MSPT - PRACTICAL 3: Indications Flashcards
(42 cards)
90/90 test
(+) angle of knee flexion is > 20 deg
[Tight hamstrings]
SLR test for hamstring flexibility
(+) angle of hip flexion is < 90 deg
[Hamstring flexibility]
Rectus Femoris Contracture Test
(+) knee cannot reach 90 or passively move easily into that position
[Rectus femoris contracture]
Ely’s test
(+) Hip spontaneously flexes
[Tight rectus femoris]
Ober test
(+) leg remains abducted and does not fall to table
[ITB/TFL contracture]
Valgus stress test (knee)
(+) excessive gapping; instability
[Flexion: MCL sprain]
[Extension: major medial damage]
Varus stress test (knee)
(+) excessive gapping; instability
[Flexion: LCL sprain]
[Extension: major lateral damage]
Posterior sag sign
(+) Tibial tuberosity “sags” posteriorly
[PCL laxity]
Lachman test
(+) Soft, mushy end feel
(+) Disappearance of infrapatellar tendon slope
(+) Excessive anterior glide of tibia compared to uninvolved side
[ACL instability]
Anterior Drawer sign
(+) Excessive anterior glide of tibia (> 6 mm)
[ACL instability]
Losee test
(+) Clunk - tibia subluxating anteriorly
[Anterolateral rotary instability]
Slocum test
(+) instability
[IR: anterolateral rotary instability]
[ER: anteromedial rotary instability]
Anterolateral rotary instability can indicate…
ACL Posterolateral capsule Arcuate/popliteus complex LCL PCL
Anteromedial rotary instability can indicate…
ACL
MCL
Posterior oblique ligament
Posteromedial capsule
McMurry Test
(+) Snap or click at joint line often accompanied by pain
[IR: lateral meniscal tear]
[ER: medial meniscal tear]
Apley’s test
(+) distraction causes more pain or increased rotation
(+) compression causes more pain or decreased rotation
[Distraction: ligamentous]
[Compression: meniscus]
Patellar apprehension test
(+) pt contracts quads to hold in place or has apprehension
[Patellar instability]
Clark’s sign
(+) pain or grinding/crepitus
[chondromalacia or other pat-fem dysfunction]
Medial Plica test
(+) medial pain
[Plica pinched between patella and medial femoral condyle]
Patellar tap test
(+) Feel/hear patella tap against femoral condyles or patella feels like it is floating around
[swelling]
Ballotment test
(+) Thumb and index finger separate
[swelling]
Navicular drop test
(+) > 10 mm drop
[flat foot/pronation]
Feiss line
(+) Navicular head lies below line, toward the floor
[flat foot/pronation]
Leg-heel alignment
(-) 2-8 deg rearfoot varus
(+) > 8 deg rearfoot varus or rearfoot valgus
