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1033 Questions

Which position is considered the close packed position of the knee joint?

Full extension

Which meniscus is thicker posteriorly than anteriorly?

Medial meniscus

Which meniscus has an excursion of 10 mm during movement from extension to flexion?

Lateral meniscus

What is the primary function of the menisci in the knee joint?

All of the above

What is the primary function of the coronary ligaments in relation to the menisci?

To hold the menisci in place

What is the patella considered to be within the patellar tendon?

A sesamoid bone

Which ligaments are commonly involved in acceleration and twisting injuries?

Meniscus and ligaments

What type of pain is usually associated with degenerative changes?

Aching pain

Which condition is more likely to be associated with stiffness in the morning and eases with activity?

Arthritic pain

What is a possible cause of anterior knee pain?

All of the above

What is a characteristic of pain in structural abnormalities?

Pain during activity

What does the presence of instability in the knee usually indicate?

All of the above

From which direction did the injuring force come?

Combination of compression and rotation

Which joint in the body is the largest?

Knee joint

What type of playing surface increases the risk of anterior cruciate ligament injuries?

Artificial turf

Why is the knee joint particularly susceptible to traumatic injury?

Because it depends on ligaments and muscles for its strength and stability

What type of shoe can indicate stress put on the lower leg, ankle, and foot?

Running shoes

Why are ligamentous tests listed in a separate section during the examination of the knee?

To ensure that they are always included in the examination

Which joints may refer pain to the knee?

Lumbar spine, hip, and ankle

What can lead to arthritic changes and increase the risk of injury?

Quadriceps/hamstrings strength imbalance

What does it mean for the cruciate ligaments to be extrasynovial?

They are located outside the knee joint

What can a distinct pop during an injury indicate?

Anterior cruciate ligament tear

When can posterior cruciate ligament injuries have more vague symptoms of unsteadiness or discomfort?

When moving at a constant speed

How many degrees of freedom does the tibiofemoral joint have?

2 degrees

Which part of the patella is most frequently affected in chondromalacia patellae or patellofemoral syndrome?

The odd facet

During the movement from flexion to extension, different parts of the patella articulate with the femoral condyles until at least how many degrees of flexion is reached?

135°

Which ligament is the primary static restraint to lateral patellar displacement at 20° of knee flexion?

Medial patellofemoral ligament (MPFL)

What is the primary mechanism of injury that often results in injury to the medial collateral ligament, frequently accompanied by injury to the posteromedial capsule, medial meniscus, and anterior cruciate ligament (ACL)?

Valgus force

What ligament is often involved in an anterior cruciate ligament (ACL) injury, often associated with meniscus tears, resulting from hyperextension?

Lateral collateral ligament (LCL)

What ligament is often involved in a posterior cruciate ligament (PCL) injury, often resulting from flexion with posterior translation?

Medial collateral ligament (MCL)

Which structures are often involved in deceleration injuries to the knee?

Cruciate ligaments

What type of pain is usually associated with degenerative changes in the knee?

Aching pain

What is the most likely cause of anterior knee pain?

Patellofemoral problems

What is the major presenting factor in complex ligament disruptions or muscle dysfunction in the knee?

Instability

What is the primary cause of true locking of the knee?

Meniscus pathology

What may cause grating or clicking in the knee during movement?

Snapping of structures

Which type of injury to the knee is more likely to cause bony avulsions?

Injuries from slowly developing forces

What type of playing surface increases the risk of anterior cruciate ligament injuries?

Artificial playing surface

What is the term used to describe injuries to the growth plate or physis in young children?

Physis injuries

What is the term used to describe injury to the tibial tubercle apophysis in young children?

Osgood-Schlatter disease

What type of injury may be indicated by a distinct pop during the injury?

Osteochondral fracture

When can posterior cruciate ligament injuries have more vague symptoms of unsteadiness or discomfort?

All of the above

Which position of the knee joint is considered the close packed position?

Full extension

Which meniscus in the knee joint has an excursion of 10 mm during movement?

Lateral meniscus

What is the primary function of the menisci in the knee joint?

Shock absorption

What is the main difference between the medial and lateral menisci in terms of shape?

The medial meniscus is C-shaped, while the lateral meniscus is O-shaped.

What is the primary function of the coronary ligaments in relation to the menisci?

To hold the menisci in place

What is the primary function of the patella in the knee joint?

To aid in shock absorption

Which joint connects one long bone 'sitting' on another long bone and depends on ligaments and muscles for its strength and stability?

Knee joint

What is the largest joint in the body?

Knee joint

Which joint has 2 degrees of freedom and is a modified hinge joint?

Knee joint

Which ligaments in the knee joint are extrasynovial?

Cruciate ligaments

Which joints may refer pain to the knee?

Lumbar spine, hip, and ankle

Why are ligamentous tests listed in a separate section during the examination of the knee?

To ensure they are always included in the examination

Which ligament provides up to 19% of the resistance against lateral patellar displacement?

Lateral patellofemoral ligament (LPFL)

What is the primary function of the patella in the knee joint?

To hold the quadriceps tendon away from the axis of movement

Which ligament is the primary static restraint to lateral patellar displacement at 20° of knee flexion?

Medial patellofemoral ligament (MPFL)

What is the primary mechanism of injury that often involves the posterior cruciate ligament (PCL)?

Flexion with posterior translation

What ligament runs from the anterior horn of the medial meniscus to the inferior portion of the medial border of the patella?

Medial meniscopatellar ligament

What ligament runs between the anterior horn of the lateral meniscus and the inferior aspect of the capsule?

Lateral meniscopatellar ligament

Which position is considered the close packed position of the knee joint?

Full extension

What is the primary function of the menisci in the knee joint?

Shock absorption

Which meniscus is thicker posteriorly than anteriorly?

Medial meniscus

What is the primary function of the coronary ligaments in relation to the menisci?

Holding the menisci in place

What is the primary function of the patella in the knee joint?

Providing stability to the joint

Which meniscus has an excursion of 10 mm during movement from extension to flexion?

Lateral meniscus

Which type of injury to the knee is more likely to cause bony avulsions?

Torsion injury

What is the primary mechanism of injury that often results in injury to the medial collateral ligament, frequently accompanied by injury to the posteromedial capsule, medial meniscus, and anterior cruciate ligament (ACL)?

Hyperextension

What can a distinct pop during an injury indicate?

Anterior cruciate ligament tear

Which ligaments are commonly involved in acceleration and twisting injuries?

Medial collateral ligament and anterior cruciate ligament

Why are ligamentous tests listed in a separate section during the examination of the knee?

To assess the stability of the ligaments

Which joint in the body is particularly susceptible to traumatic injury due to its location at the ends of two long lever arms?

Knee joint

What is the most likely cause of anterior knee pain?

Degenerative changes

Why are ligamentous tests listed in a separate section during the examination of the knee?

To ensure that they are always included in the examination

Which joints may refer pain to the knee, requiring assessment during the examination?

Ankle and hip joints

What is the primary function of the coronary ligaments in relation to the menisci?

To communicate with the bursae and pouches around the knee joint

Which ligament is often involved in an anterior cruciate ligament (ACL) injury, often associated with meniscus tears, resulting from hyperextension?

Anterior cruciate ligament (ACL)

Which joint in the body is the largest and has 2 degrees of freedom?

Knee joint

Which ligament is commonly involved in deceleration injuries to the knee?

Posterior cruciate ligament

What is the primary cause of true locking of the knee?

Meniscus pathology

Which ligament is the primary static restraint to lateral patellar displacement at 20° of knee flexion?

Medial collateral ligament

Which ligament runs from the anterior horn of the medial meniscus to the inferior portion of the medial border of the patella?

Medial patellofemoral ligament

What type of pain is usually associated with degenerative changes in the knee?

Aching pain

What type of pain is usually associated with synovial plica irritation or early tendinosis?

Sharp, 'catching' pain

Which ligament is the primary static restraint to lateral patellar displacement at 20° of knee flexion?

Medial patellofemoral ligament (MPFL)

Which ligament runs from the medial femoral condyle to its attachment onto the medial border of the patella?

Medial patellofemoral ligament (MPFL)

What is the primary function of the patella in the knee joint?

Improves efficiency of extension

What is the primary function of the menisci in the knee joint?

Shock absorption

Which ligament provides up to 19% of the resistance against lateral patellar displacement?

Lateral retinaculum

What is the primary cause of patellofemoral arthralgia?

Incorrect alignment or malalignment of the patellar movement over the femoral condyles

During the observation phase, if a squinting or rotated patella is seen, it may indicate which of the following conditions?

Lateral tibial torsion

Which of the following conditions may be indicated by genu recurvatum (hyperextended knee)?

Patella alta

Which of the following conditions may be indicated by a fixed flexion deformity?

Patella baja

Which condition may increase the patellofemoral contact force during flexion and contribute to anterior knee pain?

Patella alta

Which condition may cause the inferior pole of the patella to tilt in, leading to fat pad irritation?

Patella baja

Which of the following conditions is associated with medial tibial torsion and a 'pigeon-toed' foot deformity?

Genu varum

During active knee extension, the knee extensor muscles develop the greatest force at what degree?

60°

What is the end feel of flexion at the tibiofemoral joint?

Tissue approximation

What is the primary cause of quadriceps lag?

Muscle atrophy

What is the normal range of passive medial rotation of the tibia on the femur at 90° of knee flexion?

20° to 30°

What is the normal range of passive lateral rotation of the tibia on the femur at 90° of knee flexion?

30° to 40°

What is the primary purpose of the motion palpation test for articular damage in the knee?

To assess joint crepitus

During the examination of the knee, the examiner should observe the movement of the patella as it tracks along the femoral trochlea. Which of the following patterns is considered normal for the movement of the patella?

The patella moves laterally in early flexion and then medially at approximately 20° to 30° of knee flexion.

Which of the following is a possible indication of patellar tracking problems during knee examination?

Lag or abrupt jump of the patella as it attempts to center in the groove.

Which of the following muscles can lead to increased stress on the knee if the hip abductors are weak?

Gracilis and adductor longus

Which of the following factors can put extra pressure on the patellofemoral joint during gait?

Tight heel cords

Which of the following is true about the examination of the knee?

Biomechanical and pathological issues in other joints can contribute to knee pathology.

What is the normal range of full knee flexion?

135°

Which of the following questions can give an indication of the patient's functional disability and how much the knee is bothering the patient?

Is the gait normal?

What contributes to lower limb load distribution across each joint articular surface?

Alignment of the hips, knees, and ankles

What malalignment should the examiner note from the anterior aspect?

Genu valgum (knock-knee)

What is the normal development sequence of the knee in children?

Genu varum to genu valgum to straight

What may observable malalignment around the knee lead to or be the result of?

Malalignment elsewhere

When do a child's lower limbs transition from genu varum to straight?

18-19 months

Which term describes the inward angulation of the knee in children until approximately 3 to 4 years of age?

Genu valgum

What is the normal range of valgus alignment in adults?

What is the distance between the ankles that is considered excessive in cases of genu valgum?

9 cm (3.5 inches)

What is the term for a varus deformity or genu varum if two or more fingers (4 cm [1.6 inches]) fit between the knees when the ankles are together?

Genu varum

Which of the following misalignments can lead to patellofemoral symptoms or instability?

All of the above

What is the term for the medial collapse during loading (e.g., when doing a squat) that results in dynamic knee valgus?

Genu valgum

Which term is used to describe a condition where the knees touch but the ankles do not, indicating a deformity?

Genu valgum

What is the normal range of valgus alignment in the adult knee?

3-6 degrees

Which of the following conditions may be associated with patellofemoral symptoms or instability?

Genu varum

What is the term used to describe a dynamic knee valgus, which is the result of medial collapse during loading?

Genu valgum

What is the position of the knees in a person with an excessive lordosis?

Hyperextended

What is the resting position of the knee, which provides the synovial cavity with the maximum capacity to hold fluid?

15-25 degrees of flexion

Which joint contributes to lower limb load distribution across each joint articular surface?

Knee joint

What is the normal development of the knee in children, in terms of alignment?

Genu varum to genu valgum

What malalignment deformities should the examiner look for from the anterior aspect?

Genu varum and genu valgum

What percentage of load does the medial compartment bear across the knee in a neutrally aligned knee?

60% to 70%

When does a child's lower limbs transition from genu varum to straight alignment?

18 to 19 months

What should the examiner note about the patient's weight distribution on the affected limb?

Patient stands with only a slight amount of weight on the affected side

Which movement of the patella during dynamic movement may indicate excessive lateral patellar shift or maltracking?

Anteroposterior tilt

At what angle is active knee extension approximately 0°?

-15°

At what angle do the knee extensor muscles develop their greatest force?

60°

What is the primary reason for quadriceps lag during knee extension?

Loss of mechanical advantage

What is the normal range of passive medial rotation of the tibia on the femur at 90° of knee flexion in non-weight bearing?

20° to 30°

What is the end feel of flexion at the tibiofemoral joint?

Tissue approximation

Which view is best for visualizing a popliteal (Baker's) cyst?

Posterior view, standing

What is the term used to describe the condition where the patella is higher than normal?

Patella alta

What is the term used to describe the condition where the patella is lower than normal?

Patella baja

What is the term used to describe the condition where the inferior pole of the patella is tilted in?

Inferior tilt

What is the term used to describe the condition where the patellae face upward and outward, away from each other?

Grasshopper eyes

Which condition is associated with medial tibial torsion?

Genu varum

During the examination of the knee, what should the examiner observe in relation to the movement of the patella?

The excursion of the patella

What is the normal range of knee flexion in degrees?

135°

What is the normal movement pattern of the patella as the knee moves from extension to flexion?

Curved pattern moving medially

What may be noted in the presence of pathological patellar tracking and patellar instability?

Inverted "J" sign

Which muscles should be tested for functional mobility during the examination of the knee?

All of the above

What other joints in the kinetic chain should be considered during the examination of the knee?

Lumbar spine, pelvis, hips, ankles, and feet

What is the normal range of knee flexion during a squat exercise?

135°

What is the normal pattern of patellar movement during knee flexion?

Curved pattern moving medially

What is the inverted 'J' sign indicative of?

Pathological patellar tracking

What is the primary role of the gracilis and adductor muscles in knee stability?

Maintaining patellar alignment

What can tight heel cords result in during gait?

Decreased ankle dorsiflexion

What is the primary cause of patellofemoral pathology or anteromedial joint pain?

Pronation of the foot

During active knee extension, the knee extensor muscles develop the greatest force at which degree angle?

