Patellar Grind Test: Difference between revisions

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== Technique<br>  ==
== Technique<br>  ==


Pt is positioned in supine or long sitting with the involved knee&nbsp;extended. The examiner places the web space of his hand just superior to the patella while applying pressure. The patient is instructed to gently and gradually contract the quadriceps muscle. A positive sign on this test is pain in the patellofemoral joint<sup>1</sup>.  
Pt is positioned in supine or long sitting with the involved knee&nbsp;extended. The examiner places the web space of his hand just superior to the patella while applying pressure. The patient is instructed to gently and gradually contract the quadriceps muscle. A positive sign on this test is pain in the patellofemoral joint<ref name="Baxter">Baxter R. Pocket Guide to Musculoskeletal Assessment, 2nd edition. Copyright 2003, Elsevier Science (USA).</ref> .  


== Evidence  ==
== Evidence  ==


This technique is based on the mechanics of the patellofemoral joint and has not been specifically tested. Many patients will have pain with this test regardless of whether they exhibit signs and symptoms of patellofemoral pain<sup>2</sup>. Most of the clinical test for patellofemoral pain have low reliability or are untested, and there is no gold standard test for diagnosis of this disorder<sup>3</sup>.&nbsp;Since there is very limited specificity with this test, it should not be used alone to determine the presence of patellofemoral pain.  
This technique is based on the mechanics of the patellofemoral joint and has not been specifically tested. Many patients will have pain with this test regardless of whether they exhibit signs and symptoms of patellofemoral pain<ref name="Magee">Magee DJ: Orthopedic Physical Assessment, 4th ed. Philadelphia, WB Saunders, 2002.</ref> . Most of the clinical test for patellofemoral pain have low reliability or are untested, and there is no gold standard test for diagnosis of this disorder<ref>Fredericson M, Yoon K. Physical Examination and Patellofemoral Pain Syndrome. Am J Phys Med Rehabil. 2006 Mar;85(3):234-43.</ref>.&nbsp;Since there is very limited specificity with this test, it should not be used alone to determine the presence of patellofemoral pain.  


== Resources  ==
== Resources  ==


add any relevant resources here
Baxter R. Pocket Guide to Musculoskeletal Assessment, 2nd edition. Copyright 2003, Elsevier Science (USA)<ref>Baxter R. Pocket Guide to Musculoskeletal Assessment, 2nd edition. Copyright 2003, Elsevier Science (USA).</ref>


<ref>Baxter R. Pocket Guide to Musculoskeletal Assessment, 2nd edition. Copyright 2003, Elsevier Science (USA).</ref>
<br>


== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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<rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1T1hTO9Bp3L4Oq0odL2eWVdiNTsLM0m2Nf0jZE_SCwEq50JkG2|charset=UTF-8|short|max=10</rss>  
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== References  ==
== References  ==


References will automatically be added here, see [[Adding References|adding references tutorial]].
<references />
 
<references /> <references />1. <ref name="Baxter">Baxter R. Pocket Guide to Musculoskeletal Assessment, 2nd edition. Copyright 2003, Elsevier Science (USA).</ref>
 
2. <ref name="Magee">Magee DJ: Orthopedic Physical Assessment, 4th ed. Philadelphia, WB Saunders, 2002.</ref>
 
3. <ref>Fredericson M, Yoon K. Physical Examination and Patellofemoral Pain Syndrome. Am J Phys Med Rehabil. 2006 Mar;85(3):234-43.</ref>

Revision as of 14:25, 3 September 2009

Original Editor - Beth Barrett

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Purpose
[edit | edit source]

The purpose of this test is to detect the presence of patellofemoral joint disorder (AKA: patellofemoral pain syndrome, chondromalacia patellae, patellofemoral DJD)

Technique
[edit | edit source]

Pt is positioned in supine or long sitting with the involved knee extended. The examiner places the web space of his hand just superior to the patella while applying pressure. The patient is instructed to gently and gradually contract the quadriceps muscle. A positive sign on this test is pain in the patellofemoral joint[1] .

Evidence[edit | edit source]

This technique is based on the mechanics of the patellofemoral joint and has not been specifically tested. Many patients will have pain with this test regardless of whether they exhibit signs and symptoms of patellofemoral pain[2] . Most of the clinical test for patellofemoral pain have low reliability or are untested, and there is no gold standard test for diagnosis of this disorder[3]. Since there is very limited specificity with this test, it should not be used alone to determine the presence of patellofemoral pain.

Resources[edit | edit source]

Baxter R. Pocket Guide to Musculoskeletal Assessment, 2nd edition. Copyright 2003, Elsevier Science (USA)[4]


Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

  1. ↑ Baxter R. Pocket Guide to Musculoskeletal Assessment, 2nd edition. Copyright 2003, Elsevier Science (USA).
  2. ↑ Magee DJ: Orthopedic Physical Assessment, 4th ed. Philadelphia, WB Saunders, 2002.
  3. ↑ Fredericson M, Yoon K. Physical Examination and Patellofemoral Pain Syndrome. Am J Phys Med Rehabil. 2006 Mar;85(3):234-43.
  4. ↑ Baxter R. Pocket Guide to Musculoskeletal Assessment, 2nd edition. Copyright 2003, Elsevier Science (USA).
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