Knee Special Tests Review | Expert Physio Top Tips

In this tutorial, we review knee special tests and give you our top tips to help you get the most out of your assessment.
References:
*Sokal et al., 2022: doi.org/10.1007/s00167-022-06...
*Mulligan et al., 2015: www.ncbi.nlm.nih.gov/pmc/arti...
*Smith et al., 2015: dx.doi.org/10.1136/ebmed-2014-...
⭐ For more on Knee Assessment and Conditions, check out:
Mr Trikha (Orthopaedic Knee Surgeon) Expert Guide:
*Knee History Taking Masterclass: • Knee History Taking Ma...
*Knee Examination Masterclass: • Knee Examination Maste...
*Traumatic Knee Injuries: Assessment Diagnosis and Management: • Traumatic Knee Injurie...
*Knee Osteoarthritis: • Everything you need to...
Knee Assessment:
*Knee Joint Full Assessment Run Through: • Knee Joint Full Assess...
*Observation of the Knee Joint: • Observation of the Kne...
*Knee Joint Palpation: • Knee Joint Palpation |...
*Knee Passive Range of Movement Testing: • Knee Passive Range of ...
*Knee Active Range of Movement Testing: • Knee Active Range of M...
*Knee Functional Tests: • Knee Functional Tests ...
Knee Special Tests:
*Thessalys Test: • Thessalys Test for Men...
*McMurray's Test: • McMurray's Test for Me...
*Knee ACL Anterior Draw Test: • Knee ACL Anterior Draw...
*Modified Thomas Test for Knee: • Modified Thomas Test f...
*Resisted Tests of the Knee Joint: • Resisted Tests and Tes...
*MCL Stress Test for Knee: • MCL Valgus Stress Test...
*LCL Stress Test for Knee: • LCL Varus Stress Test ...
*Clarke's Test for Knee: • Clarke's Test for Knee...
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[@timothyvanpelt_cyclist]

Thanks a lot Khalid! This is the type of explanation which is more helpful to me. The reasoning behind the tests, the specificity & sensitivity, and the importance of a relevant patients' history (like banging the side of the knee to the bed).

[@Doubtfulmoon777]

So clear,so detailed!!!!

[@PhilipCato]

I had a patient who got diagnosed with a torn ACL after a MR-scan. I had done a full assessment and screening of her knee, with a Lachlan's test and anterior drawer test, which i concluded as negative, as i couldn't see any significant laxity when i compared with her uninjured leg.
Looking back, there was som important information in her history, which at that time, i couldn't combine with my test findings. She told me that it happened during soccer where she felt her knee cave in, and the weeks after she felt her knee cave in again during soccer.
I had her tested on the soccer pitch where she was able to run at a high-intensity, she was able to change direction and to shoot the ball at long distances.
I really felt that i was a bad clinician for not diagnosing a torn ACL and i not reacting to the things she told me. Now i am smarter and will look out for these trademark ACL findings in the future.
Is it possible that ACL injuries can be difficult to diagnose clinically with special tests, in some people?

[@ClinicalPhysio]

Thank you for sharing your story! And the answer is yes absolutely! I used to work with a Surgeon who would sometimes order an MRI scan with a clear suspicion of an ACL rupture from the history alone 🙏🏼

[@franciscotorres-ev7ff]

Very good approach and help to help with diagnosis of knee pain/ problems

[@ClinicalPhysio]

Thank you so much!

[@mauriciotoriz1987]

Have you done too tips for Hips special tests? Think it would be great

[@ClinicalPhysio]

Yes we have!

[@danielarganaraz4094]

EXCELENTE

[@ClinicalPhysio]

Thank you so much!

[@rayarayuma-1647]

He is perfect

[@ClinicalPhysio]

Very kind thank you!!

[@matthewzadrov6141]

Awesome.

[@ClinicalPhysio]

Thank you so much!