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MSK basics > Knee 3 - tests and measures > Flashcards

Knee 3 - tests and measures Flashcards

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1
Q

what are the two tests for ACL injuries

A

anterior drawer test

lachmans

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2
Q

what is the number one test for ACL

A

lachmans

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3
Q

what is the position of the knee for lachmans test

A

30-deg of flexion

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4
Q

what kind of end feel should the patient have a negative lachmans

A

hard firm stop

firm end feel

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5
Q

what is a positive lachmans test

A

anteriorn translation of the tibia beyond the femur with a mushy soft end feel

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6
Q

what is the position of the patient for anterior drawer

A

knee in 90-deg of flexion

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7
Q

for the anterior drawer where should the thumbs be placed

A

in the joint line

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8
Q

what is a negative anterior drawer

A

clear firm stop

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9
Q

what is a postive anterior drawer test

A

increased anterior translation of the tibia and soft end feel

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10
Q

the anterior drawer primary test what bundle of the ACL

A

Primarily tests anteromedial bundle

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11
Q

what are the test for PCL

A

posterior drawer test

posterior stag sign

quad active

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12
Q

what is a positive test for the posterior drawer test

A

excessive posterior translation and/or a soft end-feel

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13
Q

what is the procedure for the posteior sag sign

A

the patients knees are supported and flexed to 90-deg

you have to make sure that the quads are relaxed

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14
Q

what is the a positive test for a posterior sag sign

A

the anterior aspect of the tibia appear to sag

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15
Q

what is the procedure for the qaud active test

A
  • Patient will lie supine
  • Hip flexed to 45°
  • Knee flexed to 90°

PT sit on the patient foor

ask the patient to perform an isometric quad contraction

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16
Q

what is a positive test for the quad active test

A

the tibia should sag posteriorly

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17
Q

what is a negative test for the quad active test

A

clear stop

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18
Q

what is a test for the posterior lateral corner

A

the dial test

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19
Q

what is the position for the dial test

A

pt prone

knee flexed to 90 and 30

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20
Q

what is the procedure for the dial test

A

knee 30 - both

knee 90 - just posterior lateral corner

ER the foot

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21
Q

dial test - what is just isolated posterior lateral corner

A

ER difference of 15-deg at 30 but not 90

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22
Q

dial test - what is both PCL and posterior lateral corner

A

ER difference of 15-deg seen at both 30 and 90

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23
Q

what are the tests for MCL

A

palpation

valgus test

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24
Q

what is the procedure for the valgus test test

A

pt supine
knee is flexed 20-30

valgus stress is a applied at the joint line

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25
what is the open packed position of the tib femoral
30-deg of felxion
26
what is a positive valgus test
the presence of laxity or pain
27
what are we expectiving with palpation of the MCL
tenderness of the tendon
28
what are the tests for OA
palpation ROM strength testing functional testing apley's mcmurty's
29
OA what do we expect to with palpation
bony enlargement joint line tenderness
30
OA what do we expect with ROM
capsular pattern Flex > ext
31
what strength deficts do we expect to see with OA
quads hamstrings hip - compensations
32
what functional activites do those with OA present with
stairs transfers lifting kneeling
33
what is the rule to rule in or out a men tear
1. report of catching or locking 2. joint line tenderness 3. pain with forced hyperextension 4. pain with max flexion 5. pain or audible click with McMurray's
34
what is the precentage for 3 positive test my the men cluster
>/= 3 90.2
35
what are all of the test for men injury
ROM functional palpation - joint line strengthing McMurty's apley's comprssion and distraction extension/flexion overpressure thessaly's test
