Knee

Question 1

Valgus Stress Test

Answer 1

Tested @ 30 degrees Flexion: If unstable = 2nd degree
Tested @ SL: If unstable = 3rd degree
Positive: Pain or Laxity = MCL sprain

Question 2

Varus Stress Test

Answer 2

Tested @ 30 degrees Flexion: If unstable = 2nd degree
Tested @ SL: If unstable = 3rd degree
Positive: Pain or Laxity = LCL sprain

Question 3

Anterior Drawer

Answer 3

Patient Supine
Knee bent 90 degree flexion
Pull Tibia Anterior from Femur
Positive: Pain/Laxity = ACL
NOTE: REDUCE HAMSTRING INVOLVEMENT

Question 4

Lachman

Answer 4

Patient Supine
SL
Therapist places one hand on thigh while the other translation tibia
Positive: Pain/Laxity = ACL

Question 5

Posterior Sag

Answer 5

Patient Supine
Knee Flexed to 90
Observe for Posterior Sag
Positive: PCL sprain

Question 6

Posterior Drawer

Answer 6

Patient Supine
Knee flexed to 90
Translate tibia posteriorly from femur
Positive: Pain/Laxity = PCL sprain

Question 7

McMurray

Answer 7

Patient Supine
Therapist applies flexion with either internal or external rotation (followed by extension?)
Positive: Pain: Ext Rot = Medial Meniscus / Int Rot = Lateral Meniscus

Question 8

Apley’s Compression

Answer 8

Patient Prone
Knee Flexed to 90
Downward force is applied through the heel along with internal and external rotation of the tibia
Positive: Pain = Meniscus Tear

Question 9

Apley’s Distraction

Answer 9

Patient Prone
Knee Flexed to 90
Pull upward on medial malleolus
Positive: Pain - ligament or capsule injury

Question 10

Wipe

Answer 10

Patient Supine
wipe swelling medial to lateral to check for joint effusion
Positive: Wave of fluid

Question 11

Fluctuation

Answer 11

Compress skin around knee

Positive: Feel synovial fluid

Question 12

Clark

Answer 12

aka Patellar Grind
Patient supine
Translate Patella inferiorly
Active contraction of Quad
Positive: Pain

Question 13

Patellar Apprehension

Answer 13

Apply lateral pressure to patella

Positive: Pain/Apprehension