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Knee Special Test

Knee Special Test. Basic Anatomy. Boney Anatomy. Ligaments. Muscles of the Knee. Common Knee Injuries. ACL Tear MCL Tear LCL Tear Osgood-slaughter’s disease Fibular Factors Patellar Tendentious Meniscus Tear Pateller tendon Tear. Special Test and Knee Eval. Range of Motion Test

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Knee Special Test

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  1. Knee Special Test

  2. Basic Anatomy Boney Anatomy Ligaments

  3. Muscles of the Knee

  4. Common Knee Injuries ACL Tear MCL Tear LCL Tear Osgood-slaughter’s disease Fibular Factors Patellar Tendentious Meniscus Tear Pateller tendon Tear

  5. Special Test and Knee Eval. • Range of Motion Test • Active and Passive • Anterior/Posterior Drawer • Valgus/Varus Stress Test • Appley’s Compression/Distraction • Lachman’s Test • Sweep test • Posterior sag • Mcmurray’s Click test

  6. Range of Motion (passive and active) • Flexion • Bring heel to butt • Extension • Straighten leg • Looking for pain in ethier dicretion or inabilty to move

  7. Anterior Drawer • Position athlete lying supine on table • Bend knee to a 60-90 degree angle • Sit on athletes foot to provide stabilization • Grasp posterior aspect of knee, place hands on medial and lateral aspects of knee with thumbs just below joint line on the tibia • Pull towards anterior aspect of knee • Bilaterally compare • Feel for anterior translation of tibia

  8. Posterior Drawer • Position athlete lying supine on table • Bend knee at 60-90 degree angle • Sit on athletes foot for stabilization • Place hands on medial and lateral aspects of joint line with thumbs on anterior aspect of tibia • Apply pushing force on anterior aspect of knee • Positive test entails pain and posterior laxity.

  9. Valgus/Varus Test • Postion Athlete lieing supine on table • Postion knee at 30 degrees and 60 degrees • Applying pressure, to both the lateral and medal side. • Testing for laxity of the ligiments on ethier side. • Test ruptores or sprains of MCL and LCL

  10. Sweep Test • Looking for joint effusion (swelling) • Sweep hands on medial aspect of knee pushing fluid to lateral side. • Sweep once on lateral side, look for bubble to appear on medial aspect of knee

  11. Applys Compresstion/ Distraction • Position athlete lying on his/her stomach. Have the Knee at 90 degrees. • First perform compression, apply pressure to the bottom of foot • Perform with foot internally rotated, and externally rotated • if the pain increased there is a meniscal tear • Perform distraction by pulling up on the foot • Perform with foot internally rotated, and externally rotated • If pain is released there is a meniscal tear.

  12. Lachman’s test • Athlete should be lying on their back with knee bent at 60 degrees. • With one hand the above the patella and below it. • Move tibia posteriorly and anteriorly. • Watch for joint laxity of the ACL or PCL

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