Athletic Training & Sports Medicine Center

  

Examination Links:

  • Alphabetical Listing
of Examinations
  • Head
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 - upper limb
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 - lower limb
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 Test
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  • Cervical Spine
    • Spurling's Test
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    • Sagittal Plane ROM Test
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 Test
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Impingement Test
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Test
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Stability Test
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(Horizontal Adduction) Test
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Integrity Test
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 Stress Test
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Test
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Compression Test
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Test
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 Test
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 Test
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Ligament Stress Test
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Ligament Stress Test
    • PIP Radial Collateral 
Ligament Stress Test
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Ligament Stress Test
    • DIP Radial Collateral 
Ligament Stress Test
    • DIP Ulnar Collateral 
Ligament Stress Test
    • Bunnel-Littler Test
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  • Sacroiliac Joint
    • Ipsilateral Prone Kinetic Test
    • FABER Test
    • Passive Extension & Internal 
Rotation of Ilium on Sacrum
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Rotation of Ilium on Sacrum
    • Passive External Rotation 
of Hip
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      Sacroiliac Rocking Test
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Pubic Stress Test
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Drawer Test
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    • Jerk Test of Hughston
    • Pivot Shift Test
    • External Rotation 
Recurvatum Test
    •  
  • Lower Leg
  • Ankle
  • Foot
    • Morton Test
    •  
  • Range of Motion
  • Goniometry
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  • Reflexes
  • Vital Signs
  • Body Composition

 

 Hughston’s Plica test
Examination type  
Patient & Body Segment Positioning The patient is lies in supine position.
Examiner Position Examiner on lateral side of affected side, with one hand on heel and the other on lateral aspect of the knee.
Tissues Being Tested Plica 
Performing the Test The patient is lies in supine position. While the examiner flexes the knee and medially rotates the tibia with one are and hand pressing the patella medially with the heel of the other hand and palpating the medial femoral condyle with the fingers of the same hand. The patient knee is passively flexed and extended while the examiners flees for ‘popping’ of the plical band under the fingers.
Positive Test

Popping indicates a positive test.
Interpretation

 + or – test is based on popping as the knee is passively flexed and extended while medially rotating tibia and patella
Common errors in performing exam Not palpating while test is being preformed.  Not fully internally rotating tibia or not pressing patella medially.  
Factors possibly resulting in misinterpretation The examiner may feel get crepitis confused with the popping.
Related tests Suprapatella plica snap test
References

 Magee D. ‘ Orthopedic Physical Examination

Ellen Becker TS. (editor)- Knee ligament rehabilitation
Links:

http://www.hsedu.com/therapysourcespecialtest.pdf#search=`jerk%20test%20

of%hughston’

 http:www.cup.edu/nu_upload/27%20knee%20special%20tests.pdf#search

=`knee%plicia%test’

 

 
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