Test 2.3 Flashcards

1
Q

How is the pivot shift test performed

A

Extend knee, flex hip, IR knee with valgus stress on knee. Apply force with palm on lateral aspect of knee causing IT band to slip

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2
Q

What does a positive test result in for pivot shift test

A

Clunk or crepitus with joint instability

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3
Q

What is the Hughston Jerk test

A

The reverse of the pivot shift

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4
Q

What angle should the pivot shift be performed at?

A

45 degrees

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5
Q

How is the anterior drawer test performed

A

Sit on foot, bend knee, place both thumbs on tibial tuberosity

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6
Q

Does Lachmans and anterior drawer test linear or rotational integrity

A

Linear integrity

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7
Q

Does pivot shift test rotational or linear integrity

A

Rotational integrity (specifically anterior lateral instability)

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8
Q

What does the Slocums test, test?

A

Anterior-medial and anterior-lateral instability and rotational integrity and capsules within the knee

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9
Q

How do you test anterior medial instability for Slocums

A

Point toes outward and drawer forward

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10
Q

How do you test anterior-lateral instability for Slocums test

A

Point toes inward and drawer forward

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11
Q

What test is done first the Lachmans for Pivot shift

A

Lachmans

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12
Q

Which is bigger PCL or ACL and what is the PCL responsible for Static or Phasic movement

A

PCL is bigger and responsible for static movement

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13
Q

True or false

PCL replacement usually uses a cavider graft

A

True

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14
Q

How is do you perform Godfeys (posterior sag)

A

Both legs are flexed with the eyes at leg level look to see which tibial tuberosity drops more due to gravity

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15
Q

How is Quadriceps active test performed

A

Look for position of tibial tuberosity and a positive test results in a pull tibial forward b/c no PCL is resisting it while they contract quads

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16
Q

True or false

ACL tear is usually an all or non response

A

True

17
Q

what is the most frequently injured ligament in the knee

A

MCL

18
Q

what the MOI for a MCL sprain

A
  • Valgus force at the knee

- severe tibial ER

19
Q

when is the knee most susceptible to a MCL sprain

A

when it is flexed at 20 degrees

20
Q

true or false

an ACL injury can be implicated in a MCL sprain

A

true

21
Q

true or false

The medial meniscus can also be injuried with a MCL sprain

A

true

22
Q

what does a grade 1 MCL and LCL sprain result in

A
  • small fibers disrupted
  • minor loss of ROM
  • stable Valgus stress test
  • Minimal edema or effusion and slight pain
23
Q

what does a grade 2 MCL and LCL sprain result in

A
  • partial or complete tear of deep fiber and partial superifical tears
  • moderate pain, edema, and effusion
  • decreased ROM
  • Slight laxity
24
Q

what does a grade 3 MCL and LCL sprain result in

A
  • complete rupture
  • limited ROM
  • severe pain, edema, and effusion
  • gross laxity