Knee Special tests

Question 1

Ottawa Knee Rules

Answer 1

Positive: must have one of the following---
1. over 55
2. isolated patella tenderness
3. tenderness to head of fibula
4. unable to flex knee to 90
5. Unable to weight bear 4 steps
Indicates: send for xray

Question 2

Milking test

Answer 2

Positive: unusually puffy or springy
Indicates: intra articular swelling

Question 3

Patella Quadrant

Answer 3

Positive: increased movement
Indicates:
Medial=medial patellofemoral ligament or superior lateral retinaculum
Lateral= superior medial retinaculum
cephalic=  infrapatellar tendon
caudal= quad tendon

Question 4

Sag test

Answer 4

Positive: sag of tibia compared to femur
Indicates: PCL injury

Question 5

Posterior Drawer

Answer 5

Positive: reproduction of pain or empty end feel
Indicates: PCL injury

Question 6

Anterior Drawer

Answer 6

Positive: reproduction of pain or empty end feel
Indicates: ACL injury

Question 7

Lachman’s

Answer 7

Positive: reproduction of pain or empty end feel
Indicates: ACL injury

Question 8

Valgus Stress Test

Answer 8

Positive: recreation of pain, excessive movement, empty end feel
Indicates: MCL injury

Question 9

Varus Stress test

Answer 9

Positive: recreation of pain, excessive movement, empty end feel
Indicates: LCL injury

Question 10

Apley’s distraction

Answer 10

Positive: recreation of pain, restricted or excessive movement
Indicates: MCL (with ER) or LCL (with IR)

Question 11

McMurray’s

Answer 11

Positive: pain, snap, locking
Indicates: medial and lateral menisicus

Question 12

Steinman’s

Answer 12

Positive: medial pain elicited on lateral rotation and lateral pain solicited on medial rotation
Indicates medial and lateral meniscus

Question 13

Thessaly

Answer 13

Positive: pain, locking or catching
Indicates: Medial and lateral meniscus

Question 14

Apley’s compression

Answer 14

Positive: recreationg of pain, restricted or excessive motion
Indicates: lateral meniscus (with ER)
Medial meniscus (with IR)