Knee

Question 1

Tinel’s

Answer 1

seated or supine

tap over lateral fibular head (common peroneal nerve)

Question 2

Ligament stability

Answer 2

supine

1. abduct (valgus) – MCL
2. adduct (varus) – LCL

Question 3

Drawer

Answer 3

supine with knees flexed

anterior: P-A pull – ACL
posterior: A-P push – PCL

Question 4

Slocum’s

Answer 4

“anterior drawer w/ rotation”
ACL and MCL / LCL
rotatory instability

Question 5

Lachman’s

Answer 5

supine, knee slightly flexed
stabilize femur and P-A pull on leg
(BEST ACL test)

Question 6

Fouchet’s (GRIND)

Answer 6

supine
compress patella, if no pain, rub sideways (Perkin’s sign)
CMP

Question 7

Clarke’s (COMPRESSION)

Answer 7

supine
traction patella inferior and pt contracts quads
CMP

Question 8

Ballotment

Answer 8

supine
compress patella, release (+ rebound)
Major effusion

Question 9

Patellar tap

Answer 9

supine
“milk” down to superior pole and press patella (+ feel)
Minor effusion

Question 10

Mcmurray’s

Answer 10

supine w/ hip and knee flexed (90/90 position)

1. ext rotate and extend leg – Medial Meniscus
2. intern rotate and extend leg – Lateral Meniscus

Question 11

Apley’s

Answer 11

prone w/ knee flexed
Compression: press down with rotations (twice) – Menisci
Distraction: pull up with rotations (twice) – collateral ligs

Question 12

Fairbanks
aka patella apprehension
aka knee apprehension

Answer 12

supine
knee extended, manually displace patella laterally
(look at pt’s face… + is fear)

Question 13

Ext. Post Sag Sign

Answer 13

supine

doctor lifts both legs by heels off the table , comparing knee sag (PCL)

Question 14

Sag Sign

Answer 14

supine

pt bend knees, doctor observes (PCL)

Question 15

Godfrey’s Sag Sign

Answer 15

supine

pt bends knees, doctor lifts ankles off table (PCL)