1. Knee Special Test

2. Basic Anatomy
Ligaments
Boney Anatomy

3. Muscles of the Knee

4. Common Knee Injuries ACL Tear MCL Tear LCL Tear
Osgood-slaughter’s disease
Fibular Factors
Patellar Tendentious
Meniscus Tear
Pateller tendon Tear

5. Special Test and Knee Eval.
Range of Motion Test
Active and Passive
Anterior/Posterior Drawer
Valgus/Varus Stress Test
Appley’s Compression/Distraction
Lachman’s Test
Sweep test
Posterior sag
Mcmurray’s Click test

6. Range of Motion (passive and active)
Flexion
Bring heel to butt
Extension
Straighten leg
Looking for pain in ethier dicretion or inabilty to move

7. Anterior Drawer Position athlete lying supine on table
Bend knee to a degree angle
Sit on athletes foot to provide stabilization
Grasp posterior aspect of knee, place hands on medial and lateral aspects of knee with thumbs just below joint line on the tibia
Pull towards anterior aspect of knee
Bilaterally compare
Feel for anterior translation of tibia

8. Posterior Drawer Position athlete lying supine on table
Bend knee at degree angle
Sit on athletes foot for stabilization
Place hands on medial and lateral aspects of joint line with thumbs on anterior aspect of tibia
Apply pushing force on anterior aspect of knee
Positive test entails pain and posterior laxity.

9. Valgus/Varus Test Postion Athlete lieing supine on table
Postion knee at 30 degrees and 60 degrees
Applying pressure, to both the lateral and medal side.
Testing for laxity of the ligiments on ethier side.
Test ruptores or sprains of MCL and LCL

10. Sweep Test Looking for joint effusion (swelling)
Sweep hands on medial aspect of knee pushing fluid to lateral side.
Sweep once on lateral side, look for bubble to appear on medial aspect of knee

11. Applys Compresstion/ Distraction
Position athlete lying on his/her stomach. Have the Knee at 90 degrees.
First perform compression, apply pressure to the bottom of foot
Perform with foot internally rotated, and externally rotated
if the pain increased there is a meniscal tear
Perform distraction by pulling up on the foot
If pain is released there is a meniscal tear.

12. Lachman’s test
Athlete should be lying on their back with knee bent at 60 degrees.
With one hand the above the patella and below it.
Move tibia posteriorly and anteriorly.
Watch for joint laxity of the ACL or PCL