60°

What is the approximate degree of passive medial rotation of the tibia on the femur when the knee is flexed to 90°?

30°

What is the approximate degree of passive lateral rotation of the tibia on the femur at 90° of knee flexion?

40°

What is the end feel of flexion at the tibiofemoral joint?

Tissue approximation

What is the end feel of extension and medial/lateral rotation of the tibia on the femur at the tibiofemoral joint?

Tissue stretch

What is the normal range of patellar mobility in extension?

Up to 50% of patellar width

Which of the following is a normal range of valgus alignment for the knee in adults?

What is the distance between the ankles considered excessive in determining genu valgum?

3-4 cm

What is the term for excessive differences in alignment that can lead to patellofemoral symptoms or instability?

Miserable malalignment syndrome

What is the term for the position of the knee with 15° to 25° of flexion, which provides the synovial cavity with the maximum capacity to hold fluid?

Resting position

What is the primary cause of posterior knee pain when a patient has an excessive lordosis?

Hyperextension of the knees

What structures can cause rotation and tilt of the patella if they are tight?

Fascia

Which of the following questions can give an indication of the patient's functional disability and how much the knee is bothering the patient?

Is the stride length altered on the affected limb?

What contributes to lower limb load distribution across each joint articular surface?

All of the above

What malalignment should the examiner note from the anterior aspect?

Both genu varum and genu valgum deformities

At what age do a child's lower limbs transition from genu varum to genu valgum and then to straight?

18-19 months

What is the term used to describe the condition where the patella is higher than normal?

Patella alta

What are the primary factors that determine knee alignment?

All of the above

What is the term used to describe a squinting or rotated patella indicating medial femoral or lateral tibial torsion?

Patella torsion

What is the term for an abnormal swelling caused by herniation of synovial tissue through a weakening in the posterior capsule wall?

Baker's cyst

What is the term for the condition where the patellae face upward and outward, away from each other, giving the appearance of 'frog eyes' or 'grasshopper eyes'?

Patella torsion

What is the term for the condition where the inferior pole of the patella is tilted in, causing fat pad irritation?

Inferior tilt

What is the term for the condition where the feet point toward each other, resulting in a 'pigeon-toed' foot deformity?

Genu valgum

What is the term for the condition where the patella becomes more aligned with the anterior surface of the femur, angled upward?

Patella alta

Which test is positive for rotary instability if the patient stops without using the quadriceps or decelerates in a crouched position?

Deceleration test

Which test involves the patient rotating or twisting left and right while standing on one leg with the knee flexed 10° to 20°?

Disco test

Which test measures patients attempting to return to sport following anterior cruciate ligament injury?

Vail Sport Test

Which test involves the patient hopping up and down on one leg while abducting the opposite leg?

Leaning hop test

Which test is part of a landing error scoring system and involves jumping down from a 30-cm height onto both feet?

Drop box screening test

Which test battery includes a one-leg stability test, a two-leg countermove jump, and plyometric jumps?

Hildebrandt test battery

Which of the following tests measures the time taken to hop 6 m (20 ft) on one leg?

Single-leg hop for distance

Which test requires the patient to hop as far as possible, taking three hops?

Triple hop

Which test requires the patient to take three consecutive hops on one foot, crossing over a straight line each time?

Crossover hop

Which test requires the patient to hop from marker to marker on each line, with the distance measured?

Agility hop

Which test measures the time taken for the patient to hop from marker to marker on each line, with the good leg tested first?

Agility hop

Which test requires a space of 30 m (100 ft) and involves hopping between cones placed 6 m (20 ft) apart?

Agility hop

Which muscles should the examiner ensure full and normal flexibility of in order to prevent altered gait and postural mechanics?

Quadriceps, hamstring, iliotibial band, abductor and adductor muscles of the thigh

What can tight hamstrings contribute to in terms of knee pathology?

Patellofemoral pathology

What limitation of hip rotation in extension can lead to patellofemoral pathology?

Limited hip medial rotation

What is the effect of a tight iliotibial band on the patella?

Lateral tracking of the patella

Which muscle's tightness can prevent full excursion of the patella in the trochlea if the hip is extended?

Rectus femoris

What is the normal range of dorsiflexion when testing the gastrocnemius muscle?

10° to 15°

Which of the following is NOT a measure of physical function?

Fear of reinjury

Which group of patients often show fear of reinjury and abnormal gait patterns?

Noncopers

Which of the following is NOT a criterion to consider before doing functional testing?

Patient's age

Which of the following is NOT a functional test for the knee?

Passive ROM

Which of the following is NOT a way to measure functional test results?

Number of repetitions completed

Which test is effective in differentiating patients with anterior cruciate ligament deficiencies from normal patients?

Figure-eight running to straight running time ratio

Which of the following is true about the examination of patellar mobility?

The examiner should note whether the patella stays parallel to the femoral condyles or whether it tilts or rotates.

Which of the following is an example of dynamic tilt and rotation problems of the patella?

The lateral border of the patella tilts up when pushed medially when the medial structures are tight.

What is a more functional position to test the side-to-side passive motion of the patella?

90° of flexion

How can objective measurements of patellar mobility be made?

By describing the amount of movement based on quadrants or fourths of patellar movement.

What does a grade of two quadrants of patellar movement indicate?

A normal passive medial translation of one-half of the width of the patella.

What does a patella that has been dislocated laterally indicate in terms of patellar mobility?

An objectively passively translated four quadrants or more.

Which test can be used to measure patients attempting to return to sport following anterior cruciate ligament injury?

Vail Sport Test

Which test is used to identify individuals with poor jump landing technique?

Drop box screening test

Which test involves the patient hopping up and down on one leg while abducting the opposite leg?

Leaning hop test

Which test measures postsurgical anterior cruciate ligament patients and includes ROM for the knee and ankle, single-leg hop, triple hop, crossover triple hop, single-leg squatting, lateral jumping, and pivoting?

Functional Sports Assessment

Which test battery includes a two-leg stability test, a one-leg stability test, a two-leg countermove jump, a one-leg countermove jump, plyometric jumps, speedy test, and quick feet test?

Hildebrandt test battery

Which functional tests have been shown to have high test-retest reliability?

All of the above

Which muscles should the examiner ensure full and normal flexibility of in order to prevent gait and postural mechanics alterations that may lead to pathology?

Quadriceps, hamstring, iliotibial band, and abductor and adductor muscles of the thigh

Which muscle tightness can contribute to patellofemoral pathology due to increased knee flexion at heel strike and during stance phase?

Hamstrings

What limitation of hip rotation in extension can lead to patellofemoral pathology?

Limited hip medial rotation

Which muscle's tightness can prevent full excursion of the patella in the trochlea, especially if the hip is extended?

Rectus femoris

What can a tight iliotibial band lead to in relation to the patella?

Lateral tracking of the patella

What can limited hip medial rotation increase strain on during cutting and pivoting activities?

Anterior cruciate ligament

Which test requires a space of 30 m (100 ft) and involves hopping between cones placed 6 m (20 ft) apart?

Agility hop

What is the term for the functional deficit between the affected and normal leg?

Limb symmetry index (LSI)

Which test involves hopping as far as possible, taking three hops?

Triple hop

Which test involves taking three consecutive hops on one foot, crossing over a straight line each time?

Crossover hop

Which test requires the patient to hop 6 m (20 ft) on one leg and is assessed for the time taken?

Single-leg hop for time

According to Begalle et al., which activities are believed to have the most balanced coactivation of the quadriceps and hamstrings?

Single-leg dead lift, lateral hop, transverse hop, and lateral band–walk exercise

Which of the following is a dynamic tilt and rotation problem of the patella?

All of the above

In which position should the passive motion of the patella be tested to indicate functional instability?

45° of flexion

How can objective measurements of patellar mobility be made?

Based on quadrants or fourths of patellar movement

What is the objective description for a normal passive medial translation of one-half of the width of the patella?

Two quadrants

What does a lateral glide of three quadrants suggest?

Incompetent medial restraints

What does a medial glide of less than one quadrant suggest?

Tight lateral retinaculum

Which of the following is NOT a functional test for the knee?

Passive range of motion

Which of the following is NOT a characteristic of noncopers?

Ability to cope with disability

Which test is recommended for differentiating patients with anterior cruciate ligament deficiencies from normal patients?

Figure-eight running to straight running time ratio

Which of the following is NOT a functional strength test for sedentary individuals?

One-leg hop test

What is the primary purpose of knee-specific, activity-specific, and general health questionnaires?

To provide a more accurate assessment of outcomes

Which of the following is a functional activity test primarily designed for elderly people?

Sit-to-stand test

Which muscle should be tested in the supine position for proper evaluation of the femoral nerve?

Quadriceps

What is the normal range of dorsiflexion in the ankle during the examination?

10° to 15°

What can limited hip medial rotation increase the strain on during cutting and pivoting activities?

Anterior cruciate ligament

What is the approximate hamstring/quadriceps ratio at normal speed during isokinetic testing?

50% to 60%

What is the primary purpose of resisted isometric movements during muscle testing?

To test muscle strength

Which muscle is commonly weak in patients with patellofemoral pain syndrome (PFPS) and anterior cruciate ligament (ACL) injuries?

Quadriceps

Which of the following is NOT a measure of functional assessment for the knee?

Passive range of motion

Which of the following is a characteristic of noncopers in relation to knee function?

Fear of reinjury

Which of the following is a recommended criterion for functional testing of the knee?

Patient's pathology

Which of the following is NOT a functional test for the knee?

Figure-eight running test

Which of the following is a measure of limb symmetry in functional testing of the knee?

Single-leg hop distance

Which of the following is a recommended questionnaire for assessing knee outcomes?

Knee-specific questionnaire

Which test measures patients attempting to return to sport following anterior cruciate ligament injury?

Functional Sports Assessment

What is the primary function of the patella in the knee joint?

To increase the surface area for muscle attachment

What is the normal range of passive medial rotation of the tibia on the femur at 90° of knee flexion in non-weight bearing?

10° to 20°

What is the normal range of valgus alignment in adults?

0° to 5°

Which ligament is the primary static restraint to lateral patellar displacement at 20° of knee flexion?

Medial patellofemoral ligament

Which of the following is a dynamic tilt and rotation problem of the patella?

Patellar subluxation

Which structures can cause rotation and tilt of the patella if they are tight?

Lateral structures

What is a more functional position to test the side-to-side passive motion of the patella?

45° of flexion

What is the term for excessive differences in alignment that can lead to patellofemoral symptoms or instability?

Patellar malalignment

What does a patella that has been dislocated laterally indicate in terms of patellar mobility?

Patellar hypermobility

What is the term for an abnormal swelling caused by herniation of synovial tissue through a weakening in the posterior capsule wall?

Baker's cyst

What measurements can be used to describe the amount of patellar movement based on quadrants or fourths of patellar movement?

Quadrants of mobility

Which test involves the patient hopping as far as possible, taking three hops?

Triple hop

What is the primary purpose of the limb symmetry index (LSI)?

To compare the performance deficits between limbs

What is the recommended position of the hip and knee during takeoff for the maximal controlled leap test?

Flexed hip and extended knee

What is the purpose of the coactivation of the quadriceps and hamstrings during exercise?

To improve balance and stability

What modification is recommended for the hop tests to measure functional leg power?

Perform the tests with hands clasped behind the back

What is the purpose of the side jump test?

To assess agility by hopping between markers

Which test requires the patient to hop as far as possible, taking three hops?

Triple hop

What is the normal range of passive lateral rotation of the tibia on the femur at 90° of knee flexion?

20°-25°

Which ligament provides up to 19% of the resistance against lateral patellar displacement?

Medial collateral ligament

Which muscle's tightness can prevent full excursion of the patella in the trochlea, especially if the hip is extended?

Hamstrings

What is the main difference between the medial and lateral menisci in terms of shape?

The medial meniscus is crescent-shaped, while the lateral meniscus is circular.

When can posterior cruciate ligament injuries have more vague symptoms of unsteadiness or discomfort?

During walking downhill

Which ligament is the primary restraint to anterior tibial displacement in the knee joint?

Anterior cruciate ligament

Which ligament is the primary restraint to varus-valgus motion in full extension and rotation in the knee joint?

Lateral collateral ligament

Which ligament acts as a secondary restraint to varus-valgus motion in the knee joint?

Medial collateral ligament

Which ligament acts as a secondary restraint to anterior tibial displacement in the knee joint?

Posterior cruciate ligament

What happens if the primary restraint is injured in the knee joint?

Pathological motion occurs

What happens if the secondary restraint is injured in the knee joint?

Pathological motion does not occur

Which movement is assessed during the abduction (valgus stress) test for one-plane medial instability?

Tibia moving towards the femur on the medial side

What is the recommended starting position for the knee during the abduction (valgus stress) test for one-plane medial instability?

Full extension

Which ligament is the primary static restraint to lateral patellar displacement at 20° of knee flexion?

Anterior cruciate ligament

What is the normal range of passive lateral rotation of the tibia on the femur at 90° of knee flexion?

Less than 3 mm

Which muscle guarding can adversely affect the outcome of ligament stability tests?

Hamstrings

What is the primary cause of patellofemoral arthralgia?

Excessive lateral patellar shift

Which ligament is responsible for preventing anterior movement of the tibia on the femur?

Anterior cruciate ligament

Which ligament is the primary stabilizer of the knee against posterior movement of the tibia on the femur?

Posterior cruciate ligament

Which ligament is responsible for checking lateral rotation of the tibia in flexion?

Anterior cruciate ligament

Which ligament is responsible for checking extension and hyperextension at the knee?

Anterior cruciate ligament

Which ligament acts as a rotary guide to the 'screwing home' mechanism of the knee?

Posterior cruciate ligament

Which ligament is a primary stabilizer of the knee against medial rotation of the tibia on the femur?

Posterior cruciate ligament

Which ligament is commonly injured when a valgus stress is applied to the knee in extension?

Medial collateral ligament

Which ligament is often injured when a varus stress is applied to the knee in extension?

Medial collateral ligament

Which ligament may be injured if the tibia moves away from the femur when a valgus stress is applied to the knee in flexion?

Medial collateral ligament

Which ligament may be injured if the tibia moves away from the femur when a varus stress is applied to the knee in flexion?

Medial collateral ligament

What is the classification of a positive finding on the valgus stress test in full extension?

Major disruption of the knee

What is the classification of a positive finding on the varus stress test in full extension?

