

patellar apprehension

moving patellar apprehension

55
Q

sitting - need for patella taping procedure

A

pt is sitting

MMT the quads at different angles

looking for pain

medially glide the patella and reset - trying to see if the glide reduces the pt’s symtoms

56
Q

step down - taping procedure

A

pt standing on a 8’ block

standing on the involved leg
opposite limb in front of them

pain on the first rep - note the angle of the knee that the pain is present

no pain on the first rep - have then perform additional reps until there is pain reproduced

apply tape or manually glide the patella and re-try - medial glide

57
Q

medial glide of tape is for what

A

correction of later displacement

58
Q

what is medial tilt with tape for

A

correction of lateral compression

59
Q

what is medial rot taping for

A

correction of excessive lateral rot

60
Q

what is the procedure for the patellar apprehension test

A

pt knee in 30-deg of flex

PT apply pressure to the medial patella forcing a lateral glide of the patella

61
Q

what is a positive patellar apprehension test

A

quad activation and/or signs of apprehension

empty endfeel

quad activation - flex the knee and try to get it away

62
Q

what is the procedure for the moving patellar test

A

pt is supine with their knee off of the table

1 - knee in full ext and the patella is moved laterally, flexed to 90 and brought back to full extension

2- the same procedure is performed but with a medial glide

63
Q

what is a positive test for a mobing patellar test

A

sign of apprehension
and/or
quad contraction during part 1 and not part 2

64
Q

what tests can we do for IT band syndrome

A

nobels

TTP of gerbys of the femoral condyle

65
Q

what is the procedure for noble

A

pt supine with knee flexed to 90

apply pressure over the lateral femoral condyle and

passivly extend the knee

66
Q

what is a postive noble test

A
  • Lateral knee pain, usually around 30°
67
Q

what is the procedure for the royal london hospital test

A

short sitting

  • Knee fully extended – palpate to find the most tender location
  • Flex the knee to 90° and palpate again
68
Q

what is a positive test for royal london hosipital test

A

decrease or absence of pain with the knee flexed

69
Q

what is the single-leg decline sqaut test for

A

patellar tendinopathy

70
Q

what is the procedure for the single-leg decline sqaut test for

A

Standing on a 25-30° slant board on a single-leg, trunk upright

the PT instructs the patient to squat down to 60-deg or as low as the pain will allow and then return to the starting position

MSK basics (20 decks)

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