LIVRE JDG 2012

C. Fink, P.J. Erasmus

100

Patient sitting on

the side of the bed

Active knee extension and flexion

Lateral movement (Tanaka and Thawait)

• Proximal

- Neutral

- Lateral maltracking

- J-sign

- Diagonal movement

• Distal

- Subluxation in flexion

Medial movement (iatrogenic secondary to lateral release)

Extension against resistance from 90 degree flexion

to full extension.

• Crepitation positive or negative

- Negative

- Positive

(Note at what flexion angle it appears and disappears)

Patella stability at 30° knee flexion

Tibial torsion

Ankle movement

Patient lying flat

Knee range of movement

Patella

• Tenderness

- Epicondyle

- Medial patella border

• Stability test at 30° knee flexion

• Movement

- Side to side

- Tilt

Hip Rotation

• Hip in extension

• Hip in flexion

Patient on side

Patella and knee stability

• Patella Stability test at 30° knee flexion

• Possible antero lateral laxity (ACL)

Squatting from

standing to heel

sitting

Squating

• Pain

• Crepitations

(Note at what flexion angle it appears and disappears)