Knee Assessment Techniques

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Questions and Answers

What is the sensitivity of the Posterior Drawer Test according to the findings?

  • 89% (correct)
  • 95%
  • 99%
  • 85%

Which anatomical location does the Posterior Drawer Test originate from?

  • Anterolateral aspect of the tibial plateau
  • Posterior aspect of the femoral shaft
  • Anteromedial aspect of the lateral femoral condyle
  • Anterolateral aspect of the medial femoral condyle (correct)

What percentage specificity does the Posterior Drawer Test have?

  • 100%
  • 95%
  • 99% (correct)
  • 97%

Which factor can complicate the interpretation of the Posterior Drawer Test results?

<p>Pain and swelling (B)</p> Signup and view all the answers

What is considered hyporeflexion in the Knee Reflex Jerk assessment?

<p>Knee jerk is weak (B)</p> Signup and view all the answers

What is the sensitivity percentage of Lachman's Test according to the systematic reviews?

<p>85% (D)</p> Signup and view all the answers

What is the specificity percentage of the Anterior Drawer test as found in the systematic reviews?

<p>92% (A)</p> Signup and view all the answers

Which of the following is a limitation mentioned for both Lachman's Test and Anterior Drawer Test?

<p>Muscle guarding (D)</p> Signup and view all the answers

Where does the ACL originate from?

<p>Posterior aspect of the medial side of the lateral femoral condyle (D)</p> Signup and view all the answers

Which test has a higher sensitivity for detecting ACL injuries?

<p>Lachman's Test (D)</p> Signup and view all the answers

Flashcards

Posterior Drawer Test

A test used to evaluate the integrity of the posterior cruciate ligament (PCL) in the knee. Involves pulling the tibia backward while stabilizing the femur.

Knee Reflex Jerk

A test that investigates the function of the L2, L3, and L4 spinal nerve roots.

Hyperflexion

A strong, forceful knee extension in response to the tap of the patellar tendon.

Dermatome

This refers to the area of skin supplied by a single spinal nerve root.

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Hyporeflexion

A weakened or absent knee jerk response, indicating a potential issue with the L2, L3, or L4 spinal nerve roots.

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Lachman's Test

A test for assessing the integrity of the anterior cruciate ligament (ACL). It involves drawing the tibia forward while the knee is flexed to 90 degrees.

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Anterior Drawer Test

A test that assesses the stability of the anterior cruciate ligament (ACL) by pulling the tibia forward while the knee is flexed.

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ACL

A ligament in the knee joint that connects the femur (thigh bone) to the tibia (shin bone). It helps prevent the tibia from sliding forward and helps stabilize the knee.

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ACL Origin

The point where the ACL originates on the femur.

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ACL Insertion

The point where the ACL attaches to the tibia.

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Study Notes

Lachman's Test

  • Study by DeCary et al. in 2017, used data from systematic reviews of ACL injuries (6 studies) and knee osteoarthritis (multiple studies)
  • Found sensitivity to be 94%
  • Limitations include patient relaxation, muscle guarding, and body habits; if the hamstring are contracting it will affect the test

Anterior Drawer Test

  • Study by DeCary et al. in 2017, used data from systematic reviews of meniscal injuries (28 studies), ACL injuries (28 studies), Ottawa knee rule fractures (multiple studies), and knee osteoarthritis (multiple studies)
  • Found sensitivity to be 85%
  • Limitations include patient relaxation, muscle guarding, and body habits; if the hamstring are contracting it will affect the test

ACL Anatomy

  • Originates from the posterior aspect of the lateral femoral condyle and inserts onto the anterior intercondylar area of the tibia

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