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The patient should be supine with the hips flexed to 45 degrees, the knees flexed to 90 degrees and the feet flat on table. The examiner positions himself by sitting on the examination table in front of the involved knee and grasping the tibia just below the joint line of the knee.
Most commonly, varus and valgus stress to the knee is added. These variations constitute different tests with different statistical performance and should not be confused with the original. According to some sources, the sensitivity of the McMurray test for medial meniscus tears is 53% and the specificity is 59%.
The knee examination, in medicine and physiotherapy, is performed as part of a physical examination, or when a patient presents with knee pain or a history that suggests a pathology of the knee joint. The exam includes several parts: position/lighting/draping; inspection; palpation; motion
The pivot-shift test involves flexing the knee while holding onto the ankle and slightly rotating the tibia inwards. [28] In the anterior drawer test, the examiner flexes the knees to 90 degrees, sits on the person's feet, and gently pulls the tibia towards themself. [29]
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The knee is flexed at 15 degrees with the patient supine. [2] The examiner should place one hand behind the tibia and the other grasping the patient's thigh. It is important that the examiner's thumb be on the tibial tuberosity. [3] The tibia is pulled forward to assess the amount of anterior motion of the tibia in comparison to the femur. An ...
The pivot-shift test [1] is one of the three major tests for assessing anterior cruciate injury or laxity, the other two being the anterior drawer and Lachman test. However, unlike the other two, it tests for instability, an important determinant as to how the knee will function. [1]
In order to perform the test, the patient lies prone (face-down) on an examination table and flexes their knee to a ninety degree angle. The examiner then places his or her own knee across the posterior aspect of the patient's thigh. The tibia is then compressed onto the knee joint while being externally rotated. If this maneuver produces pain ...