Knee Tests Flashcards
patient lies supine with legs straight. doctor stabilizes the medial ankle and pushes lateral to medial at the knee
abduction (valgus) stress test
which ligament is being tested with the abduction (valgus) stress test
MCL
patient lies supine with legs straight. doctor stabilizes the lateral ankle and pushes medial to lateral at the knee
adduction (varus) stress test
which ligament is being tested with adduction (varus) stress test
LCL
patient lies prone with knees flexed at 90 degrees and doctor grasps the foot, pushes down and then medially and laterally rotates the foot
apley’s compression test
patient lies supine with the leg straight. the doctor pushes down on the patella and moves it lateral and medial, palpating for motion
patella ballottement test
positive patella ballottement test
- patella is slow to return to resting position
- there is increased patella movement
- patella feels “spongy”
a positive ballottement test indicates
retropatellar effusion or intra-articular knee swelling
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
bounce home test
positive bounce home test
knee pain or inability to fully extend the knee
what could a positive bounce home test indicate
meniscal tear
the patient lies supine and the doctor applies S-I pressure on the top of the patella. the patient then contracts the quadeiceps
clarke’s sign
positive clarke’s sign
retroatellar pain
a positive clarke’s sign indicates
chondromalacia patella or degeneration of the patellofemoral joint
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.
McMurray sign
positive McMurray sign
pain or crepitus
during McMurray’s when there is internal rotation and valgus stress being placed on the knee, which structure is being stressed
lateral meniscus
during McMurray’s when there is external rotation and varus stress being placed on the knee, which structure is being stressed
medial meniscus
which meniscal tear is more common
medial meniscus
patient lies supine with hip and knee extended. doctor does adduction internal rotation, valgus stress and flexes knee
lateral pivot shift maneuver
lateral pivot shift maneuver is testing which structure
ACL
patient lies supine with knee flexed at 90 degrees. doctor pulls the tibia anterior and pushes posterior looking for excess motion
drawer test
purpose of drawer test
checking for ACL or PCL stability
drawer test with patient’s knee flexed at 25 degrees
lachman’s test
which test is said to be most sensitive for testing the stability of the ACL and PCL
lachman’s test
Which orthopedic test evaluates the patient for collateral ligament injuries?
Abduction(Valgus)/Adduction(Varus) Stress Tests
Which orthopedic test evaluates the patient for collateral and meniscus tears?
Apleys
Which orthopedic test evaluates the patient for knee joint effusion?
Patella Ballottement Test
Which orthopedic test evaluates the patient for loss of passive extension that may indicate a torn meniscus?
Bounce Home Test
Which orthopedic test evaluates the patient for patellar tracking disorder and or chondromalacia patellae?
Clarke’s Sign
Which orthopedic test evaluates the patient for assessment of anterior and posterior cruciate ligament injury?
Drawer Test
Which orthopedic test evaluates the knee with valgus stress and extension of the knee and Varus stress and extension of the knee?
McMurray Sign
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”?
Lateral Pivot Shift
Which orthopedic test evaluates the patient for a decreased infrapatellar tendon slope as well as an injury to the ACL?
Lachman?
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?
Q-Angle Test
A decreased q-angle suggests? Increased?
less than 13 suggests patellofemoral dysfunction or patella alta; great than 18 suggests patellofemoral dysfunction