Major disruption of the knee

Which test measures postsurgical anterior cruciate ligament patients and includes ROM for the knee and ankle, single-leg hop, triple hop, crossover triple hop, single-leg squatting, lateral jumping (bounding) and pivoting, 6-m (20-feet) straight line run with acceleration, deceleration, and change in direction, and plyometric box jump 30-cm (12-inch) box height?

Functional Sports Assessment

Which test battery, developed by Hildebrandt et al., includes a two-leg stability test, a one-leg stability test, a two-leg countermove jump (CMJ), a one-leg CMJ, plyometric jumps, speedy test, and quick feet test?

Two-leg stability test

Which test assesses the physical function of older patients with hip or knee osteoarthritis and includes walking a distance of 2.4 m (8 feet), ascending/descending four stairs, rising from/sitting down from a chair five times, measuring hip/knee flexion ROM, isometric quadriceps strength, and completing the Western Ontario and McMaster University Osteoarthritis Index (WOMAC)?

One-leg stability test

Which numerical rating system is commonly used to determine the state of the knee?

Numerical rating system

What is the primary purpose of knee-specific, activity-specific, and general health questionnaires?

To assess physical function

What type of pain is usually associated with degenerative changes?

Aching pain

Which test is used to assess for one-plane medial instability of the knee?

Abduction (valgus stress) test

What is the recommended starting position for the knee during the abduction (valgus stress) test?

Full extension

What is the primary function of the abduction (valgus stress) test?

To assess for one-plane medial instability

What should the examiner stabilize during the abduction (valgus stress) test?

The ankle in slight lateral rotation

What is the approximate flexion angle of the knee during the abduction (valgus stress) test?

20° to 30°

What is the primary purpose of practicing the chosen techniques for assessing ligament stability of the knee?

To determine which structures are injured

Which ligament is the primary restraint to anterior tibial displacement and a secondary restraint to varus-valgus motion in full extension and rotation?

Anterior cruciate ligament

What is the primary function of the menisci in the knee joint?

To provide cushioning and shock absorption

Which ligament acts as a rotary guide to the 'screwing home' mechanism of the knee?

Posterior cruciate ligament

What is the normal range of dorsiflexion when testing the gastrocnemius muscle?

20-30 degrees

When can posterior cruciate ligament injuries have more vague symptoms of unsteadiness or discomfort?

During extension

What type of pain is usually associated with degenerative changes in the knee?

Aching and throbbing pain

Which ligament is the primary stabilizer of the knee against posterior movement of the tibia on the femur?

Posterior cruciate ligament

Which ligament prevents anterior movement of the tibia on the femur?

Anterior cruciate ligament

Which ligament helps to check lateral rotation of the tibia in flexion?

Anterior cruciate ligament

Which ligament is named in relation to its attachment to the tibia?

Posterior cruciate ligament

Which ligament is round and lies under the tendon of the biceps femoris muscle?

Lateral (fibular) collateral ligament

Which ligament is made up of two layers, one superficial and one deep?

Medial (tibial) collateral ligament

Which ligament is primarily responsible for checking medial rotation of the tibia in flexion?

Posterior oblique ligament

Which ligament is primarily responsible for checking lateral rotation of the tibia in flexion?

Medial collateral ligament

Which ligament is primarily responsible for checking varus-valgus motion in the knee joint?

Medial collateral ligament

Which ligament is primarily responsible for checking anterior tibial displacement in the knee joint?

Posterior cruciate ligament

Which structure may be injured to some degree if a positive finding is observed on the valgus stress test performed in full extension?

Anterior cruciate ligament

Which structure may be injured to some degree if a positive finding is observed on the varus stress test performed in full extension?

Fibular or lateral collateral ligament

Which of the following tests is specifically designed to measure the physical function of older patients with hip or knee osteoarthritis?

Walk a distance of 2.4 m (8 feet)

Which of the following is NOT included in the Vail Sport Test?

Plyometric box jump

Which test battery includes a two-leg stability test, a one-leg stability test, a two-leg countermove jump (CMJ), a one-leg CMJ, plyometric jumps, speedy test, and quick feet test?

Seven-item test battery

Which of the following tests is specifically designed to measure patients attempting to return to sport following anterior cruciate ligament injury?

Vail Sport Test

Which ligament acts as a rotary guide to the 'screwing home' mechanism of the knee?

Posterior cruciate ligament

Which of the following is a measure of functional assessment for the knee?

All of the above

Which knee rating system is specifically designed for active individuals and assesses pain, swelling, stability, and activity level?

Cincinnati Knee Rating System

Which knee rating scale separates knee rating and functional assessment?

Knee Society rating scale

Which knee rating scale primarily measures clinical instability but can also be used for chondral lesions of the knee?

Lysholm and Gillquist scale

Which knee rating scale is useful in determining the patient's current level of activity relative to their previous level?

Tegner Activity Scale

Which knee rating scale measures psychological responses to return to sport involving emotions, confidence in performance, and risk appraisal?

ACL-RSI Scale

Which knee rating scale measures self-sufficiency during daily activities?

Knee Self-Efficacy Scale

Which ligament is the primary stabilizer of the knee against posterior movement of the tibia on the femur?

Posterior cruciate ligament

Which ligament prevents anterior movement of the tibia on the femur?

Anterior cruciate ligament

Which ligament is tight in both flexion and extension and helps to stabilize medial and lateral rotation?

Anteromedial bundle of the anterior cruciate ligament

Which ligament is a primary stabilizer of the knee against lateral rotation of the tibia in flexion?

Posterolateral bundle of the anterior cruciate ligament

Which ligament is a primary stabilizer of the knee against posterior movement of the tibia on the femur and checks extension and hyperextension?

Posterolateral bundle of the posterior cruciate ligament

Which ligament helps to maintain rotary stability and functions as the knee's central axis of rotation?

Posterolateral bundle of the posterior cruciate ligament

Which of the following is NOT a key point to keep in mind when testing for ligament stability of the knee?

The stress should be applied gently.

What does a soft or indistinct end feel usually signify when testing for ligament stability of the knee?

The ligament is injured.

Which ligaments are commonly injured in cases of anterolateral rotary instability (ALRI)?

Structures on the posterolateral side of the knee.

What is the term used to describe left-right differences of 3 mm or more when testing for ligament stability of the knee?

Pathological differences

What is the recommended starting position for the knee during the abduction (valgus stress) test for one-plane medial instability?

Full extension

Why are tests for ligament instability more accurate for assessment of a chronic injury than for assessment of an acute injury in the unanesthetized knee?

The presence of muscle spasm and swelling in the acutely injured knee.

Which ligament is primarily responsible for checking lateral rotation of the tibia in flexion?

Posterior oblique ligament

What structures may have been injured to some degree if a positive finding is observed on full extension during the valgus stress test?

Medial collateral ligament (superficial and deep fibers)

What structures may have been injured to some degree if a positive finding is observed when the knee is flexed to 20° to 30° during the valgus stress test?

Medial collateral ligament

What is the approximate degree of passive lateral rotation of the tibia on the femur at 90° of knee flexion?

15 degrees

What is the approximate degree of passive medial rotation of the tibia on the femur when the knee is flexed to 90°?

5 degrees

What is the recommended starting position for the knee during the abduction (valgus stress) test for one-plane medial instability?

20° to 30° of flexion

Which test measures the time taken for the patient to hop from marker to marker on each line, with the good leg tested first?

Single-leg hop

What is the primary function of the menisci in the knee joint?

To provide cushioning

Which ligament provides up to 19% of the resistance against lateral patellar displacement?

Medial collateral ligament (MCL)

What can a distinct pop during an injury indicate?

ACL tear

What type of injury may be indicated by a distinct pop during the injury?

Meniscus tear

Which ligament may be injured if the tibia moves away from the femur when a varus stress is applied to the knee in flexion?

LCL

Which test is considered the 'gold standard' for a clinical diagnosis of an anterior cruciate ligament injury?

Lachman test

Which ligament is primarily tested in the 90–90 anterior drawer test?

Anterior cruciate ligament

What is a positive sign in the Lachman test?

Increased anterior translation with medial rotation of the tibia

What other ligament may be injured to some degree if the Lachman test is positive?

Posterior oblique ligament

Which ligament is primarily tested in the posterior drawer test?

Posterior cruciate ligament

What is the primary role of the menisci in the knee joint?

Provide cushioning and shock absorption

Which test is used to assess both anterior rotary instabilities?

Slocum Test

What is the position of the knee during the Dejour Test?

Extended

Which ligament is primarily assessed during the Reverse Lachman Test?

Posterior Cruciate Ligament

Which ligament is often involved in a positive Posterior Sag Sign?

Posterior Cruciate Ligament

What is the primary purpose of the voluntary anterior drawer sign?

To assess posterior instability

Which ligament is primarily responsible for checking lateral rotation of the tibia in flexion?

Lateral Collateral Ligament

Which ligament is primarily responsible for limiting anterior translation of the tibia on the femur in the knee joint?

Anterior cruciate ligament

Which ligament is primarily responsible for limiting posterior translation of the tibia on the femur in the knee joint?

Posterior cruciate ligament

Which ligament is primarily responsible for limiting medial rotation of the tibia on the femur in the knee joint?

Medial collateral ligament

Which ligament is primarily responsible for limiting lateral rotation of the tibia on the femur in the knee joint?

Lateral collateral ligament

Which ligament is primarily responsible for limiting varus stress (inward force) applied to the knee in flexion?

Medial collateral ligament

Which ligament is primarily responsible for limiting valgus stress (outward force) applied to the knee in flexion?

Lateral collateral ligament

Which structures may have been injured to some degree if a positive finding is observed on the rotary instability test with the knee flexed 20° to 30° and lateral rotation of the tibia?

Lateral collateral ligament

What is the classification of a grade 1 injury to the lateral ligaments of the knee based on a stress radiograph taken during the varus stress test in full extension?

5 mm opening

What is the classification of a grade 2 injury to the lateral ligaments of the knee based on a stress radiograph taken during the varus stress test in full extension?

Up to 8 mm opening

What is the classification of a grade 3 injury to the lateral ligaments of the knee based on a stress radiograph taken during the varus stress test in full extension?

More than 8 mm opening

During the varus-valgus stress testing, what part of the examiner's hands are used to apply varus and valgus stresses?

Heels

Which tests are primarily designed to test the anterior cruciate ligament?

Tests for one-plane anterior instability

Which test is recommended for examiners with small hands during the Lachman test?

Modification 2

Which modification of the Lachman test involves the patient lying supine with the leg to be examined abducted off the side of the examining table and the knee flexed to 25°?

Modification 3

Which modification of the Lachman test has the patient lying supine while the examiner stabilizes the foot between the examiner’s thorax and arm, and performs an anterior drawer movement with both hands placed around the tibia?

Modification 4

Which modification of the Lachman test involves the examiner grasping the femur with one hand and the tibia with the other hand while the patient lies supine?

Modification 5

Which test is used to assess the integrity of the anterior cruciate ligament (ACL) by observing the relation of the tibial plateau to the femoral condyles?

Lelli test

What does a positive Lever Sign test indicate?

Complete ACL tear

Which test is used to assess both anterior rotary instabilities?

Slocum Test

Which ligament is primarily tested in the posterior drawer test?

Posterior cruciate ligament

Which ligament is primarily tested in the reverse Lachman test?

Posterior cruciate ligament

Which ligament is primarily tested in the Dejour test?

Anterior cruciate ligament

Which ligament is primarily tested in the voluntary anterior drawer sign?

Posterior cruciate ligament

Which ligament is primarily tested in the Slocum test?

Anterior cruciate ligament

Which test is the best indicator of injury to the anterior cruciate ligament (ACL), especially the posterolateral band?

Lachman test

What is the primary role of the anterior cruciate ligament (ACL) in the knee?

Resist anterior tibial displacement

Which ligament provides up to 19% of the resistance against lateral patellar displacement?

Posterior oblique ligament

What is a possible cause of a positive finding on the valgus stress test performed in full extension?

Injury to the medial collateral ligament (MCL)

What is the primary function of the menisci in the knee joint?

Enhance stability and shock absorption

What may be noted in the presence of pathological patellar tracking and patellar instability?

Excessive anterior tibial translation

Which ligament is primarily responsible for stabilizing the knee against medial rotation of the tibia on the femur?

Arcuate-popliteus complex

What is the grade of injury indicated by a stress radiograph showing a 5-mm opening during the varus stress test performed in full extension?

Grade 1

Which ligament should be tested or observed for a posterior sag before testing the anterior cruciate ligament to rule out false-positive tests for anterior translation?

Posterior cruciate ligament

Which ligament is the primary static restraint to lateral patellar displacement at 20° of knee flexion?

Posterolateral capsule

Which ligament helps to maintain rotary stability and functions as the knee's central axis of rotation?

Arcuate-popliteus complex

Which structures may have been injured to some degree if the rotary instability test is positive when the knee is flexed 20° to 30° with lateral rotation of the tibia?

Lateral collateral ligament

Which test is recommended for examiners with small hands to perform the Lachman test?

Modification 2

Which modification of the Lachman test involves the patient lying supine with the leg to be examined abducted off the side of the examining table and the knee flexed to 25°?

Modification 3

Which modification of the Lachman test has the examiner stabilizing the foot between the examiner's thorax and arm, with both hands placed around the tibia?

Modification 4

Which modification of the Lachman test involves the examiner standing beside the leg to be tested, grasping the femur with one hand and the tibia with the other hand?

Modification 5

Which modification of the Lachman test has the patient lying prone, with the examiner stabilizing the foot between the examiner's thorax and arm and placing one hand around the tibia?

Modification 6

Which modification of the Lachman test involves the patient actively extending the knee while the examiner watches for anterior displacement of the tibia relative to the unaffected side?

Modification 7

During the active drawer test, the patient is asked to try to straighten the leg and the examiner prevents the patient from doing so. This test is primarily used to assess the integrity of which ligament?

Posterior cruciate ligament

Which ligament is primarily responsible for limiting anterior translation of the tibia on the femur in the knee joint?

Anterior cruciate ligament

Which ligament is primarily responsible for limiting varus stress (lateral opening) of the knee joint?

Medial collateral ligament

Which ligament is primarily responsible for limiting valgus stress (medial opening) of the knee joint?

Lateral collateral ligament

Which ligament is often involved in a positive Posterior Sag Sign?

Posterior cruciate ligament

Which ligament is the primary stabilizer of the knee against posterior movement of the tibia on the femur?

Posterior cruciate ligament

Which structures may have been injured to some degree if a positive finding is observed on the rotary instability test with the knee flexed 20° to 30° and lateral rotation of the tibia?

Lateral collateral ligament

What is the classification of a positive finding on the valgus stress test in full extension?

Grade 3 injury

Which ligament is primarily responsible for checking anterior tibial displacement in the knee joint?

Anterior cruciate ligament

What is the primary function of the menisci in the knee joint?

To absorb shock and distribute load

What does a patella that has been dislocated laterally indicate in terms of patellar mobility?

Increased mobility

Which knee rating scale is useful in determining the patient's current level of activity relative to their previous level?

Tegner Activity Scale

Which ligament is primarily tested in the Lachman test?

Anterior cruciate ligament

What is the most common cause of a positive finding on the anterior drawer test?

Excessive anterior tibial translation

What is the primary function of the posterior oblique ligament in the knee joint?

Restraining posterior tibial translation

Which ligament is the primary restraint to varus-valgus motion in full extension and rotation in the knee joint?

Medial collateral ligament

What is the primary cause of a false-negative Lachman test result?

Improper stabilization of the femur

Which ligament is commonly tested in the valgus stress test performed in full extension?

Medial collateral ligament

Which ligament is primarily responsible for stabilizing the knee against anterior translation of the tibia on the femur?

Anterior cruciate ligament

Which ligament is primarily responsible for stabilizing the knee against posterior translation of the tibia on the femur?

Posterior cruciate ligament

Which ligament is primarily responsible for stabilizing the knee against medial rotation of the tibia on the femur?

Medial collateral ligament

Which ligament is primarily responsible for stabilizing the knee against lateral rotation of the tibia on the femur?

Lateral collateral ligament

Which ligament is responsible for limiting extension and hyperextension at the knee?

Anterior cruciate ligament

Which ligament is primarily responsible for limiting varus and valgus stress at the knee?

Medial collateral ligament

What is the purpose of the posterior drawer test?

To diagnose posterior cruciate and posterolateral corner injuries

What is the purpose of the Godfrey (Gravity) test?

To assess anterior rotary instabilities

What is the purpose of the posterior sag sign (Gravity Drawer Test)?

To test for one-plane posterior instability

What does a positive posterior sag sign indicate?

Posterior cruciate ligament tear

What is the purpose of the reverse Lachman test?

To test for the posterior cruciate ligament

What is the purpose of the Dejour test?

To assess anterior rotary instabilities

Which test is recommended for examiners with small hands to stabilize the thigh and apply an anterior stress during the Lachman test?

Modification 2

Which modification of the Lachman test involves the patient lying supine with the leg to be examined abducted off the side of the examining table and the knee flexed to 25°?

Modification 3

Which modification of the Lachman test has the patient lying supine while the examiner stabilizes the foot between the examiner’s thorax and arm, and performs an anterior drawer movement with the knee flexed 20° to 30°?

Modification 4

Which modification of the Lachman test involves the examiner grasping the femur with one hand and the tibia with the other hand while the patient lies supine?

Modification 5

Which test for anterior cruciate ligament tear involves the examiner placing a closed fist under the proximal third of the patient’s calf and applying a moderate downward force to the distal third of the quadriceps, causing the heel to lift off the examining table if the ligament is intact?

Lever Sign

Which test for anterior cruciate ligament tear involves the examiner watching for anterior displacement of the tibia relative to the unaffected side while the patient lies supine with the knee over the examiner’s forearm and actively extends the knee?

Posterior Sag Sign

Which ligament plays a major role in restraining anterior subluxation of the lateral tibial plateau and tibial medial rotation?

Superficial medial collateral ligament

Which ligament helps the anterior cruciate ligament near extension?

Posterior oblique ligament

Which ligament plays a role in stabilization through the changing degrees of knee flexion during the rotation that occurs with the tests?

Anterolateral ligament

Which ligament is primarily tested in the Active Pivot Shift Test?

Anterior cruciate ligament

Which ligament is tested in the Crossover Test of Arnold?

Anterior cruciate ligament

Which ligament is primarily tested in the Flexion-Extension Valgus Test?

Anterior cruciate ligament

What is the purpose of the Losee Test in assessing knee stability?

To assess for anterolateral instability

Which test is a clinical duplication of the anterolateral rotary instability (ALRI) mechanism of injury?

Losee Test

What is the primary purpose of the Noyes Flexion-Rotation Drawer Test?

To assess for anterior subluxation of the lateral tibial plateau

Which test is believed to be more sensitive than other anterolateral rotary instability (ALRI) tests?

Slocum Test

What is the main advantage of the Slocum ALRI test?

It aids in relaxation of the patient's hamstring muscles

What is the position of the knee during the Slocum ALRI test?

Approximately 30° from supine

What is the purpose of the MacIntosh test?

To evaluate the stability of the anterior cruciate ligament

What is the position of the patient during the MacIntosh test?

Supine with the hip flexed and abducted

What is the role of the iliotibial band in the MacIntosh test?

To restrict subluxation of the tibia

What structures are likely to be injured if the MacIntosh test is positive?

Anterior cruciate ligament, lateral collateral ligament, iliotibial band

What is the purpose of the Lemaire's Jolt Test?

To diagnose meniscus pathology

What is the position of the patient during the Lemaire's Jolt Test?

Supine with the test leg uppermost

Which ligament is tested with the Posterior Sag Sign (Gravity Drawer Test)?

Posterior cruciate ligament

What is the position of the knee during the Posterior Sag Sign (Gravity Drawer Test)?

Flexed to 45°

What happens to the tibia during the Posterior Sag Sign (Gravity Drawer Test) if the posterior cruciate ligament is torn?

The tibia moves backward on the femur

What is the significance of the 'step-off' test or thumb sign during the Posterior Sag Sign (Gravity Drawer Test)?

Indicates a positive finding for a torn posterior cruciate ligament

What other ligamentous structures may have been injured if a positive finding is observed on the Posterior Sag Sign (Gravity Drawer Test)?

Anterior cruciate ligament and arcuate-popliteus complex

What action should the patient perform during the voluntary anterior drawer sign?

Extend the knee while the examiner holds the hip in flexion

Which ligament is primarily tested in the Reverse Lachman Test?

Posterior cruciate ligament

Which ligament is primarily tested in the Dejour Test?

Medial collateral ligament

Which structures may have been injured to some degree if a positive finding is observed on the Slocum Test with the foot in 30° medial rotation?

Anterior cruciate ligament, Posterolateral capsule, Arcuate-popliteus complex, Lateral collateral ligament, Posterior cruciate ligament, Iliotibial band

Which structures may have been injured to some degree if a positive finding is observed on the Slocum Test with the foot in 15° of lateral rotation?

Medial collateral ligament, Posterior oblique ligament, Posteromedial capsule, Anterior cruciate ligament

Which ligament is primarily responsible for limiting medial rotation of the tibia on the femur in the knee joint?

Medial collateral ligament

Which ligament is primarily tested in the voluntary anterior drawer sign?

Anterior cruciate ligament

Which ligament is primarily tested in the posterior drawer test?

Posterior cruciate ligament

Which ligament is the primary static restraint to lateral patellar displacement at 20° of knee flexion?

Lateral collateral ligament

What structures may have been injured to some degree if a positive finding is observed on full extension during the valgus stress test?

Medial collateral ligament

What is the primary cause of patellofemoral arthralgia?

Patellar maltracking

Which ligament is primarily responsible for limiting varus stress (inward force) applied to the knee in flexion?

Medial collateral ligament

What is the purpose of the coactivation of the quadriceps and hamstrings during exercise?

To stabilize the knee joint

Which ligament is primarily responsible for restraining anterior subluxation of the lateral tibial plateau and tibial medial rotation?

Iliotibial band

Which ligament helps the anterior cruciate ligament near extension and resists the valgus component of the tests?

Superficial medial collateral ligament

Which ligament plays a role in stabilization through the changing degrees of knee flexion during rotation that occurs with the tests?

Anterolateral ligament

Which ligament is primarily assessed during the Active Pivot Shift Test?

Anterolateral ligament

Which ligament is tested during the Crossover Test of Arnold?

Anterolateral ligament

Which ligament is tested during the Flexion-Extension Valgus Test?

Superficial medial collateral ligament

Which ligament is primarily responsible for limiting posterior tibial displacement in the knee joint?

Posterior cruciate ligament

What is the purpose of the step-off test or thumb sign?

To assess for posterior sag caused by a torn posterior cruciate ligament

Which ligament is commonly involved in injuries that cause posterior sag?

Posterior cruciate ligament

Which ligament is primarily responsible for limiting varus-valgus motion in the knee joint?

Medial collateral ligament

Which ligament is primarily responsible for checking lateral patellar displacement at 20° of knee flexion?

Lateral collateral ligament

Which ligament provides up to 19% of the resistance against lateral patellar displacement?

Anterior cruciate ligament

What is the position of the patient during the pivot shift test?

Supine with the hip flexed and abducted

What is the purpose of placing the heel of the hand behind the fibula during the pivot shift test?

To hold the leg in slight medial rotation

Why did Bach and colleagues modify the position of the pivot shift test to slight lateral rotation?

To increase the pivot shift when the test is positive

Why does subluxation occur during the pivot shift test?

The secondary restraints are less efficient in slight flexion

What is the recommended action for the examiner during the soft pivot shift test?

Flex and extend the knee slowly and gently

What does a positive Lemaire's Jolt Test indicate?

Anterolateral instability

Which test can be used to check for functional instability after surgical reconstruction?

Kocher Test

Which test is a modification of the pivot shift maneuver and is believed to be more sensitive than other anterior lateral rotary instability (ALRI) tests?

Noyes Flexion-Rotation Drawer Test

Which test involves applying a valgus stress to the knee while flexing the knee, with the subluxation of the knee reducing at between 25° and 45° of flexion if the test is positive?

Slocum Test

Which test involves pushing the femur posteriorly while applying a valgus stress to the knee as it is flexed, until the tibia reduces, indicating a positive test?

Martens Test

Which test involves medially rotating the tibia while pushing the head of the fibula forward, noting whether subluxation of the fibula occurs, which indicates a positive test?

Nakajima Test

Which test involves applying a valgus force to the knee while extending the patient's knee and applying forward pressure behind the fibular head with the thumb, and a 'clunk' forward is felt just before full extension of the knee if the test is positive?

Kocher Test

Which structure must be intact for the Lachman test to work?

Anterior cruciate ligament

Which ligament is primarily responsible for limiting anterior translation of the tibia on the femur in the knee joint?

Anterior cruciate ligament

Which ligament may be injured if the tibia moves away from the femur when a varus stress is applied to the knee in flexion?

Medial collateral ligament

Which ligament is commonly involved in deceleration injuries to the knee?

Anterior cruciate ligament

What is the primary function of the patella in the knee joint?

Increase the lever arm of the quadriceps

What structures can cause rotation and tilt of the patella if they are tight?

Iliotibial band

Which ligament is primarily responsible for limiting posterior translation of the tibia on the femur in the knee joint?

Posterior cruciate ligament

Which ligament is often involved in a posterior cruciate ligament (PCL) injury, often resulting from flexion with posterior translation?

Posterior oblique ligament

Which structures may have been injured to some degree if a positive finding is observed on the Slocum Test with the foot in 15° of lateral rotation?

Posteromedial capsule

In which position should the passive motion of the patella be tested to indicate functional instability?

Extension

Which ligament is primarily responsible for checking anterior tibial displacement in the knee joint?

Anterior cruciate ligament

What ligament is often involved in a posterior cruciate ligament (PCL) injury, often resulting from flexion with posterior translation?

Posterior oblique ligament

Which ligament is primarily responsible for limiting anterior translation of the tibia on the femur in the knee joint?

Anterior cruciate ligament

Which ligament is primarily tested in the Lachman test?

Anterior cruciate ligament

Which ligament is primarily tested in the posterior drawer test?

Posterior cruciate ligament

Which ligament is primarily responsible for limiting posterior translation of the tibia on the femur in the knee joint?

Posterior cruciate ligament

Which ligament may be injured if the tibia moves away from the femur when a valgus stress is applied to the knee in flexion?

Medial collateral ligament

Which ligament is primarily tested in the abduction (valgus stress) test for one-plane medial instability?

Medial collateral ligament

Which ligament is tested in the reverse Lachman test?

Posterior cruciate ligament

Which ligament is primarily responsible for limiting varus stress (inward force) applied to the knee in flexion?

Medial collateral ligament

Which ligament may be injured if the tibia moves away from the femur when a varus stress is applied to the knee in flexion?

Lateral collateral ligament

What is the primary function of the menisci in the knee joint?

To absorb shock and distribute load in the knee joint

What ligament is often involved in a posterior cruciate ligament (PCL) injury, often resulting from flexion with posterior translation?

Arcuate-popliteus complex

Which structure may be injured to some degree if a positive finding is observed on the varus stress test performed in full extension?

Medial collateral ligament

What is the purpose of the lateral rotation of the knee in the valgus stress test?

To reduce subluxation of the knee

Which test can be used as a good check of functional instability after surgical reconstruction?

Kocher Test

What is the main advantage of the Slocum ALRI test?

It is easier to perform on heavy or tense patients

Which test is a modification of the pivot shift maneuver and is believed to be more sensitive than other ALRI tests?

Noyes Flexion-Rotation Drawer Test

What is the purpose of the valgus stress applied to the knee in the Noyes Flexion-Rotation Drawer Test?

To reduce subluxation of the tibia

Which ligament is primarily responsible for limiting valgus stress applied to the knee in flexion?

Medial collateral ligament (MCL)

Which position is used to test for abnormal anterior displacement of the knee in a posterior cruciate ligament sprain?

30° flexion

What is the difference between the 7-kg and 9-kg anterior displacement tests called?

Compliance index

What is the maximum anterior displacement test used to diagnose?

Anterior cruciate ligament injury

What is the significance of a difference of more than 3 mm between the good and injured legs in the anterior displacement tests?

Diagnoses injury to the anterior cruciate or posterior cruciate

What factors can greatly affect the accuracy of readings for these devices?

Positioning, muscle relaxation, and operator experience

What type of tests have been found to be more responsive to translation differences?

Tests involving larger translation forces

Which of the following structures must be injured to some degree for Posterolateral Rotatory Instability (PLRI) to occur?

Posterior cruciate ligament, Lateral collateral ligament, Arcuate-popliteus complex

Which of the following tests is used to assess Posteromedial and Posterolateral Drawer Sign?

