Knee Examination Tests PDF

Test name Tests for Method Postive Sign Valgus/ Abduction medial instability / patient is supine hypermobility stress test MCL when the MT applies...

Test name Tests for Method Postive Sign Valgus/ Abduction medial instability / patient is supine hypermobility stress test MCL when the MT applies a valgus force on the knee in extension when knee is not locked Varus abduction test lateral instability/ LCL patient is supine hypermobility when MT places a varus force of the knee anterior drawer test ACL instability patient is supine with hyper mobility (more the knee flexed at 90 than 6 mm anterior hip at 45. MT translation stabilizes feet with barrier and draws the tibia anteriorly Lachmans test ACL injury patient supine knee soft mushy end feel / flexed at 30 and MT hyper mobility pulls the tibia anteriorly while pushing femur posteriorly posterior drawer / sag PCL instability patient is supine with hyper mobility / pain sign knee flexed at 90 hip at 45and MT looks for sag sign. If no sag sign the MT pushes the tibia posteriorly slocum test I anteriolateral patient is supine with hypermobility/ pain in instability, PCL, ACL, knee flexed at 90 hip lateral knee LCL, ITB at 45, MT stabilizes the foot with a barrier and draws tibia anteriorly and 30 degrees medial rotation slocum test II MCL / ACL patient is supine with hypermobility / pain in knee flexed at 90 hip medial knee at 45, MT stabilizes the foot with a barrier and draws tibia anteriorly and 15  degrees of lateral rotation lateral pivot shift anterolateral Patient supine hip giving away feeling or instability / ACL or flexed and abducted subluxation do the ITB injury at 30 with slight knee and reduction at medial rotation slight 20-40 degrees flexion knee flexion. MT hold distal tibia and posteriorly to the head of the fibula and great anterior/ medial rotary force at the knee then extend knee until anatomical position hughsons posterior medial rotation: MCL patient supine or hyper mobility medial and lateral and PCL sitting with knee drawer test Lateral rotation: LCL flexed at 90. MT and PCL looks for sag sign. If none apply posterior force the the tibia with medial and lateral rotation alleys compression meniscus injury / patient prone with pain on distraction = ligamentus injury knee bent at 90 MT ligamentus applies distraction Pain on compression and rotation then = meniscus compression with rotation while stabilizing femur bounce home test meniscus injury/ patient supine with pain or lack of full forgien body within knee flexed therapist extension rubbery joint extends and drops end feeling knee mcmurrays meniscus injury patient supine with clicking/ popping/ knee flexed. MT snapping medically rotates tibia and extends the knee repeat with lateral rotation Helfet meniscus tear/ patient is seated with Tib tub not aligning impaired quads knee flexed while with patella at 90, tib therapist slowly tub not aligned with extends and watches lateral border of alignment patella in extension brush/ stroke / bulge/ minimal effusion patient is supine and wave of fluid passes wipe test MT starts below knee to medial side medial and swipes up clarks sign patella femoral patient is supine and pain dysfunction / presses down with chondromalacia web of hand over patella and asked patient to flex quad mcconnells test patella femoral patient is seated and if pain is lessened syndrome / performs isometric with medial pressure chondromalacia quad contraction at different angels. If pain retry while pushing the patella medially Waldron’s patelofemoral patient performs pain / crepitus/ dysfunction squat while therapist tracking dysfunction tracks knee Kliegers / Lateral rot deltoid ligament tear/ patient seated with pain on medial or sydensomosis tear knee flexed, MT lateral ankle, rotates foot lateral palpated displacing of while stabilizing tibia talus from medial malliolus Talar Tilt calcalialfibukar patient side lying with excessive movement ligament tear/ deltoid knee flexed and on adduction = ligament instability ankle at 90 Mt does calacaneofibualar abduction and ligament adduction Excessive movement on abductions = deltoid ligament Fiess Line test instability of medial pateient is set as and navicular tuberocity arch / functional Les theorist landmarks drops plantus medial maliolus, navicular tiberocitu ½ reduction= 1 st and 1st meta tarsal, degree patient stands and ⅔ reduction = 2ns MT checks landmarks degree Touches floor = third degree Homans test DVT patient supine when pain MT passively dorsitflexes foot while  knee extended Thompsons Achilles rupture patient prone and MT lax of plantar flexion squeezes the calf Morton’s Morton’s neuroma / patient is supine, MT pain stress fracture squeezes at meta tarsal