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Valgus Stress Test Knee

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(Redirected from Valgus Stress Test (Knee))

Other Names

Valgus Stress Test
Demonstration of the valgus stres test and varus stress test of the knee[1]
The application of a valgus load to the knee in extension (A) will open the medial side of the joint (B).[2]
  • Valgus Stress Test Knee
  • Abduction Test of the Knee
  • Tibiofemoral Joint Abduction Test

Purpose


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

MCL Injury

  • At 30°:
    • Sensitivity: 86 - 96%[3]

See Also


References

  1. 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.
  2. 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.
  3. 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
Authors:
Last edited:
25 May 2025 13:07:45
Category: