Professional Documents
Culture Documents
o Iliopsoas (flexor) if tight, thigh will not be flat against table aka extended thigh
o Rectus femoris (flexor)if tight, leg will not be hanging straight down in 90 degs. Check
knee flexion
o TFL (abductor)if +, will abduct leg to the side. Check if knee in line with shoulder
o ITB if +, foot externally rotated
Knee
ROMextension 0 or 5 in women and kids, flexion 135-150. Compare to other side. Note any
abnormalities, stiffness of motion, locking/catching.
Varus
o Lateral Collateral Ligament (LCL) 0/30 degs
Valgus
o Medial Collateral Ligament (MCL) 0/30 degs
McMurry
o Tests the meniscus
o Supine, pick up leg I, knee flexed, driving the menisci posterior
o ER of the tibia (heel goes medial) medial meniscus
o IR of the tibia (heel goes lateral)lateral meniscus
o Straighten the legExtension drives the meniscus anteriorly
o + with an audible or palpable click
Lachman's
o 30 degs flexion, anterior translation
o Tests ACL
Anterior Drawer
o 90 degs flexion, anterior translation
o Tests ACL
Posterior Drawer (aka pseudo lachman)
o 90 degs flexion, posterior translation
o Tests PCL
Ankle
ROMdorsiflexion (20), plantarflexion (50), inversion (5), eversion (5), supination (inversion,
forefoot adduction, flexion), pronation (eversion, forefoot abduction, extension)
Anterior Drawer (a stability test)
o anterior talo-fibular ligament
o One hand grabs ankle, one hand grabs foot medially
o Slight 5-10o plantar-flexion. Slide foot forward while stabilizing tibia. You should feel an
endpoint
o An abnormal exam would be an asymmetric increased motion or lack of endpoint. There may
be a talar prominence that is sometimes apparent at the endpoint of the drawer test
Posterior Drawer
Talar Tilt test
o Tests the integrity of the Calcaneal Fibular Ligament
o Right hand grabs the foot underneath, fingers below the lateral malleolus, left hand is
holding above the lateral malleolus. The talus and calcaneus are rotated toward the
medial side. Always compare to the opposite side.