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T4-NMS3-Orthos Knee

QuestionAnswer
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