Hughston’s Test

Which test involves the patient standing and leaning against a wall while the examiner applies valgus stress and initiates knee flexion?

Jakob Test

Which test involves the examiner laterally rotating the tibia on the femur and comparing the amount of rotation with the unaffected side?

Griffith Test

Which test is used to assess loss of posterolateral support structures of the knee?

Loomer’s Test

Which ligament is primarily responsible for checking anterior tibial displacement in the knee joint?

Anterior cruciate ligament

Which test is commonly used to assist in diagnosing ligament injuries in the knee by detecting abnormal motion?

KT-1000 arthrometer

What is the most commonly used ligament testing device for measuring anteroposterior displacement in the knee?

KT-1000 arthrometer

Which ligament testing device is best for measuring posterior laxity in the knee?

Telos device

What is the most common position used to establish a reference position for the Quadriceps Neutral Test?

70° flexion

Which ligament is primarily responsible for limiting lateral rotation of the tibia on the femur in the knee joint?

Medial collateral ligament

What is the primary function of ligament testing devices for the knee?

All of the above

Which ligament is primarily responsible for restraining anterior subluxation of the lateral tibial plateau and tibial medial rotation?

Posterior oblique ligament

Which ligament is commonly involved in injuries that cause posterior sag?

Posterior cruciate ligament

Which test involves applying a valgus stress to the knee while flexing the knee, with the subluxation of the knee reducing at between 25° and 45° of flexion if the test is positive?

Active Posterolateral Drawer Sign

What is the normal range of passive medial rotation of the tibia on the femur at 90° of knee flexion in non-weight bearing?

Greater than or equal to 9 mm excursion

Which muscle's tightness can prevent full excursion of the patella in the trochlea, especially if the hip is extended?

Hamstrings

Which position is considered the close packed position of the knee joint?

Full extension

Which ligament is primarily assessed during Hughston’s Posteromedial and Posterolateral Drawer Sign?

Medial collateral ligament

What is the primary purpose of Hughston’s Posteromedial and Posterolateral Drawer Sign?

To assess for medial collateral ligament injury

Which ligament is primarily responsible for limiting anterior translation of the tibia on the femur in the knee joint?

Anterior cruciate ligament

What structures are probably injured to some degree if a positive finding is observed on Hughston’s Posteromedial and Posterolateral Drawer Sign?

Posterior cruciate ligament, Posterior oblique ligament, Posteromedial capsule

What position should the leg be in during Hughston’s Posteromedial and Posterolateral Drawer Sign?

Supine-lying position with hip flexed to 45° and knee flexed to 80°-90°

What may cause a false-positive test for anterior medial rotary instability (AMRI) during Hughston’s Posteromedial and Posterolateral Drawer Sign?

Excessive posterior rotation of the medial side of the tibia due to gravity

Which method of the Jakob Test involves the patient standing and leaning against a wall?

Method 1

What is the primary purpose of the Loomer’s Posterolateral Rotary Instability Test?

To assess the integrity of the posterolateral support structures

What is the main difference between the first and second methods of the Jakob Test?

The amount of flexion in the knee

Which ligament is NOT likely to be injured if the MacIntosh test is positive?

Posterior cruciate ligament

What is the position of the knee during the Reverse Pivot Shift Maneuver?

Supine

Which ligament is primarily responsible for limiting varus stress (inward force) applied to the knee in flexion?

Lateral collateral ligament

Which ligament is tested with the Supine Internal (Medial) Rotation Test?

Posterior cruciate ligament

Which ligaments are injured if the Posteromedial Pivot Shift Test is positive?

Posterior cruciate ligament

What is the primary purpose of the Active Posterolateral Drawer Sign test?

To test for posterior and posterolateral instabilities

Which test is used to assess Posterolateral Rotary Instability?

Active Posterolateral Drawer Sign

What does a positive test for PLRI indicate?

Posterior cruciate ligament and lateral collateral ligaments are torn

What is the purpose of the External Rotation Recurvatum Test?

To assess the integrity of the posterior cruciate ligament

Which test is used to assess for isolated posterolateral (popliteus corner) injury in the knee?

Standing Apprehension Test

Which ligament testing device is best for testing posterior laxity in the knee?

Telos device

Which of the following is a common source of error when using the KT-1000 arthrometer?

Inability to stabilize the patellar sensor pad

At what knee angle does the quadriceps active position (quadriceps neutral angle) usually occur?

70° flexion

Which ligament is primarily responsible for limiting varus stress (inward force) applied to the knee in flexion?

Medial collateral ligament (MCL)

What is the primary function of ligament testing devices for the knee?

All of the above

Which ligament is primarily responsible for stabilizing the knee against medial rotation of the tibia on the femur?

Medial collateral ligament

Which ligament plays a role in stabilization through the changing degrees of knee flexion during the rotation that occurs with the tests?

Anterior cruciate ligament

What structures can cause rotation and tilt of the patella if they are tight?

Medial retinaculum

What is the primary purpose of the Noyes Flexion-Rotation Drawer Test?

To assess for meniscal injury

What is the term for a varus deformity or genu varum if two or more fingers (4 cm [1.6 inches]) fit between the knees when the ankles are together?

Bow legs

What is the normal range of dorsiflexion in the ankle during the examination?

20-30 degrees

Which test involves applying a 9-kg (20-lb) anterior force followed by a 9-kg (20-lb) posterior force to the patient's leg positioned at the quadriceps neutral angle?

Test in Quadriceps Active Position

What is the compliance index?

The difference between the 7-kg and the 9-kg anterior displacement tests

What is considered diagnostic for injury to the anterior cruciate or posterior cruciate ligament?

Differences of more than 3 mm between the good and injured legs in the maximum anterior displacement test

Which factor affects the accuracy of readings for knee measuring devices?

Positioning, muscle relaxation, and experience of the operator

Which ligament is primarily tested in the Lachman test?

Anterior cruciate ligament

What are force displacement curves and frequency-distribution curves used to demonstrate?

Differences between normal and pathological knees

Which of the following statements about special tests on the knee is true?

Special tests for swelling should always be performed.

Why is it difficult to diagnose a meniscus injury based solely on tests?

Menisci are avascular and have no nerve supply.

What is needed to have a high level of suspicion of meniscus injury?

A combination of tests and clinical signs.

What is the result of meniscus pathology if the ligaments have been ruled out as causes of the pain?

Joint line pain or tenderness.

What percentage of meniscus injuries have joint line pain or tenderness?

Approximately 50%.

What should not be used in isolation for the diagnosis of meniscus injury?

Joint line pain or tenderness.

Which test is used to assess for a meniscus tear primarily in the middle or posterior part of the meniscus?

Payr's Test

Which test is used to assess for an avulsion of the posterior horn of the medial meniscus?

Thessaly Test

Which test is used to assess for plica injuries in the knee?

Hughston's Plica Test

Which test is used to assess for a meniscus tear if the patient experiences medial or lateral joint line discomfort and a sense of locking or catching in the knee?

Thessaly Test

Which ligament is primarily responsible for limiting varus stress (inward force) applied to the knee in flexion?

Medial Collateral Ligament

Which ligament is primarily responsible for limiting anterior translation of the tibia on the femur in the knee joint?

Anterior Cruciate Ligament

Which test is considered positive if pain and/or a click is felt by the patient along the joint line or heard by the examiner?

McMurray Test

What is the purpose of the McMurray test?

To test the entire posterior aspect of the meniscus

Which test involves medially rotating the tibia, extending the knee, and moving through the full range of motion to test the lateral meniscus?

McMurray Test

Which test is performed with the knee flexed and extended while applying varus and valgus stresses?

Kromer’s Sign

Which test involves lifting the foot of the test leg and swinging the leg rapidly from a varus to valgus stress while pushing a finger in the joint line?

Figure-of-Four Meniscal Stress Maneuver

Which test is used to assess if there is injury to the meniscus, a possible cruciate injury, or insufficient strength in the quadriceps muscles to 'screw home' the knee?

Modified Helfet Test

Which test involves applying valgus and varus stresses to the knee while passively flexing and extending it, producing a circular motion to the knee?

Anderson Medial-Lateral Grind Test

Which test is performed with the patient lying in the prone position and the knee flexed to 90°, and involves medially and laterally rotating the tibia while noting any restriction, excessive movement, or discomfort?

Apley's Test

Which test involves applying varus and valgus stresses to the knee and assessing for pain in the opposite joint line, indicating meniscus pathology?

Cabot's Popliteal Sign

Which test involves flexing the patient's knee, laterally rotating the tibia, and extending the knee to assess for pain and tenderness on the medial joint line, indicating medial meniscus pathology?

Bragard's Sign

Which test involves cupping the patient's heel in the examiner's hand, completely flexing the knee, and passively allowing it to extend to assess for a rubbery end feel, indicating a torn meniscus?

Bounce Home Test

Which test involves palpating the joint line with one hand while the patient is asked to isometrically straighten the knee against resistance, and assesses for pain on the joint, indicating a meniscus lesion?

Cabot's Popliteal Sign

Which test involves pushing the patella medially and rotating the tibia while the patient's knee is flexed and then extended?

Patellar Bowstring Test

During which test is the patient seated on the edge of the examining table with both knees flexed to 90° and the examiner palpates the patella during knee extension?

Plica 'Stutter' Test

Which test involves applying a valgus stress to the knee while flexing the knee, with the subluxation of the knee reducing at between 25° and 45° of flexion if the test is positive?

Valgus Stress Test

What is the position of the patient during the MacIntosh test?

Standing with feet shoulder-width apart

Which ligament is the primary restraint to anterior tibial displacement and a secondary restraint to varus-valgus motion in full extension and rotation?

Anterior cruciate ligament (ACL)

Which muscle is commonly weak in patients with patellofemoral pain syndrome (PFPS) and anterior cruciate ligament (ACL) injuries?

Quadriceps femoris

Which of the following statements about special tests on the knee is most accurate?

Special tests are only relevant if the examiner suspects certain pathologies.

What is the main challenge in diagnosing a meniscus injury?

The lack of pain or swelling associated with meniscus injuries.

What percentage of meniscus injuries have joint line pain or tenderness?

Approximately 50%

Which of the following factors is NOT considered in assessing the reliability of special tests on the knee?

Odds ratios

What is the purpose of tests for swelling on the knee?

To always be performed

Which of the following statements about tests for meniscus injuries is most accurate?

Tests for meniscus injuries require a thorough history and examination.

During the Patellar Bowstring Test, the examiner pushes the patella medially and holds it there while flexing the patient's knee and medially rotating the tibia. This test is used to assess for which condition?

Mediopatellar plica

During the Plica 'Stutter' Test, the patient is instructed to slowly extend the knee while the examiner palpates the patella. If the test is positive, the patella stutters or jumps between which degrees of flexion?

60° and 45°

Which hand of the examiner is used to push the patella medially during the Patellar Bowstring Test?

The hand with the heel

During the Patellar Bowstring Test, the examiner listens for any sounds or feels for any grinding while performing which movement?

Extension of the knee

During the Plica 'Stutter' Test, the patient is seated on the edge of the examining table with both knees flexed to what angle?

90°

Which test is used to assess for mediopatellar plica by pushing the patella medially and holding it there while flexing the patient's knee and medially rotating the tibia?

Patellar Bowstring Test

What is the purpose of the McMurray test?

To assess the stability of the medial meniscus

What is the purpose of the Figure-of-Four Meniscal Stress Maneuver?

To assess the stability of the lateral meniscus

What is the purpose of the Modified Helfet Test?

To assess the stability of the posterior cruciate ligament

What is the purpose of Kromer’s Sign?

To assess the stability of the anterior cruciate ligament

What is the purpose of the Passler Rotational Grind Test?

To assess the stability of the medial meniscus

What is the purpose of O’Donohue’s Test?

To assess the stability of the lateral meniscus

Which of the following tests is used to assess for a meniscus injury by applying valgus and varus stresses to the knee as it is passively flexed and extended?

Anderson Medial-Lateral Grind Test

Which test is considered positive for a meniscus lesion if the knee is allowed to quickly extend in one movement and the patient experiences a sharp pain on the joint line?

Childress’ Sign (Squat and Duck Walk Test)

Which test involves the patient lying supine with the knee flexed to 90° and the examiner medially and laterally rotating the tibia while noting any restriction, excessive movement, or discomfort?

Apley’s Test

Which test is positive for a medial meniscus pathology if pain and tenderness on the medial joint line decrease when the examiner medially rotates the tibia and flexes the knee?

Cabot’s Popliteal Sign

Which test involves the patient lying supine with the hip flexed, abducted, and laterally rotated, and the examiner palpating the lateral joint line while adducting the hip?

Dynamic Knee Test

Which test is positive for a lateral meniscus tear if there is increased pain on the joint line or a sharp pain at the end of adduction?

Ege’s Test

Which test is used to assess for a meniscus lesion primarily in the middle or posterior part of the meniscus?

Payr's Test

Which test is used to assess for an avulsion of the posterior horn of the medial meniscus?

Steinman's Tenderness Displacement Test

Which test is used to assess for a meniscus tear if the patient experiences medial or lateral joint line discomfort and a sense of locking or catching in the knee?

Thessaly Test

Which test is used to assess for a possible meniscus tear indicated by point tenderness and pain on the joint line that appears to move anteriorly when the knee is extended and moves posteriorly when the knee is flexed?

Steinman's Tenderness Displacement Test

Which test is used to assess for an abnormal plica that can mimic meniscus pathology?

Hughston's Plica Test

Which test is used to assess for pinching of the edge of the plica between the medial femoral condyle and the patella?

Mediopatellar Plica Test

What is the purpose of the McMurray test?

To test the medial meniscus

What is the primary function of the coronary ligaments in relation to the menisci?

To stabilize the menisci

Which test involves applying a valgus stress to the knee while flexing the knee, with the subluxation of the knee reducing at between 25° and 45° of flexion if the test is positive?

Pivot shift test

Which ligament is primarily tested in the Active Pivot Shift Test?

Anterior cruciate ligament

What is the approximate degree of passive lateral rotation of the tibia on the femur at 90° of knee flexion?

20°

Which of the following questions can give an indication of the patient's functional disability and how much the knee is bothering the patient?

How much difficulty are you having with activities such as walking, climbing stairs, or getting in and out of chairs?

Which factor(s) determine the outcome of special tests on the knee?

The results of other tests

Why is it difficult to diagnose a meniscus injury based solely on a positive test?

The menisci have no nerve supply

Which statement regarding joint line pain or tenderness and meniscus injuries is most accurate?

