LE Special Tests Flashcards
dorsi in WB – ligament stress test - for inf tib/fib
The inf TF lig restricts splaying of the mortise during DF in WB
If Inf TF lig sprain, pt will complain of pain or pinching in the front of the ankle & will have splaying of the mortise with DF in WB
Test result: (+)ve test = sprain inf TF ligament if:
Acute phase:
-↓ pain with compression (& may have ↑ ROM because less pain) OR
- Δ > 2mm in circumference around malleoli from neutral to full DF OR
Chronic phase (chronic hypermobility/instability):
- ↓ROM when applying compression with DF in WB
ankle - Posterior drawer test
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ankle - Anterior drawer test
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ankle - alternative anterior drawer test
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ligament stress test - ATFL
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ligament stress test - ptfl
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ligament stress test - cfl
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ligament stress test - tibionavicular
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ligament stress test - tibiotalar ant
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ligament stress test - tibiocalcanear lig
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ligament stress test - tibiotalar post
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ankle - special test - ant-lat impingement test
Pt sitting position
Pht
Lat hand: grasps calcaneum (fingers around calc tuberosity & thumb over ant-lat part of ankle (gutter))
Med hand: grasps forefoot to control ankle movt
- Apply thumb pressure over the ant-lat ankle with foot in full PF (looking for pain reproduction – painful area)
- Bring ankle in full DF without any pressure
- Repeat ankle Full DF while applying thumb pressure over painful area
(+)ve: if pain provoked with pressure from thumb is > in DF than PF
Molloy-Bendall impingement test :94.8% sensitive 88% specific
ankle - special test - windlass
ankle - special test - homan’s sign
ankle - special test - thompson’s test
ankle - talar swing
knee - LCL stress test
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knee - MCL stress test
Pht: supine with leg relaxed
Pht: Facing pt
Lat hand: Lat aspect of knee (TF jt line)
Med hand: grasp ankle
Apply a valgus stress
- Full extension (hyperextension if they have it) - assessing post fibres
- 30 flexion - assessing ant structures more bc more stress on them in this position
- 90 flexion
knee ACL stress test - anterior drawer
knee ACL stress test - lachmans
knee - posterior drawer test
knee - posterior sag test
knee - mcmurray test
Both McMurray’s test & joint line tenderness consistently show moderate utility in detecting & ruling out meniscal tears
knee - thessaly test
knee - apley’s compression test
knee - mcconnel test
knee - patella apprehension test
knee - stutter test
Hip - dynamic stability assessment in supine
Hip - dynamic stability assessment in prone
Hip - anterior labral tear test
Hip - posterior labral tear test
hip - functional tests and observations
In NWB & WB, looking for
- Swelling, bruising which condition?
- Misalignment which condition?
- Bony/joint deformity Any bump? which condition?
- Atrophy which muscle?
- LLD
- -Weber-Barstow manoeuvre q ”True leg length
- -Femoral length
- -Tibial length
hip - how to palpate femoral head (ant and post), piriformis, ITB, adductors
Hip - load transfer tests
