Fichas
Orthopedic Testing - Knee
Fichas del conjunto (20)
- 1Anterior Drawer TestSupine, knees bent at 90, examiner stabilizes foot with hip and places thumbs over a. knee joint line & pulls the tibia anteriorly.
Px: a. cruciate ligament sprain
Excessive motion: a. cruciate rupture - 2Posterior Drawer TestSupine, knees at 90, examiner places thumbs over the anterolateral & anteromedial joint line & pushes the tibia posteriorly
Px or increased motion: PCL sprain or rupture - 3Apley's Compression TestProne, knee flexed 90, examiner applies downward force on the foot & rotates internally/externally
Px or crepitis, relieved by knee distraction: Meniscal damage - 4Apley's Distraction TestProne, knee flexed 90, examiner stabilizes patient's thigh by placing knee over patient's thigh, applying long axis distraction (pulling up) & intern. & extern. rotates leg
Px w/ distraction: capsule/ligamentous lesion, collateral ligament sprain. Decreased Px following distraction: Meniscal lesion - 5Patellofemoral Grind Test (Clarke's Sign)Examiner compresses the patella against the femur, moving it lat., med., sup., inf., & in a twisting motion (twist and grind)
Px/Crepitis: Chondromalacia patella, DJD, Osteochondritis of patella, or fracture - 6Clarke's Test ModifiedExaminer compresses the quad mm. 2cm above the sup. pole of the patella, the patient is then instructed to contract the quad mm.
Retropatellar Px (behind the knee): Chondromalacia patella, degeneration of patellofemoral joint - 7Lachman's Test (Gold standard for the evaluation of ACL & PCL damage)Supine, knee bent 15-30
Lachman's Anterior: examiner stabilizes the patient's femur with one hand & then pulls the tibia anteriorly with the other hand
Lachman's Posterior: same procedure except repeated with the examiner pushing the tibia posteriorly
Px with normal a. translation, Px with increased a. translation: ACL sprain, rupture
Px with normal p. translation, Px with increased p. translation: PCL sprain, rupture - 8McMurray's TestSupine, hip & knee flexed 90, examiner stabilizes patients distal quad mm. & grips patient's heel with other hand & applies long axis compression; rotating tibia INTERN. with VARUS force & then rotating the tibia LATerally, with VALGUS force
Px/Crepitis: Meniscal lesion
Valgus/EXTERN: Lateral Meniscal
Varus/INTERN: Medial Meniscal - 9Nobel Compression TestSidelying, examiner applies l. to m. pressure over later epicondyle w/ thumb & slowly flexes & extends the leg (3-4 times)
Px or palpable tendon snapping = Iliotibial band syndrome - 10Patellar Apprehenson/ Fairbank's TestSupine, pushing patella laterally & observes the patient for signs of verbal & nonverbal apprehension or reflex quadriceps contraction
Apprehension or relfex: patellar instability, subluxation, tracking disorder, dysfunction - 11Patellar Ballottement TestExaminer applies a. to p. pressure over the patella & gently oscillates the patella, palpating for motion
Increased motion or spongy joint feel: intra-articular knee swelling - 12Patellar Sweep Test (Bulge Sign, Brush Test)Sweep hands down the patient's quad mm. in a "milking" motion in an attempt to force fluid to gather around the patella
Excessive fluid end or patellar elevation: knee swelling/edema - 13Posterior Sag Sign (Gravity, Godfrey Test)Supine, knees 90, hips 45, examiner compares prominence of tibial tuberosities bilaterally
Sag back on the femur: PCL tear (posterior translation knee instability) - 14Q Anglesad
- 15Reverse Lachman'sProne, examiner pulls the tibia p.
Px with normal trans.: PCL sprain
Px with excessive movement: PCL rupture - 16Retreating MeniscusPalpates the medial joint line a. to m. collateral ligament & with opposite hand rotates the leg internally & externally by twisting the ankle observing for the presence or disappearance of the meniscus
Meniscus does not disappear while rotating the leg: meniscal lesion, tear - 17Q-Angleone line drawn from ASIS through midpoint of patella, the other line drawn from tibial tuberosisty through midpoint of the patella. Q-Angle is formed by the intersection.
<13 deg: genu varum (bow leged), LCL
>18 deg: genu valgum (knock knee), MCL - 18Varus Stress TestStabilize l. ankle & applied m. to l. force at knee (push knee out). Repeat with the knee slightly flexed at 25 deg.
Px: LCL strain
Increased motion: LCL rupture - 19Valgus Stress TestStabilize m. ankle, apply force l. to m. at the knee (push the knee in). Repeat with the knee slightly flexed 25 deg
Px: MCL sprain
Increased motion: MCL rupture - 20Tinel's Sign (of the knee)Tapping of the knee, which tests the integrity of the saphenous nerve.
Tingling, Px: compromised saphenous nerve.
Información
- Descripción
- College (Client Assessment 1-3) International Academy of Massage Fichas sobre Orthopedic Testing - Knee, creado por ashleylucas21 el 05/03/2015.
- Creado por
- ashleylucas21
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