Kastelein et al. (2008) conducted a study to investigate the diagnostic accuracy of patient history items as well as orthopedic tests to assess the integrity of the MCL. In total, 36 variables from patient history, mechanism of injury, signs of trauma, present symptoms during the first consultation as well as findings from the physical examination were included in their model. Ultimately, four variables made it into the model – 2 findings from patient history, namely trauma by an external force to the leg and rotational trauma, and 2 from physical examination: Pain during the valgus stress test at 30° as well as laxity during the test.
In the case at least 1 out of 2 findings from patient history AND pain is reproduced during the valgus stress test at 30° is present, the positive likelihood ratio of an MCL lesion as confirmed during MRI is 4.8. In the case that laxity is also increased during the valgus stress test the positive likelihood ratio rises to 6.4. In case only one finding from patient history is present and no physical examination findings are positive, the presence of an MCL lesion can reasonably be excluded and reduce the number of unnecessary referrals for imaging. And even if a lesion is suspected, granted in the absence of knee locking or suspicion of a fracture, the recommendation based on clinical practice guidelines remains that of a conservative approach.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
If you want to learn how to perform the Valgus Stress Test that is mentioned in the cluster, click on the test name.
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.