View
235
Download
2
Category
Tags:
Preview:
Citation preview
Knee Special Test
Basic AnatomyLigaments Boney Anatomy
Muscles of the Knee
Common Knee Injuries
ACL TearMCL TearLCL TearOsgood-slaughter’s diseaseFibular FactorsPatellar TendentiousMeniscus TearPateller tendon Tear
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)
Flexion Bring heel to butt
Extension Straighten leg
✶ Looking for pain in ethier dicretion or inabilty to move
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
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
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
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
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
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
Recommended