Flashcards in 04 Knee Special Tests: Collateral Ligaments Deck (20):
What are the clusters of signs and symptoms for the collateral ligament tests?
- MOI: macrotraumatic injury with twisting
- MOI: history of frontal plane macrotrauma
- localized edema without intra-articular effusion
- localized pain over collateral ligaments
What does the valgus stress test at 0˚ isolate?
Why are the MCL, ACL, PCL, and PMOL isolated at 0˚ for the valgus test at 0˚?
- all of these are tight in full extension
Why don't you get much happening at the valgus test at 0˚?
because it's the close-packed position
What does the valgus stress test at 30˚ isolate?
What must you do prior to doing the valgus test at 30˚?
- close the joint first
- try to keep the hip from rotating
What does the varus stress test isolate?
What do you palpate for the varus stress test?
palpate inferior pole of patella and slide laterally to be over lateral joint line (use index finger)
Which side has physiologic laxity?
What should you do during the varus stress test if the pt has recurvatum?
- back off to neutral (0˚)
- don't test them in hyperextension
What does Apley's distraction test for?
research behind the Apley's distraction test
doesn't have good science and may cause a lot of pain
Why do the Apley's distraction test if it doesn't have research and causes pain?
to corroborate pain
position for Apley's distraction test: What does ER do?
tightens the MCL
position for Apley's distraction test: What does IR do?
tightens the LCL
Apley's dynamic distraction test (DDV) procedure
- hands above malleoli
- pull up to ceiling with your leg pinning down their posterior thigh
Apley's dynamic distraction test (DDV): What are the variations?
ER and IR
Apley's dynamic distraction test (DDV): What happens with ER?
- tightens the MCL
- add a DDV to get all bands of the MCL
Apley's dynamic distraction test (DDV): What happens with IR?
- tightens the LCL
- add a DDV to get all aspects of it