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T4-NMS3-Orthos Knee
| Question | Answer |
|---|---|
| Patella Ballotement? | Patient supine press A to P on the knee cap POS=floating feeling IND=fluid in the joint |
| Fouchets/Perkins? | Patient supine press patella POS=Pain or tenderness if neg rub the patella and POS=Audible popping/clicking or pain IND=patella tracking disorder, or patella femoral dysfunction |
| Patella Grinding Test? | Same as Perkins (2nd part of Fouchets); patient is supine, push down on patella and transversely move the patella side to side POS=clicking, grinding or px IND=patella tracking disorder or patella femoral dysfunction |
| Clark’s Sign? | patient supine put web contact over the superior pole of the patella, have the patient contract their quad POS=pain in the patella, or failure to hold the contraction IND=condromalacia of patella |
| Patella Apprehension Test? | Patient is supine with their knee flexed to 30 degrees, doc blocks laterally, and with quad relaxed tries to push the patella laterally watching for apprehension POS=patient contracts their quad to prevent IND=they have apprehension about dislocation |
| Dreyers Sign? | Have patient lift extended leg, if they have pain, hold the superior pole of the patella down POS=reduction in pain the second time IND=fracture of the patella |
| Bounce Home? | Patient is supine, and knee is brought to 30 degress, doctor drops the knee POS=cannot go into full extension, or bounces back out of extension, or squishing end feel IND=Menisus tear |
| McMurray? | Fully flex the knee and then internally/externally rotate while you extend it back out POS=clinking, grinding or popping IND=Lateral/medial tear |
| Apley’s Compression Test? | Patient lies prone and knee is bent, doc presses straight down, and internally/externally rotates the knee POS=pain or clicking popping or grinding IND=Meniscus Tear |
| Drawer Test? | Patient’s Knee is brought to 90 degrees, doctor secures the foot and pulls on the tibia plateau and pushes POS=Increased movement IND=ACL or PCL tear |
| Lachmans? | Knee is bent to 30 degrees, and the tibia is forced anter while the thigh is stabilized POS=Anterior movement of the tibia IND=Tear of the ACL and Posterior oblique ligaments |
| Slocum? | Patient lies supine, flex knee 90 degress, internally rotate foot and knee, and then pull forward on tibia POS=Anterior translatation of the tibia IND=ACL tear, and lateral components of the knee (IT band, tibiofibular ligament |
| Apley’s distraction test? | patient lies prone, and knee is flexed to 90 degrees, doctor stabilizes with their knee, and pulls upwards, and internally and externally rotates POS=Pain IND=nonspecific ligaments injury or instability of the medial and lateral collateral ligaments |
| Lateral Pivot Shift? | Patient supine, and doctor flexes the knee 5 degrees, and applies a valgus stress to the knee while internally rotating the ankle and tibia POS=the patient feels the knee give way, and/or the tibia moves backwards IND=ACL, or the lateral components |
| Wilson’s Test? | Patient is supine, knee is brought up into 90 degrees and internally rotated. Doctor extends knee to the point of pain, and then externally rotates POS=Pain disappears when externally rotated IND=possible osteochondritis dessicans of the knee |
Created by:
maddie427
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