{"id":1236,"date":"2010-12-04T14:52:38","date_gmt":"2010-12-04T14:52:38","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/clarks-sign-patellar-grind-test\/"},"modified":"2023-11-28T17:00:42","modified_gmt":"2023-11-28T17:00:42","slug":"clarks-sign-patellar-grind-test","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-examination-of-the-lower-extremities\/the-knee\/clarks-sign-patellar-grind-test\/","title":{"rendered":"Clark&#8217;s Sign (Patellar Grind Test)"},"content":{"rendered":"<hr \/>\n<p><span style=\"color: #003366;\">This test is indicated in the case of:<\/span><\/p>\n<ul>\n<li><span style=\"color: #003366;\">Pain when climbing stairs, squatting and cycling.<\/span><\/li>\n<li><span style=\"color: #003366;\">Pain behind the patella.<\/span><\/li>\n<li><span style=\"color: #003366;\">Pain upon palpation of the patella.<\/span><\/li>\n<li><span style=\"color: #003366;\">Crepitations in the patellofemoral joint during the basic function test.<\/span><\/li>\n<\/ul>\n<hr \/>\n<h3><span style=\"color: #003366;\">Procedure<\/span><\/h3>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/124602287?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\"><\/iframe><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">The patient lies in supine position with extended hips and knees. <\/span><\/li>\n<li><span style=\"color: #003366;\">The <span style=\"color: #33cccc;\"><strong>quadriceps femoris muscles<\/strong><\/span> should be relaxed bilaterally.<\/span><\/li>\n<li><span style=\"color: #003366;\">Hold the <span style=\"color: #33cccc;\"><strong>superior pole<\/strong><\/span> of the patella with the thumb and index finger and stabilise it distally<em><strong> [Figure 77]<\/strong><\/em>.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1235\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-77.jpg\" alt=\"le-\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-77.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-77-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/span><\/p>\n<p><span style=\"color: #003366;\"><strong>Figure 77<\/strong><\/span><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">Ask the patient to tense the quadriceps femoris muscle in this position by \u2018<em>pressing<\/em>\u2019 the back of the knee onto the examination table.<\/span><\/li>\n<li><span style=\"color: #003366;\">Compare the left knee with the right knee. <\/span><\/li>\n<li><span style=\"color: #003366;\">The test is <span style=\"color: #33cccc;\"><strong>positive<\/strong><\/span>, if during the tensing of the quadriceps muscle, the patient only indicates<span style=\"color: #33cccc;\"><strong> retropatellar pain<\/strong><\/span> on the side where the complaint exists. <\/span><\/li>\n<li><span style=\"color: #003366;\">The test is often <span style=\"color: #33cccc;\"><strong>false-positive<\/strong> <\/span>and therefore, only has a moderate specificity.\u00a0<\/span><\/li>\n<\/ul>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This test is indicated in the case of: Pain when climbing stairs, squatting and cycling. Pain behind the patella. Pain upon palpation of the patella. Crepitations in the patellofemoral joint during the basic function test. Procedure The patient lies in supine position with extended hips and knees. The quadriceps femoris muscles should be relaxed bilaterally. [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[70],"tags":[144],"class_list":["post-1236","post","type-post","status-publish","format-standard","hentry","category-the-knee","tag-the-examination-of-the-lower-extremities"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Clark&#039;s Sign (Patellar Grind Test) - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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