LE Special Tests

Question 1

Anterior drawer test position/procedure

Answer 1

Pt in knee flexion to 90 deg, hip flex to 45 deg
Pull forward on femur

Question 2

(+) for anterior drawer test

Answer 2

excessive translation of tibia on femur compared to other side
(+) = ACL injury

Question 3

Test procedure/position for Lachman test

Answer 3

knee flexed to 20-30 deg

Question 4

(+) Lachman test

Answer 4

excessive anterior translation of tibia on femur

Question 5

Lateral Pivot shift test position/procedure

Answer 5

Pt supine with hip flexed and abducted to 30 deg with slight IR
PT applies valgus force and IR tibia while knee is flexed

Question 6

(+) Lateral pivot shift test

Answer 6

palpable shift or clunk b/t 20-30 deg flexion

Question 7

(+) lateral pivot shit test interpretation

Answer 7

anterior lateral rotary instability

Question 8

Posterior drawer position/procedure

Answer 8

Pt in supine with knee flexed to 0- deg and hip flexed to 45 deg

Question 9

(+) Posterior drawer test

Answer 9

excessive posterior translaton of tibia on femur compared to other side

Question 10

Slocum Test position/procedure

Answer 10

knee flexed to 90 deg and hip to 45 deg
PT IR foot to 30 deg, stabilizes lower leg and applies anterior force to proximal tibia

Question 11

(+) slocum test
- sign
- interpretation

Answer 11

• excess movement of tibia on lateral side
• may = anterolateral instability

Question 12

Hughston’s plica test position

Answer 12

Pt supine
PT flexes and medially rotates tibia with 1 hand while other hand moves patella medially and palpates medial condyle

Question 13

(+) Hughston’s Plica Test

Answer 13

popping sound over the medial plica while knee is passively flexed and extended

Question 14

(+) HUghston’s PLica test interpretation

Answer 14

may = abnormal or irritated plica

Question 15

Anterior drawer test position

Answer 15

Ankle in 20 deg PF

Question 16

Kleiger Test position/procedure

Answer 16

Pt seated with knee in 90 deg flex
holds foot in neutral with other hand, applies a lateral rotation force to foot

Question 17

(+) Kleiger test sign/interpretation

Answer 17

• pain over anterior/posterior tibiofibular ligaments and interosseous membrane –> high ankle sprain
• deltoid ligament sprain can feel talus shift away from medial malleolus

Question 19

Talar Test test pt position

Answer 19

Pt in sidelying with knee flexed to 90 deg

Question 20

What is the SIJ pain CPR?

Answer 20

SIJ Compression
SIJ distraction
Thigh Thrust test
Right Gaenslen’s Test
Left Gaenslen’s Test

Question 21

Barlow’s Test position/proceduree

Answer 21

pt in supine with hip flexed to 90 deg and knees flexed
PT stabilizes femur and pelvis with one hadn while other hand moves test leg into ABD

Question 22

Barlow’s Test (+) sign/interpretation

Answer 22

• clunk
  may = hip dislocation

Question 23

Ortolani’s Test position/procedure

Answer 23

pt in supine with hip flexed to 90 deg
Therapist grasps the legs so their thumbs are placed along pt’s medial thigh and fingers are on lateral thighs
PT abducts the pt’s hip s and gentle pressure appled to greater trochanter @ ~30 deg

Question 24

Ortolani’s Test (+) sign/interpretation

Answer 24

sign: clunk or click
interpretation: may = dislocation being reduced