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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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Presentation Transcript
basic anatomy
Basic Anatomy

Boney Anatomy

Ligaments

common knee injuries
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
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
range of motion passive and active
Range of Motion (passive and active)
  • Flexion
    • Bring heel to butt
  • Extension
    • Straighten leg
    • Looking for pain in ethier dicretion or inabilty to move
anterior drawer
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
posterior drawer
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.
valgus varus test
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
sweep test
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
applys compresstion distraction
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.
lachman s test
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