36
what ROM impairment do we expect with Men injury
flex or ext present with limited ROM
37
functional issues with men
deep squatting and pain with hyper flexion
38
what should you palpate for an men injury
palpate the joint line when the patient is supine with their knee bent to 90-deg
39
what should we see with palaption of the joint line with men issue
presence of pain or tenderness
40
what strength testing can you do to test the men
quad inhibition has for a qua set: uninvolved side is fine involved side - delayed with not much of a contraction
41
what is the procedure for McMurty's
patient is supine with knee fully flexed grasp the ankle of the knee thumb over the lateral joint line middle finger over the medial joint line knee is maximally flexed and IR/ER and then is slowly extended
42
for McMurty's why do you turn the leg in for IR and ER
ER - medial men IR - lateral men
43
what is a positive McMurty's test
a click or an audible snap usually accompanied by pain
44
what is the procedure for apley's compression/ distraction
pt is prone knee is flexed to 90-deg examiner applies a compressive force through the tibia medialy and laterally rotates the tibia (compression) applies a distractive force through the tibia medialy and laterally rotates the tibia (distraction)
45
what is a postive apley's compression test
pain
46
what is a postive apley's distraction test
pain reduction if there is pain this indicates capsuloligamentous structures
47
what is the procedure for extension over pressure
pt supine the examiner grasps the femur superior to the patella and provides a postereior directed force into ext PT graspsthe great toe of the same limb and pulls the heel off the table
48
what is a positive test for extension overpressure
Pain or Differences in range of motion.
49
what is the procedure for the flexion over pressure test
the patient is supine bring the knee into full flexion and notes the patient pain status
50
what is a positive over pressure test
pain
51
what is the procedure for thessly test
the patient stands on the involved leg 5-deg and 20 deg of knee flex hold the PT hands for support pt rotates there body medially and laterally causing rotation of the knee
52
what is the tests for PFPS
pain with functional activities patella tilt test assessment for the need for tapping
53
what is the type of tapping we can do for PFPS
medial glide medial tilt medial rotation
54
what are some test for patellar instability
bruising and swelling patellar apprehension moving patellar apprehension
55
sitting - need for patella taping procedure
pt is sitting MMT the quads at different angles looking for pain medially glide the patella and reset - trying to see if the glide reduces the pt's symtoms
56
step down - taping procedure
pt standing on a 8' block standing on the involved leg opposite limb in front of them pain on the first rep - note the angle of the knee that the pain is present no pain on the first rep - have then perform additional reps until there is pain reproduced apply tape or manually glide the patella and re-try - medial glide
57
medial glide of tape is for what
correction of later displacement
58
what is medial tilt with tape for
correction of lateral compression
59
what is medial rot taping for
correction of excessive lateral rot
60
what is the procedure for the patellar apprehension test
pt knee in 30-deg of flex PT apply pressure to the medial patella forcing a lateral glide of the patella
61
what is a positive patellar apprehension test
quad activation and/or signs of apprehension empty endfeel quad activation - flex the knee and try to get it away
62
what is the procedure for the moving patellar test
pt is supine with their knee off of the table 1 - knee in full ext and the patella is moved laterally, flexed to 90 and brought back to full extension 2- the same procedure is performed but with a medial glide
63
what is a positive test for a mobing patellar test
sign of apprehension and/or quad contraction during part 1 and not part 2
64
what tests can we do for IT band syndrome
nobels TTP of gerbys of the femoral condyle
65
what is the procedure for noble
pt supine with knee flexed to 90 apply pressure over the lateral femoral condyle and passivly extend the knee
66
what is a postive noble test
- Lateral knee pain, usually around 30°
67
what is the procedure for the royal london hospital test
short sitting - Knee fully extended – palpate to find the most tender location - Flex the knee to 90° and palpate again
68
what is a positive test for royal london hosipital test
decrease or absence of pain with the knee flexed
69
what is the single-leg decline sqaut test for
patellar tendinopathy
70
what is the procedure for the single-leg decline sqaut test for
Standing on a 25-30° slant board on a single-leg, trunk upright the PT instructs the patient to squat down to 60-deg or as low as the pain will allow and then return to the starting position

MSK basics (20 decks)

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