1. Patrick (FABERE) 2. FADIR 3. Thomas 4. Ober 5. Trenelenburg

1. Thompson 2. Anterior drawer of ankle 3. Talar tilt 4. Morton’s squeeze

1. Bulge 2. Ballottment 3. Patellar grind 4. Apley’s compression and distraction 5. McMurray 6. Anterior drawer 7. Lachman’s 8. Posterior drawer 9. Godfrey’s 10. valgus and varus

Figure-4 test 1. Test for: OA of hip, SI jt dysfxn 2. Technique: FAbER of hip, pressure on knee pain = +

1. Test for: labral tear, early OA of hip 2. Technique: FAdIR of hip pain = +

1. Test for: tight iliopsoas 2. Technique: A. Pt brings knees to chest B. Brings one leg down to table extended leg lifted off table = +

1. Test for: tight IT band 2. Technique: A. Pt lateral recumbent B. Knee flexed, hip slightly extended, hip abd knee doesn’t fall toward table w/o support = +

Lower Extremity Special Tests Flashcards by Mackenzie Gerszewski

Tibiotalar joint

1. Major motions
  A. Dorsiflexion (5-40)
  B. Plantarflexion (10-55)
2. Minor motions
  A. Posterior glide
  B. Anterior glide

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Hip special tests

Patrick (FABERE)
FADIR
Thomas
Ober
Trenelenburg

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Ankle special tests

Thompson
Anterior drawer of ankle
Talar tilt
Morton’s squeeze

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Knee special tests

Bulge
Ballottment
Patellar grind
Apley’s compression and distraction
McMurray
Anterior drawer
Lachman’s
Posterior drawer
Godfrey’s
valgus and varus

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Special test indications

Pt has complaint in test area

*evaluate joint above and below area of complaint

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Hip flexion

120 (90-150)

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Hip extension

10 (0-35)

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Hip abduction

15-55

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Hip adduction

15-45

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External hip rotation

10-55

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Hip internal rotation

20-50

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Patrick (FABRE) test

Figure-4 test

Test for: OA of hip, SI jt dysfxn
Technique: FAbER of hip, pressure on knee
* pain = +

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FADIR test

Test for: labral tear, early OA of hip
Technique: FAdIR of hip
* pain = +

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Thomas test

Test for: tight iliopsoas
Technique:
A. Pt brings knees to chest
B. Brings one leg down to table
*extended leg lifted off table = +

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Ober test

Test for: tight IT band
Technique:
A. Pt lateral recumbent
B. Knee flexed, hip slightly extended, hip abd
*knee doesn’t fall toward table w/o support = +

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Trendelenburg test

Test for: gluteus medius weakness
Technique:
A. Pt stands on one foot
B. If hanging hip drops = + for weakness in glut medius of stance leg

Bulge test

Test for: knee joint effusion
Technique: compress tissue above patella inferiorly toward joint
* fluid bulge = +

Ballottment test

Test for: knee joint effusion
Technique: ant to post pressure on patella of extended knee
* boggy/spongy texture = +

Patellar grind test

Test for: chondromalacia patella, patellofemoral syndrome
Technique: ant to post pressure on patella and rock patella across femoral condyles
* pain = +

Apley’s compression and distraction test

Test for: compression - meniscus tear, distraction - ligamentous stability
Technique: pt prone and knee flex 90
A. Compress or distract using ankle as leverage
*pain = +

McMurray test

Test for: meniscus tear
Technique:
A. Medial: tibia ER, hip abd and flex -> hip add and extended, valgus force on knee
B. Lateral: tibial IR, hip add and flex -> hip abd and extended, varus force on knee
*pain/clicking = +

Anterior drawer test

Test for: ACL tear
Technique: knee flex 90, stabilize foot, pull ant on prox tibia
* pain/laxity = +

Lachman test

Test for: ACL tear
Technique: knee flex 20-30, stabilize post distal femur, pull ant on prox tibia
* pain/laxity = +

Posterior drawer test

Test for: PCL tear
Technique: knee flex 90, stabilize foot, push post on prox tibia
* pain/laxity = +

Valgus/varus test

1. Test for: valgus - MCL tear, varus - LCL tear 2. Technique: knee flex 15 and off table A. Stabilize prox tibia B. Stress w/ medial and lateral forces at distal tibia *pain/gaping of joint = +

Anterior drawer test of the ankle

1. Test for: talofibular ligament tear 2. Technique: slight plantarflexion A. Stabilize distal tibia B. Translate foot ant from calcaneous *>5-8mm translation more than uninjured = +

Talar tilt test

1. Test for: ant talofibular and calcaneofibular ligaments 2. Technique: plantarflexion, stabilize medial distal tibia A. Invert foot/ankle *talar tilt >10 degrees more than uninjured = +

Compression/squeeze test

1. Test for: tibia-fibula syndesmosis injury 2. Technique: squeeze tibia and fibula together * pain = +

External rotation foot/ ankle

1. Test for: syndesmosis tibia and fibula injury 2. Technique: externally rotate foot and ankle (plantarflexion) * pain = +

Crossed ankle test

1. Test for: syndesmosis of tibia and fibula injury 2. Technique: pt cross affected ankle over opposite knee A. External rotation force on foot *pain = +

Thompson test

1. Test for: Achilles’ tendon injury 2. Technique: pt prone, squeeze calf musculature * plantar flexion absent = +

Morton’s squeeze test

1. Test for: Morton’s neuroma 2. Technique: squeeze lateral and medial aspects distal MTs * pain = +

Godfrey’s test

1. Test for: PCL tear 2. Technique: hip and knee flex 90 * tibia falls post = +