Knee joint Exam Flashcards Preview

ECOS 1 Pre-Midterm > Knee joint Exam > Flashcards

Flashcards in Knee joint Exam Deck (27)
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1
Q

Normal flexion value for the knee

A

145-150

2
Q

Normal extension value for the knee

A

0

3
Q

Normal internal and external rotation value for the knee

A

10

4
Q

What do you need to palpate on the knee?

A

Patella, patellar tendon, tibial tuberosity, medial and lateral joint line, popliteal fossa

5
Q

Anteromedial thigh dermatome

A

L1-L3

6
Q

Patella dermatome

A

L4

7
Q

Big toe and anterior leg dermatome

A

L5

8
Q

What are the specialty tests for knee exams?

A

Valgus test, varus test, lachman, anterior and posterior drawer test, mcmurrays test, Apley’s grind compression/distraction, bounce home test, patella-femoral grind and bulge sign

9
Q

What are the specialty tests for testing knee ligaments?

A

Valgus test, varus test, lachman, anterior and posterior drawer test

10
Q

What are the specialty tests for testing meniscus?

A

Mcmurrays, Apley’s Grind compression and distraction, bounce home test

11
Q

How would you perform a valgus test and what are you testing?

A

Medial collateral ligament;

pt supine, slightly flex knee to 30 degrees, ABduct lower leg and apply valgus (medial force) at knee

12
Q

How would you perform a varus test and what are you testing?

A

Lateral collateral ligament;

pt supine, slightly flex knee to 30 degrees, ADDuct lower leg and apply varus (lateral force) at knee

13
Q

What are you looking for in the ligament testing of the knee?

A

Laxity or pain

14
Q

How would you perform a lachman’s test and what are you testing?

A

ACL;

pt supine, flex knee 10-30 degrees and stabilize thigh with one hand and then pull tibia anteriorly

15
Q

How would you perform an anterior drawer test and what are you testing?

A

ACL;

pt supine, flex knee to 90 degrees and have foot flat on ground, use both hands to pull tibia anteriorly

16
Q

How would you perform a posterior drawer test and what are you testing?

A

PCL;

pt supine, knee flexed to 90 degrees and have foot flat on ground, use both hands to push posteriorly on tibia

17
Q

Describe a mcmurrays test for the medial meniscus

A

pt supine, flex hip and knee, externally rotate tibia and press inward (valgus) at the knee and then EXTEND

18
Q

Describe a mcmurrays test for the lateral meniscus

A

pt supine, flex hip and knee, internally rotate tibia and press outward (varus) at the knee and then EXTEND

19
Q

What symptoms are you looking for when doing a mcmurray’s test?

A

Palpable clicking or pain

20
Q

How would you perform an Apley’s Grind compression test?

A

pt PRONE, knee flexed, load into heel and then internally and externally rotate

21
Q

How would you perform an Apley’s Grind distraction test?

A

pt PRONE, knee flexed, pull up and rotate

22
Q

What symptoms are you looking for when doing an Apley’s Grind test?

A

Pain with compression/rotation, distraction OR

Relief of pain with distraction

23
Q

How would you apply a bounce home test?

A

pt supine, slightly flex knee and then release and it should bounce back at end point

24
Q

What would lack of bounce or lack of full extension on a bounce home test suggest?

A

Meniscus tear or effusion

25
Q

How would you perform a patella-femoral grind test?

A

pt supine, leg extended, place hand on kneecap and have them tighten quads - looking for crepitus or pain

26
Q

What does a positive patella-femoral grind test suggest?

A

Roughness of articulating surface

27
Q

How would you perform a Bulge sign test?

A

pt supine, place hand above knee cap and press downward and then medial/lateral looking for a bulge of fluid