Knee Special Tests Flashcards
McMuray Test test
(+) sign
Indication
(+) sign: snap or click when medially rotating tibia that causes pain
=loose fragment of lateral meniscus
Apley’s test
(+) sign
Indication
(+) sign = rotation + distraction causing more pain or shows increased rotation = ligamentous
(+) sign = rotation + compression causing more pain = meniscus injury
Lachman’s Test
(+) sign
Indication
(+) sign: mushy or soft end-feel
= Injury to ACL, posterior oblique ligament, or acute-popliteus complex
Anterior Drawer test
(+) sign & indication
(+) sign: tibia drawn forward more than 6mm =
- ACL injury
- Posterolateral capsule
- Posteromedial capsule
- MCL
- ITB
- Posterior Oblique ligament
- Acruate-popliteus complex
Posterior-Drawer test
(+) sign & indication
(+) sign = tibia drawn forward more than 6mm =
- PCL injury
- Arcuate-popilteus complex
- posterior-oblique ligament
- ACL
Varus Test
(+) sign & indication
(+) sign: tibia moves away from femur on lateral side
In extension: fibular or LCL, posterolateral capsule
In flexion: LCL, posterolateral capsule
Valgus Test
(+) sign & indication
(+) sign: tibia moves away from femur on medial side
In extension: MCL, posterior oblique ligament, etc
In flexion: MCL, posterior oblique ligament, etc
Lelli test
(+) sign & indications
(+) sign: pt heel does not raise off table and tibial plateau slides forward
Indication: Partially or completely torn ACL
Clarke’s sign
(+) sign & indication
(+) sign: retropatellar pain and can’t hold contraction
-problem with articulation between articular surface of patella and articular surfaces of femoral condyles
Hughston’s valgus & varus stress test for
medial instability and lateral instability (respectively)
Posterior instability tests
drawer test (posterior)
active drawer test
posterior sag
anterolateral rotary instability tests
Jerk test of Hughston
Losee test
Pivot shift test
Meniscal lesion tests
McMurrays test
Apley’s test
Ege’s test
Thessaly test
Swelling tests
Brush test
patellar tap test
patellofemoral syndrome tests
Clarke’s test
Q-angle
