LE special tests

Question 1

Quadrant square hip test

Answer 1

PP - Supine
Flex and adduct hip until resistance, holding knee and tibia
After resistance, move in arc to ABD
If no pain repeat while pressing through femur
Positive - pain, clicking, popping, apprehension
Indicates - Anterior Hip joint - Posterior SI

Question 2

Patrick’s/ Faber test

Answer 2

Tests SI joint dysfunction
Patient supine, testing limb’s heel placed on opposite knee
lower knee towards table, stabilize on contralateral hip
Positive - involved lower extremity does not abduct below level of other leg
Indicates - iliopsoas, sacroiliac, hip joint abnormalities hip flexor tightness,
posterior pain is SI pathology

Question 3

Anterior labrum / FADDIR

Answer 3

Patient supine
Resist hip flexion
With hand on knee and ankle
Take patient into flexion abduction
Arc them into adduction
Positive - pain clicking popping apprehension
Anterior labral lesions

Question 4

Posterior labrum test

Answer 4

Patient supine
Resist hip flexion
With hand on knee and distal tibia flex and adduct the hip
Arc into abduction
Positive - clicking, popping, pain, apprehension
Indicates - posterior labral injury

Question 5

Craig’s test/ ryder test

Answer 5

Tests femoral anteversion and retroversion
Prone, 90 knee, rotate leg until greater trochanter is most prominent laterally
Measure angle of tibia perpendicular to the floor, with tibial tuberosity as fulcrum
8-15 normal
Under 8 retroversion, legs turn inward
Over 15 anteversion, legs turn outward

Question 6

Stable lachman

Answer 6

Supine, open pack
Stabilize distal femur over knee, grab posterior tibia
Anteriorly glide the tibia on the femur, “snap at the end”
Pain, laxity
ACL injury

Question 7

Anterior drawer / posterior (PCL)

Answer 7

Supine, plant heel on bed, 90 knee flexion, sit on foot
Pull on posterior or push anteriorly tibia to anterior glide the knee
Pain, laxity
ACL injury