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NMS 2 Exam Two > Knee Tests > Flashcards

Knee Tests Flashcards

1
Q

procedure for Abduction (valgus) stress test

A

pt lies supine with legs straight; Dr stabilizes medial ankle and pushes knee lateral to medial

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2
Q

purpose of Abduction (valgus) stress test

A

looking for MCL strain or rupture

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3
Q

findings of Abduction (valgus) stress test

A

pain or increased motion

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4
Q

procedure for Adduction (varus) stress test

A

pt lies supine with legs straight; Dr stabilizes lateral ankle and pushes knee medial to lateral

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5
Q

purpose of Adduction (varus) stress test

A

looking for LCL strain or rupture

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6
Q

findings of Adduction (varus) stress test

A

pain or increased motion

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7
Q

procedure for Apley’s compression test

A

pt lies prone with knees flexed at 90 degrees; Dr grasps foot, pushes down, and medially and laterally rotates the foot

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8
Q

purpose of Apley’s compression test

A

looking for meniscus tears

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9
Q

findings of Apley’s compression test

A

pain with compression;
internal rotation = lateral meniscus
external rotation = medial meniscus

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10
Q

procedure for Patella ballottement test

A

pt lies supine with leg straight; Dr pushes down on patella and moves it lateral and medial looking for boggy sensation

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11
Q

purpose of Patella ballottement test

A

looking for effusion or swelling

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12
Q

findings of Patella ballottement test

A

patella is slow to return to resting position, increased patella movement, patella feels spongy

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13
Q

procedure for Bounce home test

A

pt lies supine, Dr lifts leg and bends knee to 20 degrees; then Dr allows knee to drop into full extension

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14
Q

purpose of Bounce home test

A

looking for meniscal tear

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15
Q

findings of Bounce home test

A

pain in joint or inability to fully extend the knee

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16
Q

procedure for Clarke’s sign

A

pt lies supine and Dr applies S-I pressure on the top of the patella; pt then contracts the quads

17
Q

purpose of Clarke’s sign

A

looking for chondromalacia patella or degeneration of the patellofemoral joint

18
Q

findings of Clarke’s sign

A

retropatellar pain

19
Q

procedure for McMurray sign

A

pt lies supine with hip and knee flexed to 90 degrees; Dr stabilizes knee and grips heel with the other hand. Dr then rotates the tibia externally while applying a varus stress while extending the leg. Repeat this with tibia rotated internally and Dr applying valgus stress while extending the leg

20
Q

purpose of McMurray sign

A

looking for lateral meniscus tear when internally rotating and valgus stress
looking for medial meniscus tear when externally rotating and varus stress

21
Q

findings of McMurray sign

A

pain, crepitus, or clicking

22
Q

procedure for Lateral pivot shift maneuver

A

pt lies supine with hip and knee flexed to 5 degrees; Dr applies internal rotation, valgus stress and flexes knee

23
Q

purpose of Lateral pivot shift maneuver

A

looking for ACL tear

24
Q

findings of Lateral pivot shift maneuver

A

pt feels like knee is going to give out

25
Q

procedure for Lachman test

A

pt lies supine with knee flexed to 25-30 degrees, then Dr holds femur down as they lift the tibia

26
Q

purpose of Lachman test

A

looking for sprain or rupture of ACL
(pain with normal motion means sprain;
pain with increased translation means rupture)

27
Q

findings of Lachman test

A

pain in knee

28
Q

procedure for Drawer test

A

pt lies supine with knee flexed to 90 degrees; Dr sits on pt foot then pushes tibia anteriorly then posteriorly

29
Q

purpose of Drawer test

A

looking for sprain or rupture of ACL or PCL
(pain with normal motion means sprain;
pain with increased motion means rupture)

30
Q

findings of Drawer test

A

pain in knee

31
Q

procedure for Q-angle test

A

pt stands and Dr draws a line from ASIS through mid patella, then line from tibial tuberosity through mid patella. Then measure angle

32
Q

purpose of Q-angle test

A

looking for Q angle

33
Q

findings of Q-angle test

A

less than 13 degrees means patella alta

more than 18 degrees means patella valgun

NMS 2 Exam Two (4 decks)

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