Special Tests Knee

Question 1

Tibial ER tests for which meniscus

Answer 1

medial meniscus

Question 2

Tibial IR test measures

Answer 2

lateral meniscus

Question 3

Meniscal Lesions 5 special tests

Answer 3

1. Joint Line tenderness
2. Thessaly Test
3. Dynamic Test
4. McMurrays Test
5. Appley’s

Question 4

Positive mcmurrays test

Answer 4

audible click/ thud

Question 5

Positive appleys test

Answer 5

Positive test : (1) pain compression > distraction, or (2) pain with rotation greater than static with distraction

Question 6

Positive dynamic test

Answer 6

pain increases throughout hip motion

Question 7

Positive Joint line tenderness Positive test

Answer 7

pain

Question 8

5 special tests for Ligament Integrity

Answer 8

1. Lachman’s
2. pivot shift test
3. anterior drawer test
4. posterior drawer test
5. varus / valgus stress tests

Question 9

These 3 tests are indicated for ACL integrity

Answer 9

1. Lachman’s
2. anterior drawer test
3. Pivot shift ( also rotary stability)

Question 10

Lachman’s positive test

Answer 10

Translation affected side > non-affected side ( test bilaterally)

Question 11

Varus/ Valgus stress tests for

Answer 11

MCL/ LCL integrity

Question 12

Pivot shift positive test

Answer 12

audible/ palpable thud of click

Question 13

Anterior drawer positive test

Answer 13

Translation affected side > non-affected side ( test bilaterally)

Question 14

Varus/ Valgus Positive test

Answer 14

excessive tibiofemoral joint line opening with concordant pain (compared to non-affected LE)
laxity with pain , test bilaterally

Question 15

ACL/ PCL injury implicated with

Answer 15

laxity at full extension

Question 16

MCL/ LCL injury implicated with

Answer 16

laxity at 30 deg flexion

Question 17

Joint Line Tenderness - confirmatory or eliminatory

Answer 17

ACCEPTABLE to rule out or in
May be better for more peripheral meniscus lesions

Question 18

Thessalys Test - when not to use it

Answer 18

if your concerned for the patient’s ability to tolerate test/ maintain upright position

Question 19

Dynamic Test confirmatory or eliminatory test

Answer 19

Eliminatory or Confirmatory

Question 20

Appleys test - confirmatory or eliminatory

Answer 20

confirmatory
not well vetted ( poor research properties)

Question 21

Mcmurrays test- confirmatory or eliminatory

Answer 21

confirmatory

Question 22

These 3 tests are indicated for ACL integrity

Answer 22

1. Lachman’s
2. anterior drawer test
3. Pivot shift ( also rotary stability)

Question 23

Pivot Shift Test confirmatory or eliminatory

Answer 23

screen or confirmatory for ACL tear

Question 24

Anterior Drawer test confirmatory or eliminatory

Answer 24

screen or confirmatory for ACL tear

Question 25

Posterior Drawer test confirmatory or eliminatory

Answer 25

screen or confirm for PCL tear

Question 26

Varus and Valgus test confirmatory or eliminatory

Answer 26

elimiate or confirm MCL/ LCL tear

Question 27

PERFORMANCE MEASURES: mSEBT
anterior reach and composite reach distances

Answer 27

1. Anterior right/left reach distance difference >/= to 4 cm
2. Decreased composite reach distances (</=94%)