Knee and Thigh Assessment

Question 1

LCL, Posterolateral capsule/arcuate popliteal complex/PCL/ACL/Biceps femoris

Answer 1

Varus stress test

• Laxity in ext-indicative of a more significant injury- capsular disruption with rotary instability
• Laxity in slight flexion- one plane instability (LCL)

Question 2

MCL/Posterior Oblique ligament/Posteromedial capsule/ACL/PCL

Answer 2

Valgust stress test

• Laxity in extension
• Laxity in slight flexion

Question 3

PCL laxity

Answer 3

Sag Sign

Question 4

ACL/Posterior oblique ligament/Arcuate popliteal complex

Answer 4

Lachman’s test (not flap lesion of meniscus- false negative)

Question 5

ACL/Posterolateral capsule/posteromedial capsule/MCL

Answer 5

Anterior drawer test

Question 6

ACL- Anterolateral rotatory instability

Answer 6

Lateral pivot shift test

- Lateral tibial plateau reduces posteriorly (40-60 deg)

Question 7

PCL/Arcuate-popliteal complex/posterior oblique ligament/ACL- posterior instability

Answer 7

Posterior drawer test

Question 8

PCL, Popliteal arcuate ligament complex,LCL, oblique ligament, popliteal tendon- Posterolateral rotatory instability

Answer 8

Dial Test

• Isolated Postero-lateral capsule disruption (popliteal arcuate complex)- increase of 20 deg in Ext Rot
• PCL, Posterolateral corner- increase in tibial ER at 90 compared to 30

Question 9

Meniscus- Functional Tests

Answer 9

Squat progressing depth +/- bounce
Duck walk
Hop straight leg on landing
Cross over walk
-        Pain provocation

Question 10

Meniscus

Answer 10

Thessaly Test- Pain/click
Mc Murray’s- Pain
Apley’s Test
-        Pain
-        Less pain- decompression

Question 11

Effusion

Answer 11

Effusion test

Question 12

Patella instability/prev. Patella dislocation

Answer 12

Patella apprehension test

- Pain

Question 13

Tendon’s response to load

Answer 13

Eccentric control