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Part 4 Boards - Orthos > Knee > Flashcards

Flashcards in Knee Deck (15)
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1

Tinel's

seated or supine
tap over lateral fibular head (common peroneal nerve)

2

Ligament stability

supine
1. abduct (valgus) -- MCL
2. adduct (varus) -- LCL

3

Drawer

supine with knees flexed
anterior: P-A pull -- ACL
posterior: A-P push -- PCL

4

Slocum's

"anterior drawer w/ rotation"
ACL and MCL / LCL
rotatory instability

5

Lachman's

supine, knee slightly flexed
stabilize femur and P-A pull on leg
(BEST ACL test)

6

Fouchet's (GRIND)

supine
compress patella, if no pain, rub sideways (Perkin's sign)
CMP

7

Clarke's (COMPRESSION)

supine
traction patella inferior and pt contracts quads
CMP

8

Ballotment

supine
compress patella, release (+ rebound)
Major effusion

9

Patellar tap

supine
"milk" down to superior pole and press patella (+ feel)
Minor effusion

10

Mcmurray's

supine w/ hip and knee flexed (90/90 position)
1. ext rotate and extend leg -- Medial Meniscus
2. intern rotate and extend leg -- Lateral Meniscus

11

Apley's

prone w/ knee flexed
Compression: press down with rotations (twice) -- Menisci
Distraction: pull up with rotations (twice) -- collateral ligs

12

Fairbanks
aka patella apprehension
aka knee apprehension

supine
knee extended, manually displace patella laterally
(look at pt's face... + is fear)

13

Ext. Post Sag Sign

supine
doctor lifts both legs by heels off the table , comparing knee sag (PCL)

14

Sag Sign

supine
pt bend knees, doctor observes (PCL)

15

Godfrey's Sag Sign

supine
pt bends knees, doctor lifts ankles off table (PCL)