Approximately 50% of meniscus injuries have joint line pain or tenderness

What is the primary purpose of tests for swelling on the knee?

To confirm a diagnosis

Which combination of factors is needed to have a high level of suspicion of meniscus injury?

Positive test results and clinical signs

What percentage of meniscus injuries have joint line pain or tenderness?

50%

Which test is used to assess meniscus pathology by applying valgus and varus stresses to the knee while passively flexing and extending it?

Anderson Medial-Lateral Grind Test

Which test is used to differentiate between ligamentous and meniscus injuries by medially and laterally rotating the tibia while the knee is flexed to 90°?

Bragard's Sign

Which test is used to assess meniscus pathology by applying varus and valgus stresses to the knee and observing pain in the opposite joint line?

Bohler's Sign

Which test is used to assess meniscus pathology by palpating the joint line while the patient is isometrically straightening the knee?

Cabot's Popliteal Sign

Which test is used to assess meniscus pathology by squatting and walking forward in the squatted position, and observing joint line pain or painful clicking?

Childress' Sign

Which test is used to assess meniscus pathology by adducting the hip while palpating the lateral joint line, and observing increased pain or sharp pain at the end of adduction?

Dynamic Knee Test

During the Patellar Bowstring Test, the patient lies on his or her side with the test leg uppermost. The examiner pushes the patella medially and holds it there, while also medially rotating the tibia. The knee is then extended while the examiner listens for any sounds or feels for any grinding. What is the purpose of this test?

To test for the presence of a mediopatellar plica

What is the primary purpose of the Plica 'Stutter' Test?

To test for the presence of a mediopatellar plica

During the Plica 'Stutter' Test, at what range of knee flexion does the patella stutter or jump if the test is positive?

Between 60° and 45°

What position is the patient in during the Plica 'Stutter' Test?

Sitting on the edge of the examining table with both knees flexed to 90°

What does a positive Plica 'Stutter' Test indicate?

Presence of a mediopatellar plica

What is the recommended hand position for examiners with small hands during the Lachman test?

Using the heel of one hand to push the patella medially

Which test is used to assess for pain and tenderness on the medial joint line, indicating medial meniscus pathology?

Payr's Test

Which test is positive for a lateral meniscus tear if there is increased pain on the joint line or a sharp pain at the end of adduction?

Thessaly Test

Which test involves flexing the patient's knee, laterally rotating the tibia, and extending the knee to assess for pain and tenderness on the medial joint line, indicating medial meniscus pathology?

Test for Retreating or Retracting Meniscus

Which test is recommended to be performed if a meniscus or plica injury is suspected?

Hughston's Plica Test

Which test involves the examiner flexing the knee and medially rotating the tibia while pressing the patella medially and palpating the medial femoral condyle to feel for 'popping' of the plica band?

Hughston's Plica Test

Which test involves the examiner pushing the patella medially with the thumb while the patient's affected knee is flexed to 30°, and if the patient complains of pain or a click, it indicates a positive test?

Mediopatellar Plica Test

What is the most likely cause of a block in knee extension during the 'Bounce Home' test?

A torn meniscus

Which test is used to assess medial meniscus pathology by applying varus and valgus stresses to the knee?

Bohler's Sign

What does a positive Childress' Sign indicate?

A posterior horn lesion of the meniscus

Which test is used to assess lateral meniscus tear by palpating the lateral joint line and adducting the hip?

Dynamic Knee Test

What is the purpose of Cabot's Popliteal Sign test?

To assess a posterior horn lesion of the meniscus

What does a positive Bragard's Sign indicate?

Medial meniscus pathology

What is the purpose of the Figure-of-Four Meniscal Stress Maneuver?

To test the medial meniscus

What is the purpose of the Kromer's Sign test?

To test for ligament instability

What is the purpose of the McMurray Test?

To test for meniscus tears

What is the purpose of the Modified Helfet Test?

To test for quadriceps muscle strength

What is the purpose of O'Donohue's Test?

To test for meniscus tears

What is the purpose of the Passler Rotational Grind Test?

To test for meniscus tears

Which of the following statements about special tests on the knee is most accurate?

Special tests rarely provide conclusive results on their own

What is the primary purpose of special tests for swelling in the knee?

To rule out pathologies

Why can diagnosing a meniscus injury be difficult even with experience?

Menisci have no nerve supply

What is needed to have a high level of suspicion of meniscus injury?

A combination of tests and clinical signs

What percentage of meniscus injuries have joint line pain or tenderness?

Approximately 50%

Which finding should not be used in isolation for diagnosing meniscus pathology?

Joint line pain or tenderness

Which test is used to assess for abnormal movement of the patella during knee extension?

Patellar Bowstring Test

What position should the patient be in during the Plica Stutter Test?

Seated on the edge of the examining table

During the Patellar Bowstring Test, the examiner pushes the patella in which direction?

Medially

At what degree of knee flexion does the patella stutter or jump during the Plica Stutter Test if it is positive?

45°

Which ligament is primarily responsible for limiting lateral patellar displacement at 20° of knee flexion?

Medial patellofemoral ligament

What does a positive finding on the Patellar Bowstring Test indicate?

Medial patellar plica

Which test involves the examiner applying a varus or a valgus stress to the knee while rotating the tibia medially and laterally through various flexion angles, and pain elicited on the joint line indicates a meniscus lesion?

Payr's Test

Which test involves the examiner flexing the knee and medially rotating the tibia while pressing the patella medially, and a positive test is indicated by the popping of the plica band under the fingers?

Hughston's Plica Test

Which test involves the examiner pushing the patella medially with the thumb while the patient lies in the supine position with the affected knee flexed to 30°, and a positive test is indicated by the patient complaining of pain or a click?

Mediopatellar Plica Test

Which test involves the examiner palpating the joint line with one hand while the patient is asked to isometrically straighten the knee against resistance, and assesses for pain on the joint line, indicating a meniscus lesion?

McMurray Test

Which test involves the patient standing flat footed on one leg while the examiner provides hands for balance, and the patient flexes the knee to 5° and rotates the femur on the tibia medially and laterally three times while maintaining the 5° flexion?

Thessaly Test

Which test involves the examiner applying a valgus stress to the knee, in the presence of an avulsion, the medial meniscus is extruded anteromedially and becomes more apparent on the anteromedial joint line?

Seil Test

Which of the following tests is used to assess for dislocation of the patella?

Fairbank’s Apprehension Test

Which of the following tests is primarily used for machine testing of laxity?

Daniel’s Quadriceps Neutral Angle Test

Which of the following tests is used to assess for functional leg length difference?

Functional Leg Length

Which of the following tests is used to assess for quadriceps neutral angle?

Daniel’s Quadriceps Neutral Angle Test

Which of the following tests involves side steps with an elastic band tied around the ankles?

Lateral Band Walks

Which of the following tests involves hopping in a transverse plane?

Transverse/Diagonal Hop

Which position allows the synovial cavity to have maximum capacity for holding fluid?

Resting position of 15° to 25° of flexion

What is the term used to describe swelling within the joint that consists of blood?

Hemarthrosis

What is the primary cause of excess blood swelling in the knee?

All of the above

When does synovial fluid swelling caused by joint irritation typically occur?

Within 8 to 24 hours

What is the feeling within the joint when synovial fluid swelling occurs?

Fluctuating or 'boggy' feeling

When does swelling usually occur and disappear?

Occurs with activity and disappears after a few days of inactivity

Which test is used to assess minimal effusion in the knee joint?

Brush Test

Which test involves the examiner feeling the synovial fluid fluctuate under the hands and move from one hand to the other, indicating significant effusion?

Fluctuation Test

Which test is used to detect swelling in the knee joint by observing the disappearance of an indentation on the lateral side of the patellar tendon?

Indentation Test

Which test involves applying a slight tap or pressure over the patella to feel for a floating sensation?

Patellar Tap Test

Which test involves milking fluid from the suprapatellar pouch and palpating for fluid accumulation or a wave passing under the fingers?

Peripatellar Swelling Test

Which condition is characterized by pain during activities such as climbing stairs, stepping up or down, prolonged sitting, squatting, or getting up from a chair?

Patellofemoral dysfunction

Which test involves the examiner pushing the patella medially while the knee is returned to the painful angle, and the patient performs an isometric contraction with the patella held medially?

Motion Palpation Test

Which test is used to assess for crepitus and discomfort severity and location in the patellofemoral joint by passively moving the patient's knee between full extension and 100° flexion?

Passive Patellar Tilt Test

Which test involves the patient stepping up sideways onto a stool using the good leg, and indicates patellofemoral arthralgia, weak quadriceps, or an inability to stabilize the pelvis if the patient is unable to do the test?

Step Up Test

Which test involves the patient lying supine and slowly extending the knee without pressing into the examiner's fist or lifting the leg away from the fist while trying to achieve full extension?

Vastus Medialis Coordination Test

Which test assesses the presence of patellofemoral syndrome by palpating the patella while the patient performs several slow deep knee bends?

Waldron Test

Which test involves the examiner pulling the patella distally and holding it in this position while the patient contracts the quadriceps?

Zohler's Sign

Which test assesses the presence of a problem with the articulation between the articular surface of the patella and the articular surfaces of the femoral condyles, but is not specific to one pathology?

Active Patellar Grind Test

Which test involves the patient stepping down slowly and smoothly from a 15-cm (6-inch)-high step or stool, and is considered positive if pain is felt during the test?

Eccentric Step (Lateral Step Down) Test

Which test involves the examiner percussing the patella in various positions of knee flexion, and pain indicates a positive test and may signify chondromalacia patellae?

Frund’s Sign

Which test involves the patient contracting the quadriceps while the examiner watches the movement of the patella, and if lateral movement is excessive, the test is positive for lateral overpull of the quadriceps, resulting in a patellofemoral arthralgia?

Lateral Pull Test

Which test involves the patient sitting with the femur laterally rotated, and performing isometric quadriceps contractions at various degrees of flexion, with each contraction held for 10 seconds, and if pain is produced during any of the contractions, the patient's leg is passively returned to full extension by the examiner?

McConnell Test for Chondromalacia Patellae

Which test involves the examiner pressing down slightly proximal to the upper pole or base of the patella with the web of the hand as the patient lies relaxed with the knee extended, and the patient is then asked to contract the quadriceps muscles while the examiner pushes down?

Clarke's Sign (Patellar Grind Test)

Which position of the knee joint allows the synovial cavity to have the maximum capacity for holding fluid?

15° to 25° of flexion

How quickly does blood swelling (hemarthrosis) within the joint typically come on?

Within 1 to 2 hours

What does blood swelling (hemarthrosis) feel like on palpation?

Doughy and relatively hard

When does synovial fluid swelling caused by joint irritation typically occur?

8 to 24 hours

What does synovial fluid swelling caused by joint irritation feel like within the joint?

Fluctuating or 'boggy'

When does swelling usually occur and disappear?

With activity and disappears after a few days of inactivity

Which test is used to assess for dislocation of the patella?

Fairbank's Apprehension Test

What is the average angle of the quadriceps neutral angle?

70°

Which ligament is primarily responsible for checking anterior tibial displacement in the knee joint?

Posterior cruciate ligament

Which test is used to assess for a meniscus tear primarily in the middle or posterior part of the meniscus?

Functional Leg Length

What is the primary function of the menisci in the knee joint?

To absorb shock and distribute load

What does a lateral glide of three quadrants suggest?

Anterolateral rotary instability

Which test assesses the coordination of the vastus medialis, and has the most positive likelihood ratio in patients with patellofemoral pain syndrome (PFPS)?

Active Patellar Grind Test

Which test involves the patient stepping down from a 15-cm (6-inch)-high step or stool, and is considered positive if pain is felt during the test?

Eccentric Step Test

Which test involves the examiner pressing down slightly proximal to the upper pole or base of the patella with the web of the hand, while the patient contracts the quadriceps muscles?

Clarke's Sign

Which test involves the examiner percussing the patella in various positions of knee flexion, and pain indicates a positive test that may signify chondromalacia patellae?

Frund's Sign

Which test assesses the movement of the patella while the patient contracts the quadriceps, and is positive for lateral overpull of the quadriceps if there is excessive lateral movement?

Lateral Pull Test

Which test involves the patient performing isometric quadriceps contractions at different degrees of knee flexion, and is positive if pain is produced during any of the contractions?

McConnell Test for Chondromalacia Patellae

Which test is used to assess for abnormal anterior displacement of the knee in a posterior cruciate ligament sprain?

Passive Patellar Tilt Test

Which ligament plays a role in stabilization through the changing degrees of knee flexion during the rotation that occurs with the tests?

Posterior Cruciate Ligament (PCL)

During the Patellar Bowstring Test, the patient lies on his or her side with the test leg uppermost. The examiner pushes the patella medially and holds it there, while also medially rotating the tibia. The knee is then extended while the examiner listens for any sounds or feels for any grinding. What is the purpose of this test?

To assess for chondromalacia patellae

What is the primary cause of patellofemoral arthralgia?

Excessive lateral pressure syndrome

During the movement from flexion to extension, different parts of the patella articulate with the femoral condyles until at least how many degrees of flexion is reached?

60°

Which muscle is commonly weak in patients with patellofemoral pain syndrome (PFPS) and anterior cruciate ligament (ACL) injuries?

Quadriceps

Which test is used to assess for minimal effusion in the knee by stroking the suprapatellar pouch and observing for a wave of fluid passing to the medial side of the joint?

Brush Test

Which test is used to assess for significant effusion in the knee by feeling the synovial fluid fluctuate under the hands and move from one hand to the other?

Fluctuation Test

Which test is used to assess for swelling in the knee by observing for the disappearance of an indentation on the lateral side of the patellar tendon?

Indentation Test

Which test is used to assess for a floating patella and detect a large amount of swelling in the knee?

Patellar Tap Test

Which test is used to assess for fluid accumulation or a wave of fluid passing under the fingers in the knee?

Peripatellar Swelling Test

Which test is used to assess for pain and tenderness on the medial joint line, indicating medial meniscus pathology?

Brush Test

Which test involves the patient performing slow deep knee bends while the examiner palpates the patella?

Waldron Test

Which ligament is primarily responsible for limiting varus stress (lateral opening) of the knee joint?

Medial Collateral Ligament (MCL)

Which test involves the patient stepping up sideways onto a stool using the good leg and is considered positive if pain is felt during the test?

Step Up Test

Which ligament is primarily responsible for restraining anterior subluxation of the lateral tibial plateau and tibial medial rotation?

