Valgus Stress Test Knee
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Other Names


- Valgus Stress Test Knee
- Abduction Test of the Knee
- Tibiofemoral Joint Abduction Test
Purpose
- Evaluate the integrity of the Medial Collateral Ligament or MCL in the setting of knee injury
Description
- Patient is supine
- Leg is relaxed, flexed to about 30° passively so that the knee is "unlocked"
- Examiner palpates medial joint line, applies valgus force to the patients knee
- The exam should be repeated 0° or in full extension as well
- Positive test
- Laxity or pain with valgus stress
- Laxity at 30°: Isolated MCL injury
- Laxity at 0°: suggests multiligament knee injury
- Grade
- Grade 1: pain without laxity
- Grade 2: pain, laxity compared to contralateral limb
- Grade 3: pain, gross laxity
Pathology
Evidence
- At 30°:
- Sensitivity: 86 - 96%[3]
See Also
References
- ↑ Rossi, Roberto, et al. "Clinical examination of the knee: know your tools for diagnosis of knee injuries." Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology 3 (2011): 1-10.
- ↑ Encinas-Ullán, Carlos A., and E. Carlos Rodríguez-Merchán. "Isolated medial collateral ligament tears: an update on management." EFORT open reviews 3.7 (2018): 398.
- ↑ Harilainen A. Evaluation of Knee Instability in Acute Ligamentous Injuries. Ann Chir Gynaecol. 1987; 76: 269-273.
Created by:
John Kiel on 4 September 2019 17:52:07
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Last edited:
25 May 2025 13:07:45
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