04: Knee Special Tests: Other Flashcards Preview

7232 Ortho > 04: Knee Special Tests: Other > Flashcards

Flashcards in 04: Knee Special Tests: Other Deck (17):
1

What does Hoffa's test assess?

infrapatellar fat pad

2

Hoffa's test procedure

- flex knee, fingers over anterior joint line
- apply pressure to fat pad as you extend the knee
- be gentle

3

What does the noble test assess?

ITB

4

clusters s/s for Noble test

- lateral knee pain
- no trauma
- overuse injury

5

Noble test procedure

- pt slowly extends the knee with pressure on the lateral epicondyle
- ask if it reproduces their pain

6

Noble test patient position

30˚ flexion, move to extension

7

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

8

implications of the Noble test

If no pain, check popliteus tendonitis/tendinosis

palpate to see if reproduces pain

9

Renne test assesses

ITB

10

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˚

11

What does the Stutter test assess?

plica

12

What are the implications of the Stutter test?

- feeling for fibrotic plica
- would be snapping or popping at 45˚ mark

13

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˚

14

Where does the plica insert?

into medial fat pad

15

Why do you put the patient into ER for the Stutter test?

to tighten the plica

16

What is the best position to palpate the plica?

45˚ flexion

17

Remember to do this during the Stutter test (hand position)

keep the hand over the patella