Ligament Stress Tests Overview

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Questions and Answers

Which test assesses the integrity of both the ACL and PCL?

  • Anterior Drawer Test
  • Apley Compression Test
  • Valgus Stress Test
  • Lachman Test (correct)

Which test is most likely to result in a positive sign of pain and laxity? (Select all that apply)

  • Apprehension Test
  • Posterior Drawer Test (correct)
  • Valgus Stress Test (correct)
  • McMurray Test

What is the primary structure assessed during the Anterior Drawer Test?

  • Lateral Collateral Ligament (LCL)
  • Anterior Cruciate Ligament (ACL) (correct)
  • Posterior Cruciate Ligament (PCL)
  • Medial Collateral Ligament (MCL)

What is the most common injury associated with a positive result on the Apprehension Test?

<p>Dislocation or Subluxation (B)</p> Signup and view all the answers

During the McMurray Test, what specific sensation is considered a positive sign indicating a potential injury?

<p>A clicking or popping sensation (A)</p> Signup and view all the answers

Flashcards

Valgus Stress Test

Tests for injury to the MCL; signs include pain and laxity.

Anterior Drawer Test

Assesses the ACL; positive signs are pain and laxity when foot is straight or rotated.

Lachman Test

Tests both ACL and PCL; positive signs include pain and laxity in different directions.

Mcmurray Test

Evaluates meniscus tears; positive signs are popping or clicking sensations.

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Apprehension Test

Tests for dislocations/subluxations; signs include pain or athlete’s response.

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Study Notes

Ligament Stress Tests

  • Valgus Stress Test: Evaluates the Medial Collateral Ligament (MCL). A positive test shows pain and/or laxity. Implies a MCL sprain. Performed twice, with the leg at 30 degrees and straight/lifted.

  • Varus Stress Test: Assesses the Lateral Collateral Ligament (LCL). Positive signs include pain and/or laxity, suggesting an LCL sprain. Performed twice, with the leg at 30 degrees and straight/lifted.

  • Anterior Drawer Test: Examines the Anterior Cruciate Ligament (ACL). A positive result shows pain and/or laxity, indicating an ACL sprain. Performed three times: 1) foot straight, 2) internally rotated, and 3) externally rotated.

  • Posterior Drawer Test: Evaluates the Posterior Cruciate Ligament (PCL). A positive test exhibits pain and/or laxity, signifying a PCL sprain. Performed twice, with the leg at 30 degrees and straight/lifted.

  • Lachman Test: Examines both the ACL and PCL. Positive signs are pain and laxity. Anterior laxity during leg elevation suggests ACL injury; posterior laxity during leg depression indicates PCL injury.

Additional Tests

  • Apprehension Test: This test assesses for shoulder dislocations or subluxations. A positive sign is pain, or if the athlete expresses apprehension. Important: Perform this from the lateral side, not medial side.

  • McMurray Test: Evaluates the meniscus (menisci). A positive result involves a pop or clicking sensation, suggesting a meniscus tear.

  • Apley Compression Test: A test for meniscus damage. A positive test displays pop or clicking/sensation, indicating potential meniscus tear.

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