Knee Tests & Treatments Flashcards
Valgus Test
Indicates:
(+) Test
patient supine with knee flexed to 30.
physician supports lower leg with one hand and places other hand underneath knee. apply a medial force to proximal tibia while abducting the lower leg
Medial collateral l.
increased laxity, soft or no endpoint, or pain
Varus Test
Indicates:
(+) Test
patient supine with knee flexed to 30,
physician supports lower leg with one hand and places other hand above knee and applies lateral force and adducts the lower leg.
lateral collateral ligament
increased laxity, soft or no endpoint or pain
Anterior Drawer Test
Indicates:
(+) Test
patient supine with knee flexed to 90,
examiner sits on patient foot and grasps proximal tibia with both hands and pulls tibia anteriorly
ACL insufficiency
excessive translation
Lachman’s Test
Indicates:
(+) Test
patient supine.
examiner flexes patient knee to 10-30
one hand pulls tibia anteriorly while other hand stabilizes hand and pushes down
ACL insufficiency
increased laxity, soft or absent end point
Posterior Drawer Test
Indicates:
(+) Test
patient supine with knee flexed to 90, examiner sits on patient’s foot and grasps proximal tibia with both hand and translates the tibia posteriorly
PCL insufficiency, posterior capsular injury
excessive translation
McMurray’s Test
(Lateral Meniscus)
Indicates:
(+) Test
patient is supine, with hip and knee flexed.
physician uses one hand to control ankle and one hand to rotate the tibia into internal rotation and applies varus stress (pull laterally) and places patient leg into extension
possible lateral meniscus tear
pain or palpable click during extension
McMurray’s Test
(Medial Meniscus)
Indicates:
(+) Test
patient with hip and knee flexed.
physician uses one hand to control ankle, uses other hand to rotate tibia into external rotation and apply valgus stress (pull medially) and continue leg into extension
possible medial meniscus tear
pain or palpable click during extension
Apley’s Grind Compression Test
Indicates:
(+) Test
patient prone with knee flexed to 90
physician exerts downward force and rotate foot internally and externally
possible meniscal injury, collateral ligament injury or both
pain with rotation and/or compression
Apley’s Grind Distraction Test
Indicates:
(+) Test
physician stabilize thigh and then applies upward traction to the leg while rotating
pain = possible collateral ligament damage
relief of pain = possible meniscus injury
Patella-Femoral Grinding Test
Indicates:
(+) Test
compress patella caudally into trochlear groove and instruct patient quadriceps against resistance
roughness of articulating surfaces
crepitus or pain
ER Tibiofemoral SD
patient seated with legs off table
physician grasps medial tibial plateau to monitor motion and internally rotate foot to barrier and have patient try to externally rotate
IR Tibiofemoral SD
patient seated with legs off table
physician grasps medial tibial plateau to monitor motion and externally rotate foot to barrier and have patient try to internally rotate
Extended Tibiofemoral Somatic Dysfunction
regular MET
patient prone
Flexed Tibiofemoral SD
patient supine;
extend patient’s knee to barrier,
physician places distal hand under the patient calcaneus & proximal hand over patient’s knee cap
patient asked to flex knee against counter resistance
Posterior Fibular Head MET
patient supine
physician flexes patient hip and knee to 90 and holds fibular head between thumb and index finger. Physician uses other hand to evert, abduct and dorsiflex patient foot while externally rotating lower leg
patient move medially against resistance
