Flashcards in 04: Knee Special Tests: Other Deck (17):
What does Hoffa's test assess?
infrapatellar fat pad
Hoffa's test procedure
- flex knee, fingers over anterior joint line
- apply pressure to fat pad as you extend the knee
- be gentle
What does the noble test assess?
clusters s/s for Noble test
- lateral knee pain
- no trauma
- overuse injury
Noble test procedure
- pt slowly extends the knee with pressure on the lateral epicondyle
- ask if it reproduces their pain
Noble test patient position
30˚ flexion, move to extension
What is the rationale behind the Noble test?
- At 30˚ flexion, the ITB is posterior to lateral epicondyle
- From 30-0˚, ITB moves anterior to epicondyle
implications of the Noble test
If no pain, check popliteus tendonitis/tendinosis
palpate to see if reproduces pain
Renne test assesses
What is the Renne test procedure?
- repeat Noble test, but in single leg stance in WB
- fingers over lateral femoral epicondyle
- squat to at least 40˚
What does the Stutter test assess?
What are the implications of the Stutter test?
- feeling for fibrotic plica
- would be snapping or popping at 45˚ mark
Stutter test procedure
- similar to McMurray's, but hand stays on top of where the plica is
- take them into flexion, then ER
- move into extension with a valgus force, but only to 30˚
Where does the plica insert?
into medial fat pad
Why do you put the patient into ER for the Stutter test?
to tighten the plica
What is the best position to palpate the plica?