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NMS II OSCE weeks > knee tests > Flashcards

knee tests Flashcards

1
Q

perform valgus stress

A

extend knee, push lateral to medial; knee flexed, push lateral to medial

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2
Q

valgus stress positive

A

pain

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3
Q

valgus stress meaning

A

MCL

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4
Q

perform varus stress

A

knee extended, push medial to lateral; flex knee, push medial to lateral

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5
Q

varus stress positive

A

pain

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6
Q

varus stress meaning

A

LCL

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7
Q

perform apley’s compression/distraction

A

flex leg with toes in, push down, repeat with toes out; same thing but pull up

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8
Q

apley’s compression/distraction positive

A

pain

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9
Q

apley’s compression/distraction meaning

A

toes in: lateral meniscus

toes out: medial meniscus

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10
Q

perform patellar ballottement

A

push on patella

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11
Q

patellar ballottement positive

A

floating sensation

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12
Q

patella ballottement meaning

A

large amount of knee swelling

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13
Q

perform bounce holme

A

flex leg, hold ankle, slowly extend leg

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14
Q

bounce Holme positive

A

knee does not extend

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15
Q

bounce holme meaning

A

torn meniscus

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16
Q

perform Clarke’s (patella grinding)

A

push PA with webbing, then SI; pt contracts quads

17
Q

Clarke’s positive

A

pain

18
Q

Clarke’s meaning

A

chondromalacia patellae

19
Q

perform mcmurray

A

flex leg, toes in, slowly extend with valgus pressure; repeat with toes out and varus pressure

20
Q

mcmurray positive

A

painful click

21
Q

mcmurray meaning

A

meniscus

22
Q

perform lateral pivot shift

A

slightly flex leg, toes in, apply valgus pressure while flexing leg

23
Q

lateral pivot shift positive

A

feels like it wants to give

24
Q

lateral pivot shift meaning

A

ACL injury

25
Q

perform lachman

A

foot bent on table, stabilize anterior thigh while PA pressure on calf

26
Q

lachman positive

A

infrapatellar slope disappears

27
Q

lachman meaning

A

ACL

28
Q

perform drawer

A

flex knee to 90 on table, sit on foot, pull PA and push AP on joint line

29
Q

drawer positive

A

movement difference

30
Q

drawer meaning

A

PA: ACL
AP: PCL

31
Q

perform q-angle

A

measure ASIS to patella midpoint to medial malleolus

32
Q

q-angle meaning

A

<13: patella alta

>18: patellofemoral dysfunction

NMS II OSCE weeks (12 decks)

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