Testing the Cruciate Ligaments and Achilles Tendon A

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Presentation transcript:

Testing the Cruciate Ligaments and Achilles Tendon A Testing the Cruciate Ligaments and Achilles Tendon A. Lachman test for torn cruciate ligament: the patient is supine with the knee flexed at 30 degrees and the foot flat on the table. The examiner sits on the foot to anchor it, then pulls the head of the tibia toward himself to test the ACL. Forward motion of more than 1 cm is positive. Pushing the knee backward with the knee flexed at 90 degrees tests the PCL. B. Examination for ruptured Achilles tendon: the prone patient hangs the feet over the end of the table. Inspection shows less natural plantar flexion on the side of rupture. Simmonds Test: squeeze the calf muscles transversely; a normal or partially ruptured tendon will produce plantar flexion; complete rupture will not respond. Source: The Spine, Pelvis, and Extremities, DeGowin’s Diagnostic Examination, 10e Citation: LeBlond RF, Brown DD, Suneja M, Szot JF. DeGowin’s Diagnostic Examination, 10e; 2015 Available at: https://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/1192/p9780071814478-ch013_f023.png&sec=74168250&BookID=1192&ChapterSecID=68669600&imagename= Accessed: October 15, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved