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NPTE MS > Knee Special Tests > Flashcards

Knee Special Tests Flashcards

1
Q

Collateral ligament instability tests - how to perform

A

pt is supine
Entire lower limb is supported and stabilized and knee is placed in 20-30 degrees of flexion
Valgus force placed for testing medial
Varus force placed for testing lateral

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2
Q

Lachman stress test - tests for what

A

ACL

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3
Q

Lachman stress test - how to perform

A

Pt supine with knee flexed 20-30

Stabilize femur and try to passively glide tibia ant

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4
Q

Pivot shift test - tests for

A

integrity of ACL

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5
Q

Pivot shift test - how to perform

A

Pt supine
Testing knee in ext, hip flexed and abd 30 degrees with slight IR
Hold knee with one hand and foot with the other hand
Place valgus force through knee and flex knee

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6
Q

Posterior sag test - tests for what

A

Integrity of PCL

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7
Q

Posterior sag test - how to perform

A

Pt supine
Testing hip flexed to 45 and knee to 90
Observe and see if tibia sags posteriorly

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8
Q

Posterior drawer test - tests for what

A

PCL

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9
Q

Posterior drawer test - how to perform

A

Pt supne
hip flexed 45, knee 90
Passively glide tibia posteriorly

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10
Q

Reverse Lachman - tests for what

A

PCL

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11
Q

Reverse Lachman - how to perform

A

Pt prone, knees flexed to 30

Stabilize femur and try to glide tibia post

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12
Q

McMurray’s test - tests for what

A

Meniscal tears

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13
Q

McMurray’s Test - how to perform

A

Pt supine
Testing knee in max flexion - passively IR and extend knee - lateral
medial - ER and ext

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14
Q

Apley test - tests for what

A

differentiate meniscal tear from ligamentous lesion

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15
Q

Apley test - how to perform

A

Pt prone
Testing knee flexed 90
Stabilize thigh - passively distract knee joint and slowly IR and ER tibia
Then apply compressive load to knee joint and again IR and ER

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16
Q

Apley test - findings

A

Pain or dec motion with compression - meniscal

Inc motion with distraction - ligamentous

17
Q

Hughston’s plica test - tests for what

A

dysfunction of the plica

18
Q

Hughston’s plica test - how to perform

A

Pt supine
Testing knee flexed with tibia IR
Passively glide patella medially while palpating medial femoral condyle
Feel for popping as you passively flex and extend the knee

19
Q

Patellar apprehension test - tests for what

A

Past hx of dislocation

20
Q

Patellar apprehension test - how to perform

A

Pt supine with patella passively glided laterally

21
Q

Clarke’s sign - tests for what

A

Patellofemoral dysfunction

22
Q

Clarke’s sign - how to perform

A

Pt supine with knee in extension resting on table

Push post on sup pole then ask them to contract quad

23
Q

Ballotable patella (patellar tap test) - tests for what

A

Infrapatellar effusion

24
Q

Ballotable patella (patellar tap test) - how to perform

A

Pt supine with knee in extension resting on table

Apply soft tap over central patella

25
Q

Fluctuation test - tests for what

A

Knee joint effusion

26
Q

Fluctuation test - how to perform

A

Pt supine
Knee in extension on table
Place one hand over suprapatellar pouch and other over anterior aspect of knee joint
Alternate pushing down with one hand at a time

27
Q

Q angle measurement - measurement of angle between

A

quad mm and patellar tendon

28
Q

Q angle - norm

A

13 for men

18 for women

29
Q

Noble compression test - tests for what

A

Whether distal IT band friction syndrome is present

30
Q

Noble compression test - how to perform

A

Pt supine with hip flexed 45 and knee to 90

Apply pressure to lateral femoral condyle and extend knee

31
Q

Tinels sign - tests for what

A

Fibular nerve

32
Q

Tinels sign - how to perform

A

Tap region where fibular nerve passes through posterior to fibular head

33
Q

Wilson test - tests for what

A

Osteochondritis dissecans of medial femoral condyle

34
Q

Wilson test - how to perform

A

Pt sitting on edge of table
Pt actively extends knee with medial rotation of tibia
Pos if pain present at 30 with IR but no pain at 30 with ER

NPTE MS (29 decks)

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