Knee Tests Flashcards

1
Q

patient lies supine with legs straight. doctor stabilizes the medial ankle and pushes lateral to medial at the knee

A

abduction (valgus) stress test

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2
Q

which ligament is being tested with the abduction (valgus) stress test

A

MCL

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3
Q

patient lies supine with legs straight. doctor stabilizes the lateral ankle and pushes medial to lateral at the knee

A

adduction (varus) stress test

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4
Q

which ligament is being tested with adduction (varus) stress test

A

LCL

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5
Q

patient lies prone with knees flexed at 90 degrees and doctor grasps the foot, pushes down and then medially and laterally rotates the foot

A

apley’s compression test

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6
Q

patient lies supine with the leg straight. the doctor pushes down on the patella and moves it lateral and medial, palpating for motion

A

patella ballottement test

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7
Q

positive patella ballottement test

A
  • patella is slow to return to resting position
  • there is increased patella movement
  • patella feels “spongy”
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8
Q

a positive ballottement test indicates

A

retropatellar effusion or intra-articular knee swelling

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9
Q

patient lies supine. doctor lifts the leg and bends the knee to 20 degrees. the doctor then allows the knee to drop into full extension

A

bounce home test

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10
Q

positive bounce home test

A

knee pain or inability to fully extend the knee

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11
Q

what could a positive bounce home test indicate

A

meniscal tear

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12
Q

the patient lies supine and the doctor applies S-I pressure on the top of the patella. the patient then contracts the quadeiceps

A

clarke’s sign

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13
Q

positive clarke’s sign

A

retroatellar pain

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14
Q

a positive clarke’s sign indicates

A

chondromalacia patella or degeneration of the patellofemoral joint

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15
Q

patient lies supine with hip and knee flexed to 90 degrees. doctors rotates the tibia internally with valgus stress while extending the leg. procedure is repeated with external rotation and varus stress.

A

McMurray sign

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16
Q

positive McMurray sign

A

pain or crepitus

17
Q

during McMurray’s when there is internal rotation and valgus stress being placed on the knee, which structure is being stressed

A

lateral meniscus

18
Q

during McMurray’s when there is external rotation and varus stress being placed on the knee, which structure is being stressed

A

medial meniscus

19
Q

which meniscal tear is more common

A

medial meniscus

20
Q

patient lies supine with hip and knee extended. doctor does adduction internal rotation, valgus stress and flexes knee

A

lateral pivot shift maneuver

21
Q

lateral pivot shift maneuver is testing which structure

A

ACL

22
Q

patient lies supine with knee flexed at 90 degrees. doctor pulls the tibia anterior and pushes posterior looking for excess motion

A

drawer test

23
Q

purpose of drawer test

A

checking for ACL or PCL stability

24
Q

drawer test with patient’s knee flexed at 25 degrees

A

lachman’s test

25
Q

which test is said to be most sensitive for testing the stability of the ACL and PCL

A

lachman’s test

26
Q

Which orthopedic test evaluates the patient for collateral ligament injuries?

A

Abduction(Valgus)/Adduction(Varus) Stress Tests

27
Q

Which orthopedic test evaluates the patient for collateral and meniscus tears?

A

Apleys

28
Q

Which orthopedic test evaluates the patient for knee joint effusion?

A

Patella Ballottement Test

29
Q

Which orthopedic test evaluates the patient for loss of passive extension that may indicate a torn meniscus?

A

Bounce Home Test

30
Q

Which orthopedic test evaluates the patient for patellar tracking disorder and or chondromalacia patellae?

A

Clarke’s Sign

31
Q

Which orthopedic test evaluates the patient for assessment of anterior and posterior cruciate ligament injury?

A

Drawer Test

32
Q

Which orthopedic test evaluates the knee with valgus stress and extension of the knee and Varus stress and extension of the knee?

A

McMurray Sign

33
Q

Which orthopedic test evaluates the knee in flexion 5o , valgus stress is applied to the knee while maintaining medial rotation torque on the tibia and ankle and the leg is then flexed 30 - 40o, the tibia reduces or jogs backward and gives the patient a “feeling of giving way”?

A

Lateral Pivot Shift

34
Q

Which orthopedic test evaluates the patient for a decreased infrapatellar tendon slope as well as an injury to the ACL?

A

Lachman?

35
Q

Which orthopedic test evaluates the patient for assessment of patellofemoral dysfunction, patella alta, subluxating patella, increased femoral anteversion, genu valgum or increased lateral tibial torsion?

A

Q-Angle Test

36
Q

A decreased q-angle suggests? Increased?

A

less than 13 suggests patellofemoral dysfunction or patella alta; great than 18 suggests patellofemoral dysfunction