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The valgus stress test or medial stress test is a test for damage to the medial collateral ligament of the knee. It involves placing the leg into extension, with one hand placed as a pivot on the knee. With the other hand placed upon the foot applying an abducting force, an attempt is then made to force the leg at the knee into valgus. If the ...
Testing of the knee joint should be done using the following techniques and the findings compared to the contralateral, normal knee: [4] [5] Valgus stress at 0° and 20°- This test puts direct stress on the medial knee structures, reproducing the mechanism of injury. Valgus stress testing is done with the patient supine on the exam
The medial collateral ligament (MCL), also called the superficial medial collateral ligament (sMCL) or tibial collateral ligament (TCL), [1] is one of the major ligaments of the knee. It is on the medial (inner) side of the knee joint and occurs in humans and other primates. Its primary function is to resist valgus (inward bending) forces on ...
Valgus stress test can be performed with the examined knee in 25 degrees flexion to determine the integrity of the medial collateral ligament. Similarly, varus stress test can be performed to access the integrity of the lateral collateral ligament. The degree of collateral ligament sprain can also be assessed during the valgus and varus tests.
The valgus stress test is performed on both arms and a positive test is indicated by pain on the affected arm that is not present on the uninvolved side. [ 13 ] [ 14 ] Physicians often use imaging techniques such as ultrasound , x-rays and magnetic resonance imaging or arthroscopic surgery to aid with making a proper diagnosis.
The McMurray test is named after Thomas Porter McMurray, [2] a British orthopedic surgeon from the late nineteenth and early twentieth century who was the first to describe this test. The description of the test has since been altered from the original by various authors. [3] Most commonly, varus and valgus stress to the knee is added. These ...
Note that this ligament is also referred to as the medial collateral ligament [1] and should not be confused with the lateral ulnar collateral ligament (LUCL). [ 2 ] The anterior portion , directed obliquely forward, is attached, above, by its apex, to the front part of the medial epicondyle of the humerus ; and, below, by its broad base to the ...
While maintaining internal rotation, a valgus force is applied to the knee while it is slowly flexed. If the tibia's position on the femur reduces as the knee is flexed in the range of 30 to 40 degrees or if there is an anterior subluxation felt during extension the test is positive for instability. Pivot-shift is not straightforward to perform.
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