Knee Special Tests

Question 1

McMuray’s

Answer 1

SP 98, +LR 0.9

rule in meniscus

Question 2

Thessaly

Answer 2

SP 96, +LR 16
SN 89, -LR 0.11; SP 97, +LR 29
rule in or out meniscus

Question 3

ege’s

Answer 3

SP 90, +LR 6.4

rule in meniscus

Question 4

Apley’s

Answer 4

SP 93, +LR 5.9; SN 81, -LR 0.3

rule in or out meniscus

Question 5

Joint Line Tenderness

Answer 5

SN 76, -LR 0.31; SP 77, +LR 3.3

rule in meniscus

Question 6

Lachman’s

Answer 6

SN 85, -LR 0.2; SP 94, +LR 10.2

rule in or out ACL

Question 7

Anterior Drawer

Answer 7

SP 92, +LR 7.3

rule in ACL

Question 8

Pivot Shift

Answer 8

SP 98, +LR 8.5

rule in ACL

Question 9

Anterior Drawer in External Rotation

Answer 9

rule in ACL

Question 10

Anterior Drawer in Internal Rotation

Answer 10

rule in ACL

Question 11

Active Lachman’s

Answer 11

rule in ACL

Question 12

Posterior Drawer

Answer 12

SN 90, -LR 0.1; SP 99, +LR 90

rule in/out PCL

Question 13

Posterior Sag Sign (Godfrey’s)

Answer 13

SP 100, +LR 88.4

rule in PCL

Question 14

Quadriceps Active Drawer

Answer 14

SP 96, +LR 12

rule in PCL

Question 15

Reverse Pivot-Shift (post-lateral instability)

Answer 15

SP 95, +LR 4.9

rule in PCL

Question 16

Reverse Lachman’s

Answer 16

SP 89, +LR 5.6

rule in PCL

Question 17

Valgus Stress Test

Answer 17

SN 91, -LR 0.2

rule out MCL

Question 18

Varus Stress Test

Answer 18

rule in/out LCL

Question 19

Q Angle Measurement

Answer 19

SN 76, -LR 0.4; SP 63, +LR 2.1

rule in/out PFPS

Question 20

Patellar Tilt

Answer 20

SP 92, +LR 5.4

rule in PFPS

Question 21

Patella Apprehension Test

Answer 21

SN 15, -LR 1.0; SP 89, +LR 1.3

rule in PFPS

Question 22

things that rule in/out patellar femoral pain syndrome

Answer 22

pain with squatting (SN 91, -LR 0.2)
pain with stair climbing (SN 94, -LR 0.1)
pain with kneeling (SN 84, -LR 0.3)

Question 23

Resisted Knee Extension

Answer 23

SP 95, +LR 4.2
rules in PFPS
rules out patellar tendinopathy

Question 24

Compression Test

Answer 24

SN 83, -LR 1.0; SP 18, +LR 1.0

rules out PFPS

Question 25

Clarke’s Sign (knee)

Answer 25

SN 48, -LR 0.7; SP 75, +LR 1.9

rule in/out PFPS

Question 26

Eccentric Step Down Test

Answer 26

SN 42, -LR 0.7; SP 82, +LR 2.3

rule in/out PFPS

Question 27

patellar tendon palpation

Answer 27

SN 56, -LR 0.9; SP 47, +LR 1.0

rule in/out patellar tendinopathy