Orthopedic Tests - Knee

Torn meniscus on the respective side

Prone

- Patient in prone position - Flex pt knee to 90 degrees - Stabilize thigh with doctor's knee - Place downward pressure on the heel while internally/externally rotating the leg

- Torn meniscus

Supine

- Patient in supine position - Flex patient's hip & knee 90 degrees - Gripping the heel of the foot - Compress heel towards the knee - See video - Observe click/pop with pain - YouTube - /watch?v=ohSzjNj-KCA

- Possible meniscal injury/tear - Inability to extend the knee

Supine

- Patient is in supine position - Instruct patient to flex their knee - Support the foot & the knee being tested while allowing knee to fall into extension - IMPORTANT: The support to the knee is in the case of unexpected instability or pain

- Possible lateral collateral ligamentous injury - Lateral collateral ligamentous strain - Instability of the lateral collateral ligament - Possible rupture of the lateral collateral ligament

Supine

- Patient is in the supine position with legs straight - Examiner holds/stablizes the ankle while applying a medial to lateral force against the inside of the suspected knee - Repeat the same procedure with the knee flexed to 25 degrees - Checking for pain and/or abnormal/excessive movement with the knee joint

Strain = Pain Rupture = Pain + abnormal/excessive movement

- Possible medial collateral ligamentous injury - Medial collateral ligamentous strain - Instability of the medial collateral ligament - Possible rupture of the medial collateral ligament

Supine