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