VERBALS KNEE Flashcards
1
Q
BONY PALPATION: KNEE
A
- Patella
- Medial Tibial plateau
- Medial Femoral Condyle
- Tibial tubercle
- Lateral Tibial Plateau
- Lateral Femoral Condyle
- Fibula head
2
Q
SOFT TISSUE PALPATION:
KNEE
A
- Quadriceps muscles (Palpate as a unit and individually)
- Vastus Lateralis
- Vastus Medialis
- Vastus Intermedius
- Rectus Femoris
- Infrapatellar Tendon
- Bursae
- Prepatellar
- Superficial Infrapatellar
- Medial Meniscus
- Lateral Meniscus
- Pes Anserine Area
- Sartorius
- Gracilis
- Semitendinosus
- Popliteal Fossa
- Lateral Collateral Ligament
- Medial Collateral Ligament
- Gastrocnemius Muscle
3
Q
RANGE OF MOTION:
KNEE
A
- FLEXION : 135
- EXTENSION: 0
- INTERNAL ROTATION
- EXTERNAL ROTATION
4
Q
McMURRAY SIGN
A
POSITIVE:
- Clicking sound or pain by knee joint
INDICATES:
- Tear of medial meniscus if positive on external rotation
- Tear of lateral meniscus if positive on internal rotation
- The greater the angle the knee is flexed when the positive is elicited, the more posterior the meniscal injury
5
Q
MEDIAL COLLATERL LIGAMENT TEST aka ABDUCTION STRESS TEST aka VALGUS STRESS TEST
A
POSITIVE:
- Gapping and/or elicited pain above/at/or below joint line
INDICATES:
- Tear and/or instability of the medial collateral ligament
6
Q
LATERAL COLLATERAL LIGAMENT TEST aka ADDUCTION STRESS TEST aka VARUS STRESS TEST
A
POSITIVE:
- Gapping and/or elicited pain above/at/or below the joint line
INDICATES:
- Tear and/or instability of the lateral collateral ligament
7
Q
BOUNCE HOME TEST
A
POSITIVE:
- Knee does not go into full extension (slight flexion remains)
INDICATES:
- Diffuse swelling of the knee, accumulation of fluid, due to possible torn meniscus
8
Q
DRAWER TEST
A
POSITIVE:
- Gapping > 6 mm (tibia moves posterior) when the leg is pushed
- Gapping > 6 mm (tibia moves anterior) when the leg is pulled
INDICATES:
- Torn posterior cruciate ligament
- Torn anterior cruciate ligament
9
Q
LACHMAN TEST
A
POSITIVE:
- Gapping with the tibia moving away from the femur
INDICATES:
- Anterior Cruciate ligament or posterior oblique ligament instability
10
Q
APPREHENSION TEST FOR PATELLA
A
POSITIVE:
- Apprehension, distress or facial expression, contraction of quadriceps to bring patella back in line
INDICATES:
- Chronic patella dislocation or pre-disposition to dislocation
11
Q
PATELLA FEMORAL GRINDING TEST
(aka Clarke Sign)
A
POSITIVE:
- Retropatellar pain and the patient is unable to hold the quadriceps contraction
INDICATES:
- Degenerative changes of the patellar facets and/or within the trochlear groove (chondromalacia patella)
12
Q
PATELLA BALLOTTEMENT TEST
A
POSITIVE:
- A floating sensation of the patella
INDICATES:
- A large amount of swelling in the knee
13
Q
APLEY COMPRESSION TEST
A
POSITIVE:
- Patient points to the side of pain
INDICATES:
- Pain on the medial side is medial meniscus tear. Pain on the lateral side indicates lateral meniscus tear
14
Q
APLEY DISTRACTION TEST
A
POSITIVE:
- Patient will point to side of pain
INDICATES:
- Pain on the medial side indicates medial collateral ligament tear. Pain on the lateral side indicates lateral collateral ligament tear
