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Clinical Assessment Special Tests > Knee > Flashcards

Knee Flashcards

1
Q

4 Knee functional movement

A

Flexion
Extension
IR
ER

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2
Q

Valgus Stress Test

A

Joint Stability (ligament test)

Tests for...
1.Medial Collateral Ligament 
(Anterior superficial fibre - Knee slightly flexed)
2. Posteromedial capsule
(Knee extended)

Positive

  1. Pain
  2. Increase joint opening
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3
Q

Varus Stress Test

A

Joint stability (ligament) test

  1. Lateral collateral Ligament
  2. Posterolateral Capsule
  3. Occasionally Biceps femoris & IT band

Positive

  1. Pain
  2. Increase joint opening

Knee extended- pasterolateral capsule, Lateral collateral lig, biceps
Knee slightly flexed- Lateral collateral lig, It band

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4
Q

Apley’s Distraction test

A

BL collateral Ligament

Px- Prone
Th- 1. Distract - Pull up (Lift up) grab above malleoli
2. Rotate

Positive - Pain

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5
Q

Anterior Drawer Test

A

Anterior Cruciates Ligament

** Before this Test, Do Sag Sign!!!

Px- Hook-lying
Th- Sit on Px’s foot and Draw tibia forward

Positive

  1. Pain
  2. Increase movement
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6
Q

Sag Sign (gravity draw test)

A

Posterior Cruciate Ligament (PCL)

Px- Supine with hip and knee flexed
Th- See if the tibial Tuberosity visible and sagged(BL)

*Rule out to the PCL prior to testing ALC

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7
Q

Posterior drawer test

A

The integrity of the PCL

Px- Supine
Th- sit on the foot and move backward

Positive

  1. Pain
  2. Increase movement
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8
Q

Lachlan’s test

A

Tests the integrity of ACL

Px- Supine
Th- Femur stabilizing with one hand / other move proximal tibia forward

Positive

  1. Pain
  2. Increase movement
  3. Soft mushy end feel
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9
Q

Meniscus attachment site

A

Medial meniscus

  • att to the tibial plateau via small coronary lig
  • att to the medial collateral lig

Lateral meniscus

  • att to the edge of the tibial plateau via coronary lig
  • Popliteus but NOT to the lateral collateral lig
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10
Q

McMurray’s meniscus test

A

Posterior horns of meniscus

Px- Supine
Th-
1. grasp px’s heel and around knee
2. Fully Flex the knee - Rotate tibia IR and ER
3. Extend Knee (almost full) Tibia Externally extend - Valgus
Tibia internally rotate- Varus

Tibia ER- Valgus
Tibia IR- Varus

Heel IN/Push IN - Medial meniscus
Heel OUT/Push OUT - Lateral meniscus

Positive

  1. Pain
  2. Audible click
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11
Q

Apley’s compression test

A

Miniscus Test

Px - Prone and Flexed at knee
Th - Push down and IR/ER

Positive

  1. Pain
  2. Click
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12
Q

Bounce Home Test

A

Meniscus test

Px- Supine
Th- Flex the px’s knee up and possibly extend (fully Let Go)

Positive

  1. Knee stops short
  2. Rubbery resistance
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13
Q

Patella Femoral grinding (Clarke’s sign)

A

Chondromalacia patella (softness of the articulate cartilage)

Positive

  1. Pain in large% with NO S/S
  2. Palpable crepitus
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14
Q

Patella Femoral Compression Test

A

Patellofemoral Pain Syndrome
Quality of the articulate cartilage b/w the posterior aspect of patella and femoral condyles

Px- high seated and knee extended
Th- push the patella posteriorly against the Femoral condyle
- Repeat at 30, 60,90 degree of FL

Positive - Pain

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15
Q

Patellar Apprehension Sign/ Test

A

Patella dislocation/subluxations

Px- supine and knee FL 30 degree
Th- Push patellar Laterally (slowly and carefully)

Positive

  1. Px Apprehension
  2. Cotracting the quads to patella back in alignment
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16
Q

Noble Compression Test

A

IT Band Friction Syndrome (runner’s knee)

Px- Supine with knee and hip extended
Th- Applied pressure just proximal to the lateral epicondyle while the knee actively / possibly EX/ FL

Positive
1. Pain at 30degree (FL) at point specific @ proximal lateral epicondyle

17
Q

3 Collateral Ligament special test

A
  1. Valgus stress test
  2. Varus stress test
  3. Apley’s distraction test
18
Q

4 Cruciates ligament special test (ACL/PCL)

A
  1. Anterior drawer test
  2. Sag Sign (gravity draw test - PCL)
  3. Posterior drawer test
  4. Lachman’s test (ACL)
19
Q

3 Meniscal Special Tests

A
  1. McMurray’s meniscal test
  2. Apley’s compression test
  3. Bounce home test (trust test)
20
Q

4 Patellar Tests

A
  1. Patellar femoral grinding test (Clarke’s sign)
  2. Patella femoral compression test
  3. Patella apprehension sign/test
  4. Noble compression test

Clinical Assessment Special Tests (10 decks)

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