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Knee

Knee. Evaluations. REMEMBER…. YOU DO NOT PERFORM THESE TESTS UNDER ANY CIRCUMSTANCES!. Anterior Drawer. Tissue Tested ACL Normal Sign No Anterior Tibial Displacement End Point / Clunk Positive Sign Anterior Tibial Displacement. Apley’s Compression. Tissue Tested Posterior Meniscus

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Knee

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  1. Knee Evaluations

  2. REMEMBER… YOU DO NOT PERFORM THESE TESTS UNDER ANY CIRCUMSTANCES!

  3. Anterior Drawer • Tissue Tested • ACL • Normal Sign • No Anterior Tibial Displacement • End Point / Clunk • Positive Sign • Anterior Tibial Displacement

  4. Apley’s Compression • Tissue Tested • Posterior Meniscus • Normal Sign • No Pain with Tibial Rotation • Positive Sign • Pain with Tibial Rotation • Medial or Lateral

  5. Apley’s Distraction • Tissue Tested • MCL / LCL • Normal Sign • No Pain with Tibial Rotation • Positive Sign • Pain with Tibial Rotation • Medial or Lateral

  6. Lachman’s • Tissue Tested • ACL • Normal Sign • No Anterior Tibial Displacement • End Point / Clunk • Positive Sign • Anterior Tibial Displacement • No End Point

  7. McMurray’s • Tissue Tested • Meniscus • Normal Sign • No Pain • No Clunking • Positive Sign • Pain with Rotation

  8. Patella-Femoral Grinding • Tissue Tested • Patellar Hyaline Cartilage • Normal Sign • No Pain • No Crunch/Grind • Positive Sign • Pain / Crunch / Grind

  9. Patellar Apprehension • Tissue Tested • Patellar Subluxation • Normal Sign • No Pain • No Apprehension • Positive Sign • Pain • Apprehension

  10. Posterior Drawer • Tissue Tested • PCL • Normal Sign • No Posterior Shift • Positive Sign • Posterior Tibial Shift Don't Forget The False Positive

  11. PCL Sag • Tissue Tested • PCL • Normal Sign • Lower Legs even • Positive Sign • One Tibia Sags

  12. Valgus Stress • Tissue Tested • MCL • 0° & 45° • Normal Sign • No Pain or Opening • Positive Sign • Medial Opening

  13. Varus Stress • Tissue Tested • LCL • 0° & 45° • Normal Sign • Little or No Pain or Opening • Will be some laxity bilaterally • Positive Sign • Lateral Opening

  14. Ober’s Test • Tissue Tested • IT Band • Normal Sign • Sag • No Pain / Stiffness • Positive Sign • No Sag • Stiff / Pain

  15. Quad Contraction • Tissue Tested • Quad Strength/Tone • Normal Sign • Equal Speed of contraction • Equal Tone • Positive Sign • Uneven tone • Slower Speed of Contraction

  16. AROM Extension • Tissue Tested • Quad Flexibility/Strength • Normal Sign • Pain Free Motion • Smooth Motion • Equal Bilaterally • Positive Sign • Pain • Jerky/Weak • Unequal ROM

  17. RROM Extension • Tissue Tested • Quad Strength • Normal Sign • Equal Strength Bilaterally • No Pain • Positive Sign • Pain • Unequal Strength

  18. AROM Flexion • Tissue Tested • Ham Flexibility/Strength • Normal Sign • Pain Free Motion • Smooth Motion • Equal Bilaterally • Positive Sign • Pain • Jerky/Weak • Unequal ROM

  19. RROM Flexion • Tissue Tested • Ham Strength • Normal Sign • Equal Strength Bilaterally • No Pain • Positive Sign • Pain • Unequal Strength

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