Knee Tests

Question 1

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

Answer 1

abduction (valgus) stress test

Question 2

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

Answer 2

MCL

Question 3

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

Answer 3

adduction (varus) stress test

Question 4

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

Answer 4

LCL

Question 5

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

Answer 5

apley’s compression test

Question 6

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

Answer 6

patella ballottement test

Question 7

positive patella ballottement test

Answer 7

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

Question 8

a positive ballottement test indicates

Answer 8

retropatellar effusion or intra-articular knee swelling

Question 9

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

Answer 9

bounce home test

Question 10

positive bounce home test

Answer 10

knee pain or inability to fully extend the knee

Question 11

what could a positive bounce home test indicate

Answer 11

meniscal tear

Question 12

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

Answer 12

clarke’s sign

Question 13

positive clarke’s sign

Answer 13

retroatellar pain

Question 14

a positive clarke’s sign indicates

Answer 14

chondromalacia patella or degeneration of the patellofemoral joint

Question 15

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.

Answer 15

McMurray sign

Question 16

positive McMurray sign

Answer 16

pain or crepitus

Question 17

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

Answer 17

lateral meniscus

Question 18

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

Answer 18

medial meniscus

Question 19

which meniscal tear is more common

Answer 19

medial meniscus

Question 20

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

Answer 20

lateral pivot shift maneuver

Question 21

lateral pivot shift maneuver is testing which structure

Answer 21

ACL

Question 22

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

Answer 22

drawer test

Question 23

purpose of drawer test

Answer 23

checking for ACL or PCL stability

Question 24

drawer test with patient’s knee flexed at 25 degrees

Answer 24

lachman’s test

Question 25

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

Answer 25

lachman's test

Question 26

Which orthopedic test evaluates the patient for collateral ligament injuries?

Answer 26

Abduction(Valgus)/Adduction(Varus) Stress Tests

Question 27

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

Answer 27

Apleys

Question 28

Which orthopedic test evaluates the patient for knee joint effusion?

Answer 28

Patella Ballottement Test

Question 29

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

Answer 29

Bounce Home Test

Question 30

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

Answer 30

Clarke's Sign

Question 31

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

Answer 31

Drawer Test

Question 32

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

Answer 32

McMurray Sign

Question 33

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”?

Answer 33

Lateral Pivot Shift

Question 34

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

Answer 34

Lachman?

Question 35

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?

Answer 35

Q-Angle Test

Question 36

A decreased q-angle suggests? Increased?

Answer 36

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