Anterior Cruciate Ligament (ACL)

Which test involves the patient lying supine and slowly extending the knee without pressing into the examiner's fist or lifting the leg away from the fist while trying to achieve full extension?

Vastus Medialis Coordination Test

Which ligament is the primary static restraint to lateral patellar displacement at 20° of knee flexion?

Lateral Collateral Ligament (LCL)

Which position of the knee joint allows the synovial cavity to have the maximum capacity for holding fluid?

15° to 25° of flexion

What is the primary purpose of knee-specific, activity-specific, and general health questionnaires?

To assess the functional status and quality of life related to knee conditions

What is the recommended hand position for examiners with small hands during the Lachman test?

Thumb on the tibial tubercle and fingers on the femoral condyles

Which test is used to assess for swelling in the knee by observing for the disappearance of an indentation on the lateral side of the patellar tendon?

Balloon sign test

Why can diagnosing a meniscus injury be difficult even with experience?

The symptoms of a meniscus injury are often similar to other knee injuries

What is the primary function of the menisci in the knee joint?

To absorb shock and distribute load

Which of the following tests assesses the presence of a problem with the articulation between the articular surface of the patella and the articular surfaces of the femoral condyles?

Active Patellar Grind Test

Which test involves the patient stepping down, first leading with the injured leg, as slowly and smoothly as possible while the examiner watches the quality of movement?

Eccentric Step (Lateral Step Down) Test

Which test assesses for chondromalacia patellae by percussing the patella in various positions of knee flexion?

Frund’s Sign

Which test assesses for lateral overpull of the quadriceps resulting in a patellofemoral arthralgia by watching the movement of the patella while the patient contracts the quadriceps?

Lateral Pull Test

Which ligament is primarily tested in the McConnell Test for Chondromalacia Patellae?

Patellar ligament

What does a positive test for lateral pull of the quadriceps indicate?

Lateral overpull of the quadriceps resulting in a patellofemoral arthralgia

During the Lateral Hop test, the patient hops laterally one-half of their body height and is instructed to 'land as softly as possible' with the knee flexed and over the toes. How long should the patient balance on the 'hopped' leg?

3 seconds

During the Transverse/Diagonal Hop test, the patient hops in a transverse plane one-half of their body height and is instructed to 'land as softly as possible' with the knee flexed and over the toes. How long should the patient balance on the 'hopped' leg?

3 seconds

During the Lateral Band Walks test, the patient side steps a distance of 130% of their shoulder width while keeping the hips and knees flexed to 30°. How much expansion should be allowed in the elastic band tied around the ankles?

30 cm

During Daniel's Quadriceps Neutral Angle Test, the patient lies supine and the unaffected leg is tested first. The patient's hip is flexed to 45° and the knee is flexed to 90° with the foot flat on the examining table. If tibial displacement is noted, knee flexion is decreased or increased. What is the angle at which there is no tibial displacement called?

Quadriceps neutral angle

During Fairbank's Apprehension Test, the patient lies in the supine position with the quadriceps muscles relaxed and the knee flexed to 30°. What action by the patient indicates a positive test?

Contracting the quadriceps muscles

During the Functional Leg Length test, the patient stands in the normal relaxed stance. The examiner palpates the anterior superior iliac spines (ASISs) and then the posterior superior iliac spines (PSISs) and notes any differences. What position should the patient hold with the toes straight ahead and the knee straight?

Subtalar joint in neutral

Which test is used to assess for minimal effusion in the knee by stroking the suprapatellar pouch and observing a wave of fluid passing to the medial side of the joint?

Brush, Stroke, or Bulge Test

Which test involves pressing down on the suprapatellar pouch with one hand and watching the hollows on each side of the patella for a wave of fluid to pass, indicating the presence of swelling in the knee?

Peripatellar Swelling Test

Which test is used to assess for patellofemoral dysfunction by applying a valgus stress to the knee while flexing the knee, with the subluxation of the knee reducing at between 25° and 45° of flexion if the test is positive?

Patellar Tap Test

Which test involves the examiner placing the palm of one hand over the suprapatellar pouch and the palm of the other hand anterior to the joint, and feeling the synovial fluid fluctuate under the hands and move from one hand to the other, indicating significant effusion in the knee?

Fluctuation Test

Which test is used to assess for patellofemoral dysfunction by pushing the patella medially and holding it there while flexing the patient's knee and medially rotating the tibia?

Patellar Bowstring Test

Which test involves applying a slight tap or pressure over the patella, with a floating of the patella being felt if the test is positive?

Patellar Tap Test

Which of the following is the resting position of the knee when there is swelling?

15° to 25° of flexion

What is the term for swelling within the joint caused by blood?

Hemarthrosis

How quickly does blood swelling (hemarthrosis) come on?

Within 1 to 2 hours

What is the primary function of the coronary ligaments in relation to the menisci?

To stabilize the knee joint during rotation

When does synovial fluid swelling caused by joint irritation occur?

Within 1 to 2 days

What is the term for the deformity where two or more fingers (4 cm [1.6 inches]) fit between the knees when the ankles are together?

Genu varum

Which test is commonly used to assess for minimal effusion in the knee by stroking the suprapatellar pouch and observing for a wave of fluid?

Fluctuation Test

Which test involves the examiner placing one hand over the suprapatellar pouch and the other hand anterior to the joint, and feeling the synovial fluid fluctuate under the hands?

Fluctuation Test

Which test is used to assess for swelling in the knee by observing for the disappearance of an indentation on the lateral side of the patellar tendon?

Indentation Test

Which test involves applying a slight tap or pressure over the patella to feel for a floating sensation?

Patellar Tap Test

Which test is used to assess for swelling in the knee by palpating for fluid accumulation or a wave of fluid passing under the fingers?

Peripatellar Swelling Test

Which test is commonly used to assess for patellofemoral dysfunction by evaluating the patellar tilt and performing squatting test?

Fluctuation Test

Which of the following tests is used to assess the coordination of the vastus medialis muscle in patients with patellofemoral pain syndrome (PFPS)?

Active Patellar Grind Test

Which of the following tests is used to assess for a problem with the articulation between the articular surface of the patella and the articular surfaces of the femoral condyles?

Clarke's Sign

Which of the following tests is used to assess for lateral overpull of the quadriceps, resulting in patellofemoral arthralgia?

Lateral Pull Test

Which of the following tests is used to assess for chondromalacia patellae by performing isometric quadriceps contractions at different angles of knee flexion?

McConnell Test for Chondromalacia Patellae

Which of the following tests is used to assess for a floating patella and detect a large amount of swelling in the knee?

Watson Test

Which of the following tests is used to assess for minimal effusion in the knee joint by stroking the suprapatellar pouch and observing a wave of fluid passing to the medial side of the joint?

Stroke Test

Which test is used to assess for patellofemoral syndrome by palpating for crepitus and discomfort severity and location?

Motion Palpation Test

Which test involves the patient stepping up sideways onto a stool using the good leg to assess for patellofemoral arthralgia, weak quadriceps, or an inability to stabilize the pelvis?

Step Up Test

Which test assesses the coordination of the vastus medialis by asking the patient to slowly extend the knee without pressing into the examiner's fist or lifting the leg away from the fist?

Vastus Medialis Coordination Test

Which test assesses for patellofemoral syndrome by palpating the patella while the patient performs slow deep knee bends?

Waldron Test

Which test assesses for chondromalacia patellae by pulling the patella distally and asking the patient to contract the quadriceps?

Zohler's Sign

Which test involves the examiner passively moving the patient's knee between full extension and 100° flexion while palpating for crepitus and discomfort severity and location?

Motion Palpation Test

Which test involves the patient hopping laterally one-half of their body height, landing as softly as possible with the knee flexed and over the toes, and balancing on the 'hopped' leg for 3 seconds?

Lateral Hop

Which test involves the patient hopping in a transverse plane one-half of their body height, landing as softly as possible with the knee flexed and over the toes, and balancing on the 'hopped' leg for 3 seconds?

Transverse/Diagonal Hop

Which test involves the patient side stepping a distance of 130% of their shoulder width, assuming a single limb stance on the side-stepped foot while keeping the toes pointing straight ahead and the knee over the toes?

Lateral Band Walks

Which test is used to determine the quadriceps neutral angle, which is primarily used for machine testing of laxity?

Daniel’s Quadriceps Neutral Angle Test

Which test is used to test for dislocation of the patella, where the examiner pushes the patella laterally and the patient contracts the quadriceps muscles to bring the patella back 'into line'?

Fairbank’s Apprehension Test

Which test is used to evaluate any differences in leg length caused by hip, knee, ankle, or foot problems?

Functional Leg Length

Which position is the patient in during the Functional Test for Quadriceps Contusion?

Prone position

What is considered a mild contusion in the Functional Test for Quadriceps Contusion?

Passive knee flexion of 90° or more

What is considered a moderate to severe contusion in the Functional Test for Quadriceps Contusion?

Passive knee flexion of less than 90°

What is the normal heel-to-buttock distance in men during the Functional Test for Quadriceps Contusion?

10 cm (4 inches)

What is the normal heel-to-buttock distance in women during the Functional Test for Quadriceps Contusion?

5 cm (2 inches)

What muscles are tested for tightness in the Functional Test for Quadriceps Contusion?

All of the above

What position is the patient in during the Measurement of Leg Length test?

Supine position

What is the normal difference in leg length between the two sides in the Measurement of Leg Length test?

1.0 to 1.5 cm

What is the maximum difference in leg length considered normal in the Measurement of Leg Length test?

1.0 to 1.5 cm

What symptoms may result from even a 1.0 to 1.5 cm difference in leg length in the Measurement of Leg Length test?

Pathological symptoms

Which angle is considered abnormal if it is less than 13°?

When should the Q-angle be measured as 0°?

With the patient in the sitting position

What is the Q-angle for males and females when the knee is straight?

13° for males and 18° for females

What is the normal range for the Q-angle when measured with the quadriceps contracted and the knee fully extended?

8° to 10°

What is the Tubercle Sulcus Angle used to measure?

The relation of the patella to the tibial tubercle

What is the A-angle used to measure?

The relation of the patella to the tibial tubercle

What does a positive Wilson Test indicate?

OCD of the femoral condyle

Which test is used to assess for joint contracture and tight hamstrings?

Heel Height Difference Test

What does an angle greater than 10° from the perpendicular indicate in the Tubercle Sulcus Angle measurement?

Lateral patellar subluxation

What is the primary role of the gracilis and adductor muscles in knee stability?

Checking anterior tibial displacement in the knee joint

Which measurement point is commonly used by examiners to measure muscle bulk or swelling in the leg?

15 cm below the apex of the patella

What is the purpose of the Moving Patellar Apprehension Test (MPAT)?

To test for lateral patellar instability

What does a positive Noble Compression Test indicate?

Iliotibial band friction syndrome

What is the Q-angle?

The angle between the quadriceps muscles and the patellar tendon

What position should the lower limbs be in when measuring the Q-angle?

At a right angle to the line joining the two ASISs

Which ligament is commonly involved in injuries that cause posterior sag?

Posterior cruciate ligament

What is the purpose of the MacIntosh test?

To assess for meniscal tears

What type of pain is usually associated with degenerative changes?

Chronic and dull

What may cause grating or clicking in the knee during movement?

Patellar tracking issues

Which position of the knee joint allows the synovial cavity to have the maximum capacity for holding fluid?

Close packed position

Which position should the patient be in for the functional test for quadriceps contusion?

Prone position

What is considered a mild contusion during the functional test for quadriceps contusion?

Passive knee flexion of 90° or more

What is considered a moderate to severe contusion during the functional test for quadriceps contusion?

Passive knee flexion of less than 90°

What is the normal heel-to-buttock distance in men during the functional test for quadriceps contusion?

10 cm (4 inches)

What is the normal heel-to-buttock distance in women during the functional test for quadriceps contusion?

5 cm (2 inches)

What muscles are tested for tightness during the functional test for quadriceps contusion?

All of the above

What position should the patient be in for the measurement of leg length?

Supine position

What is considered a normal difference in leg length between the two sides?

1.0 to 1.5 cm

What symptoms may result from even a small difference in leg length?

Pathological symptoms

What is the recommended range of dorsiflexion in the ankle during the examination?

15° to 25°

Which angle is considered abnormal if it is greater than 18°?

Q-angle

Which angle is used to measure the angle of quadriceps pull?

Tubercle Sulcus Angle

Which angle measures the relation of the patella to the tibial tubercle?

A-angle

Which test is used to assess for OCD of the femoral condyle?

Wilson Test

Which test is performed with the patient lying prone and the knee flexed to 90°?

Knee Extension Contracture Test

Which test is used to check for joint contracture and possibly tight hamstrings?

Knee Extension Contracture Test

Which test is used to measure the Q-angle at 90°?

Tubercle Sulcus Angle Test

Which measurement is not as commonly used as the Q-angle?

A-angle

Which test is used to try to sublux the fibular head anteriorly?

Radulescu Sign Test

Which angle is considered abnormal if it is greater than 10°?

Q-angle

Which of the following measurements can help determine the site of occurrence for coxa vara?

Measuring from the high point on the iliac crest to the greater trochanter

Which of the following measurements can help determine femoral shaft length?

Measuring from the greater trochanter to the lateral knee joint line

Which of the following measurements can help determine tibial length?

Measuring from the medial knee joint line to the medial malleolus

Which of the following measurements is useful for swelling and noting atrophy, but not correlated with muscle strength, power, or function?

Apex of the patella or joint line

According to Hughston, which point is more constant and should be used as the beginning point of measurement for muscle bulk or swelling?

Apex of the patella or joint line

Which test is used to assess lateral patellar instability by translating the patella laterally and observing for patient apprehension or quadriceps contraction?

Moving Patellar Apprehension Test (MPAT)

Which test is used to assess for iliotibial band friction syndrome by applying pressure to the lateral femoral epicondyle and passively extending the knee?

Noble Compression Test

What is the Q-angle defined as?

The angle between the patellar tendon and the tibial tubercle

Which position is recommended for obtaining the Q-angle measurement?

Supine position with legs straight and quadriceps relaxed

What is the purpose of ensuring a neutral foot and hip position when measuring the Q-angle?

To centralize the patella

What is the significance of a positive finding on the Noble Compression Test?

Indicates iliotibial band friction syndrome

Which structure lies behind the infrapatellar tendon and can be palpated for tenderness?

Patellar retinaculum

What is the purpose of the test that involves drawing the fibula forward on the tibia?

