Orthopedic Clinical Examination: Cruciate Ligament Tests
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Questions and Answers

What is the position for the apprehension test for the patellofemoral joint?

  • Sitting
  • Standing
  • Prone
  • Supine (correct)

What action is considered positive during the apprehension test of the patellofemoral joint?

  • The patient experiences no pain
  • The patient remains relaxed
  • The patient reaches for the clinician's hands (correct)
  • The patient attempts to bend the knee

In the active straight leg raise test for the patellofemoral joint, what position should the patient be in?

  • Sitting
  • Prone
  • Lateral recumbent
  • Supine (correct)

What is the expected action during the active straight leg raise test for the patellofemoral joint?

<p>Raising legs above the table without bending the knee (A)</p> Signup and view all the answers

Which of the following is a common pathology associated with the patellofemoral joint?

<p>Patellar dislocation (C)</p> Signup and view all the answers

What is the term for pain at the tibial tuberosity?

<p>Osgood Schlatter (A)</p> Signup and view all the answers

What might a gap felt during palpation of the knee indicate?

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

What could a pulsatile mass in the popliteal fossa represent?

<p>Popliteal aneurysm (A)</p> Signup and view all the answers

Which condition is characterized by pain at the joint line of the knee?

<p>Meniscal injury (A)</p> Signup and view all the answers

What might muscle tension and apprehension during patella mobilization indicate?

<p>Patella instability (A)</p> Signup and view all the answers

What is the primary purpose of the Patellar tap test?

<p>To diagnose large quantities of knee effusion (A)</p> Signup and view all the answers

What is a positive result in the Sweep test indicative of?

<p>Knee effusion (C)</p> Signup and view all the answers

In what position is the patella when a positive Patellar tap test result is obtained?

<p>It moves downward and rebounds on the femur (C)</p> Signup and view all the answers

What is the main purpose of the Sweep test?

<p>To detect smaller quantities of knee effusion (C)</p> Signup and view all the answers

What does a palpable 'click' indicate in the Patellar tap test?

<p>Patellar dislocation (B)</p> Signup and view all the answers

What does a significant anterior movement of the tibia on the femur during testing suggest?

<p>ACL laxity (D)</p> Signup and view all the answers

During the lateral and medial ligament tests, what does pain or obvious laxity indicate?

<p>MCL laxity (A)</p> Signup and view all the answers

What is the suggestive implication of a click and discomfort during McMurray’s test?

<p>Meniscal tear (D)</p> Signup and view all the answers

What does the presence of Chondromalacia/ Clarke's Sign/ Patellar Grind Test indicate?

<p>Patellofemoral dysfunction (C)</p> Signup and view all the answers

In the context of patellofemoral joint examination, what does a gradual contraction of the quadriceps muscle during the Patellar Grind Test aim to assess?

<p>Patellar stability (D)</p> Signup and view all the answers

Which ligament originates from the lateral edge of the medial femoral condyle and attaches in the posterior region of the intercondylar area?

<p>Posterior cruciate ligament (PCL) (C)</p> Signup and view all the answers

What is the primary purpose of the anterior cruciate ligament (ACL)?

<p>Stabilizing the knee joint by preventing anterior tibial subluxation (C)</p> Signup and view all the answers

What type of injury typically occurs when a patient lands on a leg and quickly pivots in the opposite direction, resulting in a valgus twisting injury?

<p>Anterior cruciate ligament (ACL) injury (D)</p> Signup and view all the answers

Which special test is used for assessing the patellofemoral joint?

<p>Chondromalacia test (C)</p> Signup and view all the answers

What is the most common cause of ACL injury (i.e. rupture)?

<p>Valgus twisting injury (C)</p> Signup and view all the answers

What is the purpose of the anterior drawer test?

<p>To assess the laxity or rupture of the anterior cruciate ligament (D)</p> Signup and view all the answers

What does significant movement during the anterior drawer test suggest?

<p>Posterior cruciate ligament laxity or rupture (C)</p> Signup and view all the answers

In which position is the patient placed for the posterior drawer test?

<p>Supine with the knee flexed to 90º (D)</p> Signup and view all the answers

What is the alternative test for assessing laxity or rupture of the ACL?

<p>Lachman’s test (C)</p> Signup and view all the answers

What does the term 'cruciate' mean in Latin?

<p>Cross-shaped (C)</p> Signup and view all the answers

What is the term for the abnormal lateral deviation of the patella as it moves through the trochlear groove?

<p>Patellar tilt (C)</p> Signup and view all the answers

During the apprehension test for the patellofemoral joint, what position should the patient be in?

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

Which of the following is a common cause of patellofemoral pain?

<p>Patellar tendinopathy (C)</p> Signup and view all the answers

What is the expected action during the patellar grind test for the patellofemoral joint?

<p>Flexion and internal rotation of the hip (B)</p> Signup and view all the answers

Which of the following is a predisposing factor for patellar dislocation?

<p>Increased lateral retinacular tension (A)</p> Signup and view all the answers

In which direction does the patella typically dislocate in cases of traumatic injury?

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

What is the primary function of the patellofemoral joint?

<p>Flexion and extension of the knee (B)</p> Signup and view all the answers

During which phase of gait is the patellofemoral joint subjected to maximum compressive forces?

<p>Stance phase (D)</p> Signup and view all the answers

What is a potential consequence of patellar maltracking?

<p>Development of chondromalacia patellae (C)</p> Signup and view all the answers

What does a positive apprehension test indicate regarding the patellofemoral joint?

<p>Patellar instability (A)</p> Signup and view all the answers

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