Knee Special Testing Flashcards
Why is rotation of the lower limb in VALGUS TEST important?
uncoils the cruciate ligaments and allows the max amt of stress to be placed on the collateral ligaments
How many degrees for the bent VALGUS TEST?
20-30 degrees of FLEXION
Why VALGUS STRESS TEST with a bent knee?
to decomission the ACL/PCL which would support the knee against lateral or medial stress tests
As a ‘note’ the disruption of this ligament would cause _________.
rotational instabilities
How is the VARUS STRESS TEST conducted?
Same as with VALGUS, but push on medial ligament, also retest.
With ROTATIONAL INSTABILITIES which is the greater contributor to instability MCL or LCL?
MCL
VALGUS tests for _______, while VARUS tests for _______
MCL
LCL
Lateral Collateral Ligament is tested with
VARUS STRESS TEST
Medial Collateral Ligament is tested with
VALGUS STRESS TEST
2 Tests for ACL injury
Lachman
Anterior Drawer Test
At what degrees should the knee be positioned in order to test for LACHMAN
BETWEEN full extension and 30 degree flexion
QUICK description of LACHMAN
stabilize FEMOR with one hand and pull proximal TIBIA FORWARD with the other hand
What is considered positive with the LACHMAN test?
looser - than the healthy knee, so the tibia can be moved more anteriorly
OR
pain
False positive LACHMAN when?
PCL torn. Posterior sag. Man faengt schon weiter hinten an.
LACHMAN Modification 1
Patient sits on side of table same handling with hands