To assess the mobility of the fibula

When palpating the patella, where is the apex of the patella located?

Distally

What is the synovial membrane of the suprapatellar pouch continuous with?

Knee joint

What may indicate pathology when palpating the suprapatellar pouch?

All of the above

What is the purpose of pushing down on the lateral aspect of the patella during palpation?

To palpate the lateral retinaculum

Which reflexes should be checked for differences between the two sides when examining the knee?

Patellar and medial hamstring reflexes

What should be used to map out any differences in sensation during a scanning examination of the knee?

Pinwheel

What is the term for a hyperaesthetic area the size of a quarter on the medial side of the knee caused by a lesion of the medial meniscus?

Turner's sign

What are the primary causes of peripheral nerve injuries about the knee?

Trauma

Which nerve is commonly involved in peripheral nerve injuries about the knee?

Common peroneal nerve

What are the potential sources of referred pain to the knee?

Lumbar spine, hip, and ankle

Which nerve is vulnerable to injury in the posterolateral knee and as it winds around the head of the fibula?

Common peroneal nerve

What is the result of weakness or paralysis of muscles supplied by the deep and superficial peroneal nerves?

Inability to dorsiflex the foot

Which nerve is a sensory branch of the femoral nerve that arises near the inguinal ligament and passes down the leg to supply the skin on the medial side of the knee and calf?

Saphenous nerve

What may lead to medial knee pain aggravated by walking, standing, and quadriceps exercises?

Entrapment of the saphenous nerve

During the backward movement of the tibia on the femur, what is the normal end feel of the movement?

Tissue stretch

Which ligament may be injured if the tibial plateau bulges laterally during a test with the knee flexed to 90° and the foot on the examining table?

Posterior cruciate ligament

Which muscle should the examiner attempt to palpate in the posterolateral aspect of the knee joint?

Hamstring muscle group

What is sometimes found inserted in the tendon of the lateral head of the gastrocnemius muscle in the posterolateral aspect of the knee?

Sesamoid bone

What is the term used to describe the posterolateral corner of the knee?

Popliteus corner

Which ligament should the examiner attempt to palpate in the posteromedial aspect of the knee joint?

Posterior oblique ligament

What is sometimes referred to as a loose body in the posterolateral aspect of the knee by an unwary examiner?

Fabella

Which soft tissue should be palpated for tenderness or swelling in the posterior aspect of the knee?

Soft tissue on the posterior aspect of the knee

What is the purpose of palpating the quadriceps muscles during a knee examination?

To assess for tenderness and defects in the muscles

What is the purpose of palpating the medial collateral ligament during a knee examination?

To check for tenderness and other pathology

What is the purpose of palpating the pes anserinus during a knee examination?

To check for tenderness and swelling

What is the purpose of palpating the iliotibial band during a knee examination?

To palpate its insertion into the lateral condyle of the tibia

What is the purpose of palpating the joint line and meniscus during a knee examination?

To assess for tenderness, swelling, or other pathology

What is the purpose of palpating the tibiofemoral joint line, tibial plateau, femoral condyles, and adductor muscles during a knee examination?

To check for tenderness and injuries

Which reflexes should be checked for differences between the two sides when examining the knee?

Patellar and medial hamstring reflexes

What should be performed to test for altered sensation in the thigh, knee, and leg?

Scanning examination

What is the term for a hyperaesthetic area the size of a quarter on the medial side of the knee caused by a lesion of the medial meniscus?

Turner's sign

What is the primary cause of peripheral nerve injuries about the knee?

Trauma

Which nerve is commonly injured in peripheral nerve injuries about the knee?

Common peroneal nerve

What structures may have been injured if a positive finding is observed on the Posterior Sag Sign (Gravity Drawer Test)?

Posterior cruciate ligament and posterolateral corner structures

Which muscle can be palpated for tenderness, defects, atonia, or hard masses in the knee examination?

Rectus Femoris

Which ligament should be palpated along its entire length for tenderness or other pathology in the knee examination?

Medial Collateral Ligament

What structure can be palpated for tenderness and swelling, indicating conditions like bursitis or tendinitis?

Pes Anserinus

Which structure can be palpated along its entire length, including its attachment at the Gerdy's tubercle, in the knee examination?

Iliotibial Band

At what degree of knee flexion should the joint line and meniscus be palpated for tenderness in the knee examination?

45°

Which condyle of the femur extends farther anteriorly (higher) than the other in the knee examination?

Lateral Condyle

What is the term for the soft tissue on the posterior aspect of the knee that should be palpated for tenderness or swelling?

Baker's cyst

Which area of the knee is sometimes referred to as the popliteus corner?

Posterolateral corner

Which muscle is sometimes found with a sesamoid bone inserted in its tendon in the posterolateral aspect of the knee?

Lateral gastrocnemius muscle

Which ligament should be palpated in the posteromedial corner of the knee joint?

Posterior oblique ligament

Which muscle group's tendons and muscle bellies should be palpated for tenderness, swelling, or other signs of pathology after examining the posterior aspect of the knee?

Hamstring muscle group

What is the term for the bone sometimes found inserted in the tendon of the lateral head of the gastrocnemius muscle in the posterolateral aspect of the knee?

Sesamoid bone

Which nerve is vulnerable to injury in the posterolateral knee and as it winds around the head of the fibula?

Common peroneal nerve

What is the result of weakness or paralysis of muscles supplied by the deep and superficial peroneal nerves?

Inability to dorsiflex the foot

Which nerve is a sensory branch of the femoral nerve that arises near the inguinal ligament and passes down the leg to supply the skin on the medial side of the knee and calf?

Saphenous nerve

What may lead to medial knee pain (burning) that is aggravated by walking, standing, and quadriceps exercises?

Injury to the saphenous nerve

Which ligament may be injured if the tibial plateau bulges laterally during a test with the knee flexed to 90° and the foot on the examining table?

Posterior cruciate ligament

What is the normal end feel of medial and lateral translation of the tibia on the femur?

Tissue stretch

During the examination of the knee, the examiner can palpate the skin lying over the patella for pathology. What condition is commonly referred to as 'housemaid's knee'?

Prepatellar bursitis

What is the purpose of the examiner pushing down on the lateral aspect of the patella during palpation?

To palpate the medial retinaculum for tender areas

What is the main concern when performing the test for anteroposterior movement of the head of the fibula on the tibia?

Possible compression of the common peroneal nerve

What is the recommended position of the patient during the test for anteroposterior movement of the head of the fibula on the tibia?

Supine with the knee flexed to 90° and the hip to 45°

What should be done to confirm the presence of a mediopatellar plica during palpation of the patella?

Flex the patient's knee to 30° and push the patella medially

What is the purpose of palpating the suprapatellar pouch during a knee examination?

To assess the thickness of the synovial membrane

Which reflexes should be checked for differences between the two sides when examining the knee?

Patellar and medial hamstring reflexes

What is the term used to describe a hyperaesthetic area the size of a quarter on the medial side of the knee?

Turner's sign

What is the primary cause of peripheral nerve injuries about the knee?

Trauma

What is the term used to describe pain that is localized to the knee but may also be referred to the hip or ankle?

Referred pain

What should be used to perform a sensation scanning examination to test for altered sensation?

Relaxed hands and fingers

Which nerve roots should the examiner keep in mind when considering the dermatome patterns around the knee joint?

Various nerve roots

Which nerve is vulnerable to injury in the posterolateral knee and as it winds around the head of the fibula?

Peroneal nerve

Which muscle is responsible for dorsiflexion of the foot?

Tibialis anterior

Which nerve supplies the skin on the medial side of the knee and calf?

Saphenous nerve

Which ligament may be injured if the tibia moves away from the femur when a varus stress is applied to the knee in flexion?

Medial collateral ligament

What is the primary purpose of the Noyes Flexion-Rotation Drawer Test?

To test for meniscus injury

What is the normal end feel of the backward and forward movements of the tibia on the femur?

Tissue stretch

During the Anteroposterior Movement of the Head of the Fibula on the Tibia test, the patient is supine with the knee flexed to what angle?

90°

When performing the Anterior Palpation with Knee Extended, which structure is palpated for enlargement, indicating possible Osgood-Schlatter disease?

Tibial Tuberosity

During palpation, the examiner looks for abnormal tenderness, swelling, nodules, or abnormal temperature. Which position is best for palpating meniscal cysts?

45°

During the Suprapatellar Pouch palpation, what can the examiner feel between the thumb and fingers if there is no pathology?

Slippery surface

What should the examiner carefully feel for when palpating the medial edge of the patella?

Mediopatellar plica

During the Patellar Bowstring Test, what condition is the test used to assess for?

Chondromalacia patellae

Which structure should be palpated in the posterolateral aspect of the knee joint?

Popliteal artery

What bone may be mistaken for a loose body in the posterolateral aspect of the knee?

Fabella

Which corner of the knee joint is sometimes referred to as the semimembranosus corner?

Posteromedial corner

Which muscles should be palpated after the posterior aspect of the knee has been palpated?

Hamstring and gastrocnemius muscles

What may a lateral glide of three quadrants suggest?

Excessive lateral patellar shift or maltracking

Which ligament is primarily responsible for limiting varus stress (lateral opening) of the knee joint?

Lateral collateral ligament (LCL)

Which muscle is palpated for tenderness, defects, atonia, or hard masses in the knee examination?

Vastus Medialis

Which ligament should be palpated along its entire length for tenderness or other pathology during the knee examination?

Medial Collateral Ligament

Which structure can be palpated slightly distal to the tibial tuberosity for tenderness, indicating possible bursitis or tendinitis?

Pes Anserinus

Which structure is palpated along its entire length distally to its attachment at the Gerdy’s tubercle on the lateral side of the tibial plateau during the knee examination?

Tensor Fascia Lata

Which part of the meniscus is easier to palpate when the tibia is medially rotated during the knee examination?

Medial Meniscus

Which structure is palpated for tenderness or other signs of pathology after palpating the adductor tubercle during the knee examination?

Adductor Muscles

Which nerve may be stretched as a result of pulling on the peroneus longus muscle in a lateral ankle sprain?

Common peroneal nerve

What is the result of weakness or paralysis of muscles supplied by the deep and superficial peroneal nerves?

Inability to dorsiflex the foot

Which nerve is a sensory branch of the femoral nerve that arises near the inguinal ligament and passes down the leg to supply the skin on the medial side of the knee and calf?

Saphenous nerve

What may lead to medial knee pain that is aggravated by walking, standing, and quadriceps exercises?

Entrapment of the saphenous nerve

What is the end feel of the backward and forward movements of the tibia on the femur during joint play?

Tissue stretch

What ligament may be injured if excessive medial translation of the tibia on the femur is observed?

Anterior cruciate ligament

Which reflexes should be checked for differences between the two sides when examining the knee?

Patellar and medial hamstring reflexes

What is the result of weakness or paralysis of muscles supplied by the deep and superficial peroneal nerves?

Inability to dorsiflex and evert the foot

What is the normal range of passive medial rotation of the tibia on the femur at 90° of knee flexion in non-weight bearing?

10-20 degrees

Which structures may have been injured to some degree if a positive finding is observed on the Slocum Test with the foot in 15° of lateral rotation?

Anterior cruciate ligament (ACL)

Which test is used to assess for minimal effusion in the knee by stroking the suprapatellar pouch and observing a wave of fluid passing to the medial side of the joint?

Bulge test

Which muscle's tightness can prevent full excursion of the patella in the trochlea, especially if the hip is extended?

Rectus femoris

Which muscle is palpated along its entire length distally to its attachment at the Gerdy’s tubercle on the lateral side of the tibial plateau?

Vastus Lateralis

What is the primary function of the iliotibial band in relation to the knee joint?

Provides stability during knee extension

Which ligament should be palpated along its entire length for tenderness or other pathology, such as Pellegrini-Stieda syndrome?

Medial Collateral Ligament

What is the recommended starting position for the knee during the abduction (valgus stress) test for one-plane medial instability?

Knee flexed at 90°

Which ligament is primarily responsible for restraining anterior subluxation of the lateral tibial plateau and tibial medial rotation?

Anterior Cruciate Ligament

What is the primary cause of patellofemoral pathology or anteromedial joint pain?

Patellar malalignment

Which area should the examiner attempt to palpate in order to assess the posterolateral corner of the knee joint?

Popliteus corner

What is sometimes found inserted in the tendon of the lateral head of the gastrocnemius muscle in the posterolateral aspect of the knee?

Fabella

Which ligament should the examiner attempt to palpate in the posteromedial corner of the knee joint?

Posterior oblique ligament

Which muscle group should be palpated for tenderness, swelling, or other signs of pathology after palpating the various parts of the posterior aspect of the knee?

Hamstring muscle group

What should the examiner attempt to palpate in the area of the posterolateral aspect of the knee joint?

Lateral meniscus

What should the examiner attempt to palpate in the area of the posteromedial aspect of the knee joint?

Medial meniscus

Which structure should the examiner palpate to assess the presence of a mediopatellar plica?

Patellar retinaculum

What is the purpose of applying a caudal force to the base of the patella during examination?

To direct the movement of the patella

Which nerve should the examiner be cautious of compressing during the anteroposterior movement test of the head of the fibula on the tibia?

Common peroneal nerve

At what angle should the knee be flexed during palpation to best assess meniscal cysts?

45°

What should the examiner observe when palpating the patella for tenderness?

All of the above

What is the normal movement pattern of the fibula during the anteroposterior movement test on the tibia?

It slides back to its resting position

Which structure is palpated for tenderness during anterior palpation with the knee extended?

Patellar tendon

What is the primary cause of pain during the Anteroposterior Movement of the Head of the Fibula on the Tibia test?

Compression of the common peroneal nerve

What is the purpose of the caudal force applied during the examination of the patella?

To direct the movement of the patella

Which structure is palpated for enlargement during anterior palpation with the knee extended?

Tibial tuberosity

What is the purpose of palpating the suprapatellar pouch?

To assess the synovial membrane of the knee joint

Which position is the patient in during the examination of the Anteroposterior Movement of the Head of the Fibula on the Tibia?

Supine with the knee flexed to 90° and the hip to 45°

Quiz: Test your knowledge of Chondromalacia Patellae and Patellofemoral Syndrome Take this quiz to assess your understanding of Chondromalacia Patellae and Patellofemoral Syndrome. Learn about the odd facet's role in these conditions and the articulation of different parts of the patella with the femoral condyles. Challenge your knowledge and enhance your understanding of these conditions.

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