{"id":1240,"date":"2010-12-04T14:53:54","date_gmt":"2010-12-04T14:53:54","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/collateral-ligaments\/"},"modified":"2023-11-28T16:55:12","modified_gmt":"2023-11-28T16:55:12","slug":"collateral-ligaments","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-examination-of-the-lower-extremities\/the-knee\/collateral-ligaments\/","title":{"rendered":"Collateral Ligaments"},"content":{"rendered":"<hr \/>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/124602304?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\"><\/iframe><\/p>\n<hr \/>\n<h3><span style=\"color: #003366;\">Procedure<\/span><\/h3>\n<ul>\n<li><span style=\"color: #003366;\">The patient lies in supine position with extended knees and hips.<\/span><\/li>\n<li><span style=\"color: #003366;\">Stand on the side of the leg to be tested. <\/span><\/li>\n<li><span style=\"color: #003366;\">Place the upper leg diagonally across the examination table, so that the knee can be <span style=\"color: #33cccc;\"><strong>flexed by 20-30\u00b0<\/strong><\/span>.<\/span><\/li>\n<li><span style=\"color: #003366;\">The <span style=\"color: #33cccc;\"><strong>posterior capsule<\/strong><\/span> and the <span style=\"color: #33cccc;\"><strong>cruciate ligaments<\/strong><\/span> will be relaxed.<\/span><\/li>\n<li><span style=\"color: #003366;\">Stabilise the upper leg by positioning one hand on the <span style=\"color: #33cccc;\"><strong>vastus lateralis muscle<\/strong><\/span>\u00a0above the knee.<\/span><\/li>\n<li><span style=\"color: #003366;\">With the other hand, apply a <span style=\"color: #33cccc;\"><strong>valgus-inducing force<\/strong><\/span> on the lower leg<em><strong> [Figure 78]<\/strong><\/em>. <\/span><\/li>\n<li><span style=\"color: #003366;\">This tests the <span style=\"color: #33cccc;\"><strong>laxity<\/strong><\/span> of the <span style=\"color: #33cccc;\"><strong>medial collateral ligament<\/strong><\/span> and <span style=\"color: #33cccc;\"><strong>compresses<\/strong><\/span> the<span style=\"color: #33cccc;\"><strong> lateral meniscus<\/strong><\/span>.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1238\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-78.jpg\" alt=\"\" width=\"300\" height=\"379\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-78.jpg 300w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-78-237x300.jpg 237w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><strong><span style=\"width: 300px; display: block;\">Figure 78<\/span><\/strong><\/span><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">Stabilise the upper leg by placing a hand on the <span style=\"color: #33cccc;\"><strong>vastus medialis<\/strong> <strong>muscle<\/strong><\/span> above the knee.<\/span><\/li>\n<li><span style=\"color: #003366;\">With the other hand, apply a <span style=\"color: #33cccc;\"><strong>varus-inducing force<\/strong><\/span> on the lower leg <em><strong>[Figure 79]<\/strong><\/em>. <\/span><\/li>\n<li><span style=\"color: #003366;\">This tests the <span style=\"color: #33cccc;\"><strong>laxity<\/strong><\/span> of the <span style=\"color: #33cccc;\"><strong>lateral collateral ligament<\/strong><\/span> and <span style=\"color: #33cccc;\"><strong>compresses<\/strong><\/span> the <span style=\"color: #33cccc;\"><strong>medial meniscus<\/strong><\/span>.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1239\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-79.jpg\" alt=\"\" width=\"300\" height=\"388\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-79.jpg 300w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-79-232x300.jpg 232w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><strong><span style=\"width: 300px; display: block;\">Figure 79<\/span><\/strong><\/span><\/p>\n<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">Repeat the tests with a <span style=\"color: #33cccc;\"><strong>fully extended knee<\/strong><\/span> to test the <span style=\"color: #33cccc;\"><strong>dorsal knee structures<\/strong><\/span> (<em>posterior capsule &amp; posterior cruciate ligament<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\">During each test, note:<\/span>\n<ul>\n<li><span style=\"color: #003366;\">Abnormal mobility.<\/span><\/li>\n<li><span style=\"color: #003366;\">Indication of pain; meniscal damage, ligament damage.<\/span><\/li>\n<li><span style=\"color: #003366;\">Muscular defence.<\/span><\/li>\n<li><span style=\"color: #003366;\">Blockage (<em>meniscal damage on the compression side<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\">Left-right differences.<em><br \/>\n<\/em><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"color: #003366;\">In the case of abnormal mobility with <span style=\"text-decoration: underline;\">20-30\u00b0 flexion<\/span>, the knee is <span style=\"color: #33cccc;\"><strong>unstable <\/strong><\/span>and a <span style=\"color: #33cccc;\"><strong>rupture<\/strong><\/span> of the <span style=\"color: #33cccc;\"><strong>collateral ligament<\/strong><\/span> should be considered. <\/span><\/p>\n<p><span style=\"color: #003366;\">If abnormal mobility also occurs with a <span style=\"text-decoration: underline;\">fully extended knee<\/span>, <span style=\"color: #33cccc;\"><strong>damage<\/strong><\/span> to the <span style=\"color: #33cccc;\"><strong>posterior cruciate ligament<\/strong><\/span> and the <span style=\"color: #33cccc;\"><strong>posterior capsule<\/strong><\/span> is likely. <\/span><\/p>\n<p><span style=\"color: #003366;\">The knee is normally <span style=\"text-decoration: underline;\">most stable<\/span> in the <span style=\"color: #33cccc;\"><strong>extended position<\/strong><\/span>. If there is an <span style=\"color: #33cccc;\"><strong>isolated collateral ligament injury<\/strong><\/span>, then <span style=\"color: #33cccc;\"><strong>valgus<\/strong><\/span> or <span style=\"color: #33cccc;\"><strong>varus stress<\/strong><\/span> reveals no abnormalities in this position (<em>in the case of an intact posterior capsule and posterior cruciate ligament<\/em>).<\/span><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Procedure The patient lies in supine position with extended knees and hips. Stand on the side of the leg to be tested. Place the upper leg diagonally across the examination table, so that the knee can be flexed by 20-30\u00b0. The posterior capsule and the cruciate ligaments will be relaxed. Stabilise the upper leg by [&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-1240","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>Collateral Ligaments - 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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