Muller's Test: Difference between revisions

No edit summary
No edit summary
Line 5: Line 5:
</div>  
</div>  
== Purpose ==
== Purpose ==
Muller's test is used to find '''[[posterior Cruciate Ligament]] disruption''' and '''posterior [[knee]] laxity'''. This test has also been termed the '''[[Quadriceps Muscle|Quadriceps]] Active Test''' by Daniel, et al
Muller's test is used to find '''[[posterior Cruciate Ligament]]''' disruption and posterior [[knee]] laxity. This test has also been termed the '''[[Quadriceps Muscle|Quadriceps]]''' Active(QA) Test by Daniel, et al<ref name=":0" />


== Technique  ==
== Technique  ==


The Muller test is performed with the patient supine, and in the same position as the posterior drawer. The first part of the test is to examine the anterior silhouette of the proximal tibia from the side, and compare this to the uninjured, contralateral knee. The patient is then asked to raise his or her foot off the table. A positive test reveals posterior sag of the proximal tibia initially, and anterior translation of the proximal tibia prior to the foot leaving the table with attempted elevation of the foot. This anterior translation can be quantified and compared to the opposite knee.<ref>Daniel DM, et al. Use of the Quadriceps Active Test to diagnose posterior cruciate-ligament disruption and measure posterior laxity of the knee. JBJS. 1988;70A:386–391</ref>
The Muller test is performed with the patient supine, and in the same position as the [[Posterior Drawer Test (Knee)|posterior drawer]]. The first part of the test is to examine the anterior silhouette of the proximal tibia from the side and compare this to the uninjured, contralateral [[knee]]. The patient is then asked to raise his or her foot off the table. A positive test reveals posterior sag of the proximal tibia initially, and anterior translation of the proximal [[tibia]] before the foot leaving the table with attempted elevation of the foot. This anterior translation can be quantified and compared to the opposite knee.<ref name=":0">Daniel DM, et al. Use of the Quadriceps Active Test to diagnose posterior cruciate-ligament disruption and measure posterior laxity of the knee. JBJS. 1988;70A:386–391</ref>The degree of laxity is determined by comparing the posterior translation to that of the contralateral normal [[knee]]. The posterior tibial sag and [[Lachman Test|Lachman test]] can be occasionally helpful.
{{#ev:youtube|5H0dALG6RR4|300}}<ref>The Knee Resource. Quads Active Test. Available from:https://www.youtube.com/watch?v=5H0dALG6RR4 [last accessed 29/6/2024]</ref>
{{#ev:youtube|5H0dALG6RR4|300}}<ref>The Knee Resource. Quads Active Test. Available from:https://www.youtube.com/watch?v=5H0dALG6RR4 [last accessed 29/6/2024]</ref>



Revision as of 10:18, 29 June 2024

Purpose[edit | edit source]

Muller's test is used to find posterior Cruciate Ligament disruption and posterior knee laxity. This test has also been termed the Quadriceps Active(QA) Test by Daniel, et al[1]

Technique[edit | edit source]

The Muller test is performed with the patient supine, and in the same position as the posterior drawer. The first part of the test is to examine the anterior silhouette of the proximal tibia from the side and compare this to the uninjured, contralateral knee. The patient is then asked to raise his or her foot off the table. A positive test reveals posterior sag of the proximal tibia initially, and anterior translation of the proximal tibia before the foot leaving the table with attempted elevation of the foot. This anterior translation can be quantified and compared to the opposite knee.[1]The degree of laxity is determined by comparing the posterior translation to that of the contralateral normal knee. The posterior tibial sag and Lachman test can be occasionally helpful.

[2]

Evidence[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 Daniel DM, et al. Use of the Quadriceps Active Test to diagnose posterior cruciate-ligament disruption and measure posterior laxity of the knee. JBJS. 1988;70A:386–391
  2. The Knee Resource. Quads Active Test. Available from:https://www.youtube.com/watch?v=5H0dALG6RR4 [last accessed 29/6/2024]