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27 Cards in this Set
- Front
- Back
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Girth Measurement |
Purpose: Assess for edema and/or muscle atrophy Positive Test: Difference of +/- 1 centimeter compared bilaterally |
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Sweep Test |
Purpose: Determine the presence of intra-capsular swelling Positive Test: Reformation of edema on the medial side of the knee when pressure is applied to the lateral aspect. |
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Ballotable Patella |
Purpose: Determine the presence of effusion within the joint capsule Positive Test: Patella fails to bounce back after being depressed |
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Anterior Drawer |
Purpose: Testing the integrity of the anterior cruciate ligament (ACL) Positive Test: Increased anterior tibial translation or lack of a firm end-point, compared bilaterally. |
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Posterior Drawer |
Purpose: Test the integrity of the posterior cruciate ligament (PCL) Positive Test: Increase of posterior tibial translation or lack of a firm end-point, compared bilaterally. |
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Lachman's Test |
Purpose: Test the integrity of the anterior cruciate ligament (ACL) Positive Test: Increased anterior tibial translation or lack of a firm end-point, compared bilaterally. |
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Godfrey's (90/90) Test |
Purpose: Test for posterior cruciate ligament laxity Positive Test: A unilateral posterior displacement of the tibial tuberosity. |
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Quadriceps Active Test |
Purpose: Correct posterior tibial sag, to indicate the presence of posterior cruciate ligament tear (PCL) Positive Test: Anterior translation of the tibia on the femur, indicating a grade II or III PCL sprain. |
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Valgus Stress Test |
Purpose: Test the integrity of the medial collateral ligament (MCL) and capsule Positive Test: Increased laxity, decreased quality of the end-point, and/or pain, compared bilaterally. |
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Varus Stress Test |
Purpose: Test the integrity of the lateral collateral ligament (LCL) and capsule Positive Test: Increased laxity, decreased quality of the end-point, and/or pain, compared bilaterally. |
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Slocum Drawer Test |
Purpose: To test of rotational instability Positive Test: Increased anterior tibial translation or lack of a firm end-point, compared bilaterally.
Procedure: Internally rotated tests the anterolateral capsular instability. Externally rotation tests the anteromedial capsular instability.
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Pivot Shift Test |
Purpose: Test anterolateral knee instability Positive Test: Tibia's position on the femur reduces as the leg is flexed. |
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Slocum Anterolateral Rotatory Instability (ALRI) Test |
Purpose: Test the integrity of the lateral structures of the knee Positive Test: An appreciable "clunk" or instability as the lateral tibial plateau subluxates or pain |
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Flexion-Rotation Drawer Test |
Purpose: Test for anterolateral rotatory instability Positive Test: Femur relocates on the tibia by moving anteriorly and internally rotating on the tibia. |
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Posteromedial/Posterolateral Drawer Test |
Purpose: Test the integrity/instability of the posterolateral and posteromedial corners of the knee Positive Test: Increased external rotation of the lateral or medial tibial condyle relative to the lateral femoral condyle relative to the uninvolved leg.
Procedure: Externally rotated tests posterolateral test. Internally rotated tests posteromedial test. |
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Reverse Pivot Shift |
Purpose: Test the integrity of the PCL or posterolateral corner of the knee Positive Test: Appreciable "clunk" of the tibia on the femur |
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McMurray's Test |
Purpose: Test the integrity or impingement of the meniscus Positive Test: A popping, clicking, or locking of the knee; Pain emanating from the menisci; or a sensation to that experienced during ambulation. |
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Apley's Compression and Distraction Test |
Purpose: Check the integrity of both menisci (compression) and ligaments (distraction) Positive Test: Pain experienced during compression that is reduced or eliminated during distraction. |
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Thessaly Test |
Purpose: Identify meniscal lesions Positive Test: Joint-line discomfort, complaints of locking or catching. |
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Wilson's Test |
Purpose: Identify the presence of OCDs Positive Test: Pain experienced during extension with internal tibial rotation that is relieved by externally rotating the tibia |
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Noble's Test |
Purpose: To test of IT Band inflammation Positive Test: Pain under the thumb during flexion and extension |
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Ober's Test |
Purpose: Test for IT Band tightness Positive Test: - Normal: Femur adducts past the horizontal line - Minimal Tightness: Femur adducts to horizontal line - Maximal Tightness: Femur is unable to adduct to horizontal line |
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Quadriceps (SMMT) |
Test: Patient sitting at the edge of table, upright, extend knee joint, place pressure against the leg, above the ankle, in the direction of flexion |
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Sartorius (SMMT) |
Test: Patient supine, lateral rotate, abduct, and flex the thigh, flex the knee. Apply pressure against the anterolateral surface of the lower thigh, in the direction of hip extension, adduction, and medial rotation, and knee extension. |
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Biceps Femoris (SMMT) |
Test: Patient prone, flex the knee between 50 and 70 degrees, thigh in slight lateral rotation. Pressure against the leg, proximal to the ankle, in the direction of knee extension. |
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Semitendinosus/Semimembranosus (SMMT) |
Test: Patient prone, flex knee between 50 and 70 degrees, medial rotate the thigh. Apply pressure against the leg, proximal to the ankle, in the direction of knee extension. |
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Popliteus (SMMT) |
Test: Patient sitting in chair, have patient medially rotate the tibia on the femur. Testing to see if the muscle activates. |
