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Lower Body Evaluation
Injury Asessment of Hip, Knee, Ankle, and Foot
17
Medical
Undergraduate 2
04/06/2011

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Cards

Term
Bony Structures to Palpate In Hip
Definition
Pelvis, Femur, Anterior Superior Illiac Spine, Greater Trochanter
Term
Bony Structures to Palpate in Knee
Definition
Patella, Head of Fibula, Tibial Plateau, Medial and Lateral Condyles of Femur
Term
Bony Structures to Palpate in Ankle
Definition
Tibia, Fibula, Medial and Lateral Maleolus, Talus, 5th Metatarsal
Term
Bony Structures to Palpate in Foot
Definition
Phalanges, Metatarsals, Navicular, Cuboid, Cuniforms, Talus, Calcaneus
Term
Soft Tissue to Palpate in Hip
Definition
Quads, Hamstrings, Adductors
Term
Soft Tissue to Palpate in Knee
Definition
Hamstring Tendons, Gastroc, Quads, LCL, MCL, Joint Line
Term
Soft Tissue to Palpate in Ankle
Definition
Peroneal Tendons, Anterior Tibialis Tendon, ATFL, CFL, PTFL, Deltoid Ligament, Achilles Tendon
Term
Soft Tissue to Palpate in Foot
Definition
Plantar Fascia
Term
Valgus Stress Test of Knee
Definition

Apply valgus stress at 0 and 30 degrees flexion.

 Positive If Increased Pain or Laxity Indicates MCL sprain

Term
Varus Stress Test of Knee
Definition

Perform: Apply varus stress at 30 and 0 degrees flexion

Positive: Increased Laxity or pain

Indicates: LCL sprain

Term
Anterior/Posterior Drawer Test of the Knee
Definition

Apply: patien lies supine with hip flexed 45 degrees and knee flexed 90 degrees. Pull tibia anteriorly and push posteriorly

Postive: Increased Laxity

Implications: ACL sprian (anterior translation) or PCL sprain (posterior translation

 

Term
Lachman's Test of Knee
Definition

Perform: patien lies supine knee flexed 20-25 degrees. Grasp tibia around the tuberosity and gras femur above condyles with other hand.  Draw tibia anteriorly while posterior pressue is applied to femur.

Positive: Increased Laxity

Implications: ACL Sprain

Term
McMurry's Test of Knee
Definition

Perform: patient lies supine, use one hand to support lowe leg while your thumb and index finger of opposite hand is postioned in anterior joint lines (medial and lateral) of patellar tendon. Place varus/valgus force on knee while rotating tibia and moving knee through flexion and extention

Positive: popping, clicking, or locking of knee

Implications: meniscal tear

Term
Anterior Drawer Test of Ankle
Definition

Perform: have patient sit over edge of table with knee flexed. Examiner stablizes tib/fib with one hand and pulls the foot anteriorly

Postive: talus slides anteriorly (look for sucking in of skin when you pull ankle)

Implications: sprain of the anterior talofibular ligament

Term
Talter Tilt Test of Ankle
Definition

Perform: Examiner stabilizes lower leg with one hand and other grasps talus and calcaneus applying inversion/eversion stress.

Positive: Talus tilts excessivly or increased pain

Implications: Calcaneofibular Ligament Sprain (Inversion)

Deltiod Ligament Sprain (Eversion)

Term
Kliegers Test of Ankle
Definition

Perform: Stabilize patients lower leg with one hand and medially rotate the foot and ankle with other

Positive/Implications: Medial Joint pain (Deltoid Ligament Sprain)

Anterolateral ankle pain (syndesmosis sprain)

Term
Thompson's Test
Definition

Perform: Patient lies prone with foot hanging of table. Examiner squeezes calf (gastroc) musculature

Postive: Foot does NOT plantar flex

Implication: Achilles Tendon rupture

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