Examination of the Kneecontents.kocw.net/KOCW/document/2014/gacheon/baeyoungso...Special test 2)...
Transcript of Examination of the Kneecontents.kocw.net/KOCW/document/2014/gacheon/baeyoungso...Special test 2)...
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Examination of the Knee
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Test for joint stability 1) 측부인대 (collateral lig.)
- Valgus stress - medial lig.
- Varus stress - lateral lig.
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Test for joint stability 2) 십자인대 (cruciate lig.)
·Anterior draw sign
- anterior cruciate lig.
·Posterior draw sign
- posterior cruciate lig.
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Test for joint stability ※ Screw home motion ⇒ 경골이 외측 회전
Open kinetic chain
http://moon.ouhsc.edu/dthompso/namics/screw3.gif
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Test for joint stability ※ Screw home motion ⇒ 경골이 외측 회전
closed kinetic chain
http://moon.ouhsc.edu/dthompso/namics/unscrew1.gif
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Neurologic examination sensory testing
http://www.footreliever.com/siteimages/dermatomes2.png
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Neurologic examination
3) reflex testing
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Special test 1)McMurry test
: meniscus의 파열 유무 검사
-Position : supine, knee Flexion
-Method : 내반력 + 경골 내회전 -> 외측 meniscus 손상 : 외반력 + 경골 외회전 -> 내측 meniscus 손상
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Special test 2) Apley compression test
: meniscus의 파열 유무 검사
-Position : prone, knee 90 Flexion
-Method : 압박 + 내회전, 외회전 -> 내외측 통증 유발부위 손상
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Special test 3) Apley distraction test
: collateral ligament 손상 유무 검사
-Position : prone, knee 90 Flexion
-Method : 견인 + 내회전, 외회전 -> 내외측 통증 유발부위 손상
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Special test 4) Lachman test
: cruciate ligament 손상 유무 검사
-Position : supine, knee 30 Flexion
-Method : 경골을 잡고 전 후방으로 밀고 당긴다.
전방 당길 때 통증- 전방십자인대 후방으로 밀때 통증 - 후방십자인대
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Special test 5) Patellar femoral grinding test
: 대퇴 활차 절흔과 슬개골 관절면 상태 평가
-Position : supine, knee extension
-Method : 슬개골을 원위부로 gliding quadriceps isometric con일 때 연발음, 동통
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Special test 6) Apprehension test
: patellar 탈구, 아탈구 유무 평가
-Position : supine, knee extension
-Method : 슬개골을 외측연으로 giding 시 통증 -> 외측 탈구
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