Knee Clinical Tests

Question 1

Mcmurray’s is useful for diagnosing anterior or posterior meniscal tears?

Answer 1

Posterior

Question 2

With mcmurray’s what maneuver do you to test medial meniscus?

Answer 2

Externally rotate tibia with valgus stress to knee

Question 3

With mcmurray’s, what maneuver do you do to test the lateral meniscus?

Answer 3

Internally rotate tibia with varus stress to knee

Question 4

What does apley’s grind test for? What does apley’s distraction test for?

Answer 4

Grind = meniscus
Distraction = MCL or LCL

Question 5

Performing anterior drawer in neutral position vs tibia rotated

Answer 5

When tibia is rotated, there should be less anterior translation of the tibia because the joint capsule tightens. So if anterior translation at neutral is same as anterior translation with rotation, there may be ACL damage

Question 6

What does the pivot shift test test for?

Answer 6

ACL injuries

Question 7

How do you do pivot shift test?

Answer 7

Internally rotate and apply valgus stress with axial load with knee extended that gently flex the knee

Question 8

What is considered a positive test for the pivot shift test

Answer 8

Anterolateral subluxation of the lateral tibial plateau