Knee Exam

Question 1

Knee Injury & OA Outcome Score (KOOS)

Answer 1

Short & long time intervals to assess treatment over the years for knee injury or OA

0= extreme problems
100= no problems

Question 2

ACL QoL

Answer 2

Best for patients following ACL injury/repair

0-100 (higher score, better)

Question 3

ACL Return to Sport

Answer 3

Best for patients following ACL injury/repair near end of rehab, considering return to sport

0-100 (higher score, better)

Question 4

LE alignment Genu Valgum

Answer 4

Possible causes: Coxa Vara &/or Excessive foot pronation
Gapping at Medial Aspect of knee
Compression at Lateral Aspect

Stretches MCL

Question 5

LE alignment Genu Varum

Answer 5

Most commonly seen with KOA
Compression at Medial Aspect of knee
Gapping at Lateral Aspect of knee

Consequence: may affect LCL, PCL

Question 6

Screen Hip and Ankle first

Answer 6

Hip: FADIR (99% sensitivity), and FABER
Ankle: AROM w/ OP (PF, DF, Inversion, Eversion)

Question 7

Ottawa Knee Decision Rule
(to refer for radiograph)

Answer 7

• age 55 y.o or older
• isolated tenderness of patella
• tenderness of head of fibula
• inability to flex to 90 deg
• inability to bear weight both immediately & in ER

Question 8

Pittsburg Knee Decision Rule
(to refer for radiograph)

Answer 8

• fall or blunt trauma MOI
• age < 12 or age > 50
• inability to walk 4 weight-bearing steps in ER

Question 9

Well’s Criteria for Deep Vein Thrombosis (DVT)

Answer 9

Following a period of bedrest/immobilization/surgery/trauma patient experiences:
-swelling in back of calf
-superficial collateral veins
-edema in back of calf
-active cancer

Question 10

What is the most important knee ROM for normal gait

Answer 10

Knee Extension!!!!

Question 11

Physical Performance Measures:
General Population

Answer 11

6 MWT
TUG
30 sec STS
SLS
Step Test
BERG

Question 12

Physical Performance Measures:
Athletic Population

Answer 12

Star Excursion
Single Leg squat
Double Leg squat

Question 13

Physical Performance Measures:
Return to Sport

Answer 13

30 second single leg squat
Star excursion
Standing long jump
Single Leg press
Isokinetic Testing
Functional Hop test

Question 14

Step Test

Answer 14

For KOA, # of steps completed in 15 seconds. Stands on limb with KOA. Quantifies balance & neuromuscular control
KOA avg = 12

Question 15

30 Second Squat Test

Answer 15

perform max # of squats to 70 deg knee flexion as possible in 30 sec. quantifies strength & neuromuscular control. 15 = nonathletic pop, 20 = athletic pop

Question 16

single leg press

Answer 16

9 months post-op
symmetrical between legs or at least 90% symmetrical

Question 17

Special Tests for Meniscal Pathology

Answer 17

McMurray’s
Apley’s
Thessaly Test
Bounce Home Test

Question 18

Clinical Predication Rule for Meniscal Pathology

Answer 18

-history of catching/locking reported by patient
-joint line tenderness
-Pain w/ forced hyperextension (bounce home)
-Pain w/ max knee flexion
-pain or audible click w/ McMurray

Question 19

Special Tests for ACL Tears

Answer 19

Lachmans
Anterior Drawer
Pivot-Shift

Question 20

Special Tests for PCL Tears

Answer 20

Posterior Drawer
Posterior Sag Sign/Godfrey’s
Active Drawer Test

Question 21

Special Test for MCL Tears

Answer 21

Valgus Stress Test
Palpation of MCL

Question 22

Special Tests for LCL Tears

Answer 22

Varus Stress Test
Palpation of LCL

Question 23

Dial Test

Answer 23

Asymmetry at 30 = Posterolateral Corner
Assym at 90 = Posterior Collateral Ligament
Assym at 30 & 90 = Both

Question 24

Patellofemoral Pain Syndrome Tests

Answer 24

-Pain during Functional Activities(squatting, stair climbing, kneeling)
-Resisted Knee Extension
-Eccentric Step Down
Cluster Testing (Pain w/ resisted Knee Ext AND Pain w/ squatting)

(+) = reporting pain during one of activities

Question 25

Patellofemoral Instability Tests

Answer 25

Patellar Apprehension

Question 26

ITB Syndrome Tests

Answer 26

Noble Compression Test

Question 27

Test for Knee Swelling

Answer 27

Brush/Sweep/Stroke Test