LL Special Tests (Quiz 3)

Question 1

Patrick’s Test

FABER

Answer 1

Primary Position: supine
Results: negative test indicated by knee of test leg falling to table OR parallel
Correlates: limited motion at the hip joint

Question 2

Trendelenburg’s Test

Answer 2

Maneuver: patient stands on one leg
Results: positive test is indicated if the pelvis on the contralateral side drops when patient stands on affected leg
Correlates: indicates a weak gluteus medius or unstable hip

Question 3

Craig’s Test

Ryder Method

Answer 3

Maneuver: Prone, with knee flexed 90 deg; hip is passively rotated medially
correlates: anteversion of the femoral nerve

Question 4

Thomas Test/Kendal Test

Answer 4

Maneuver: supine
Results: positive knee off table
Correlates: Hip Flexion contracture

Thomas = off table
Kendal = on table

Question 5

Ober’s Test

Answer 5

maneuver: patient is side lying with the leg flexed at the hip; lowers the top leg slowly
Results: if contracture present, leg remains abducted and does not fall to table
Correlation: tight, contracted or inflamed tensor fasciae latae & IT band

Question 6

Lachman Test

Answer 6

• Maneuver: patients femur is stabilized with one hand while proximal aspect of the tibia is moved forward with other hand
• Correlates:ACL Injury

Question 7

Drawer Sign

Answer 7

• Maneuver: patient’s foot is held on table by examiner, hands are placed around the tibia, tibia is drawn forward on the femur
• normal amount of movement aprx 6 mm
• Correlates: mostly ACL injury

Question 8

Godfrey (Gravity) Test

Answer 8

• Maneuver: patient lies supine, knees flexed @ 90
• Correlates: PCL Injury
• Results: if posterior instability, posterior sag of the tibia is seen

Question 9

Anterior Drawer (for the ankle)

Answer 9

Results
Straight anterior movement: indicates both medial and lateral ligament insufficiencies
One side tear: only one side would translate forward

Question 10

Talar Tilt

Answer 10

Adduction: tests calcaneofibular ligament
Abduction: stresses the deltoid ligament

Question 11

Thompsons Test

Answer 11

squeezes calf muscle
absence of plantar felxion when muscle is squeezed

Question 12

Feiss Line

Answer 12

marks on the foot

• first met
• navicular
• med mal

Question 13

Orolani’s Sign & Barlows Test

Answer 13

• Maneuver: examiner flexes the hips and grasps the legs, thighs are abducted
• Positive Finding: Click/Pop (Ortolani); Reduction of Hip joint (Barlow)
• Correlates: Congenital Dysplasia of the Hip

Question 14

Galleazi’s Sign

Answer 14

• Maneuver: observes patient in supine position with hips and knees flexed and feet on table
• Positive: elevation of one lower limb relative to antoher, assymmetrical gluteal folds
• Correlates: Unilateral Congenital Dysplasia of the hip

Question 15

McMurray Test

Answer 15

• Maneuver: Patient lies supine with knee flexed (heel to butt), medially roates tibia and ecxtens the knee
• Correlates: meniscus lesion

Question 16

Q Angle

Answer 16

• angle between quad muscles and patellar tendon
• represents quad muscle force
• line drawn from ASIS to modpoint of patella on the same side and tibial tubercle to pid point
• Findings: normall 13 for men and 18 for women

Question 17

Squeeze Test

Answer 17

• Maneuver: squeeze tibia and fibula
• Correlates: Syndemosis, tib/fib fracture, contusion, compartment syndrome