Wilson's Test: Difference between revisions

mNo edit summary
No edit summary
 
(13 intermediate revisions by 6 users not shown)
Line 1: Line 1:
<div class="editorbox">
<div class="editorbox">
'''Original Editors ''' - [[User:Kim Presiaux|Kim Presiaux]]  
'''Original Editors ''' - [[User:Kim Presiaux|Kim Presiaux]] as part of the [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]].


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} &nbsp;
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}
</div>  
</div>  
<br>


== Definition/Description  ==
== Definition/Description  ==


The Wilson’s Test is a test used to detect the presence of [[Osteochondritis Dissecans of the Knee|Osteochondritis dissecans]] of the knee. <ref name="1">Conrad JM et al, “OSTEOCHONDRITIS DISSECANS: WILSON'S SIGN REVISITED”, September 2003, Am J sport med.</ref><br>  
The Wilson’s Test is a test used to detect the presence of [[Osteochondritis Dissecans of the Knee|Osteochondritis dissecans]] of the [[Knee|knee.]] <ref name="p1">Conrad, J. M., & Stanitski, C. L. (2003). [https://journals.sagepub.com/doi/full/10.1177/03635465030310052301?casa_token=PGiSjVDnV4wAAAAA%3An3vDaZhSOfLl5rjKjhHCWaIt5pn3rTgqhFQXrX3J7iFakvF-A5Vn4iy1J0WGhqvJw8xZypJZ8kK1Lg Osteochondritis dissecans: Wilson’s sign revisited.] ''The American Journal of Sports Medicine'', ''31''(5), 777–778. <nowiki>https://doi.org/10.1177/03635465030310052301</nowiki></ref><br>  


== Clinically Relevant Anatomy  ==
== Clinically Relevant Anatomy  ==
Line 14: Line 13:
{| width="100%" cellspacing="1" cellpadding="1"
{| width="100%" cellspacing="1" cellpadding="1"
|-
|-
| {{#ev:youtube|KmzLa76Wnrk|300}}  
| {{#ev:youtube|KmzLa76Wnrk|300}}<ref>[https://www.youtube.com/watch?v=KmzLa76Wnrk&ab_channel=JIGSBINDAS 3D Knee Joint]</ref>
| {{#ev:youtube|OM0-tmMr2N4|300}}
| {{#ev:youtube|OM0-tmMr2N4|300}}
|}
|}
Line 24: Line 23:
|}
|}


== Technique<br>  ==
== Technique ==
 
The test has to be performed as followed:<ref name="1" /><br>- Ask the patient to sit on a table with his legs dangling over the edge.<br>- Bend the patient’s knee so that it is flexed at a 90° angle.<br>- Grasp the patient’s foot and bring the [[Tibia|tibia in]] internelly rotation.<br>- Instruct the patient to extend his leg until he/she feels pain.
 
<br>


The test is positive when the patient reports pain in the knee about 30° from full extension and when by rotating the foot back (externally rotation of the tibia) in it’s normal position the pain disappears.<ref name="1" /><ref name="2">J. Bone et al, “A diagnostic sign in osteochondritis DISSECANS OF THE KNEE.”, 1967.</ref><br>  
The test has to be performed as follows:<ref name="p1" /><br>- Ask the patient to sit on a table with his legs dangling over the edge.<br>- Bend the patient’s knee so that it is flexed at a 90° angle.<br>- Grasp the patient’s [[Foot Anatomy|foot]] and bring the [[tibia]] in internally rotation.<br>- Instruct the patient to extend his leg until he/she feels pain.


<br>  
<br>  


To see video, go to [http://blip.tv/scott-sailor-edd-atc/knee-wilson-s-test-143965 Blip]  
The test is positive when the patient reports pain in the knee about 30° from full extension and when by rotating the foot back (externally rotation of the tibia) in it’s normal position the pain disappears.<ref name="p1" /><ref name="p2">Wilson, J. N. (1967). [https://journals.lww.com/jbjsjournal/Abstract/1967/49030/A_Diagnostic_Sign_in_Osteochondritis_Dissecans_of.6.aspx A diagnostic sign in osteochondritis DISSECANS OF THE KNEE]. ''The Journal of Bone and Joint Surgery. American Volume'', ''49''(3), 477–480. <nowiki>https://doi.org/10.2106/00004623-196749030-00006</nowiki></ref><br>
{{#ev:youtube|vp2psDkWB78}}<ref>[https://www.youtube.com/watch?v=vp2psDkWB78&ab_channel=BallStateAthleticTraining Wilson test] </ref>


== Key Research  ==
== Key Research  ==
Line 42: Line 38:
== Clinical Bottom Line  ==
== Clinical Bottom Line  ==


Make sure the patient gradually extends his leg during the test, instead of thrusting it out quickly.  
Make sure the patient gradually extends his leg during the test, instead of thrusting it out quickly. <br>  
 
<br>
 
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
<div class="researchbox"><rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1xGbfOrFGi290hhZ5Xo5zzdeV-ar7gwWCcemvMHBDnCZoS_E_B</rss></div>
== Search Strategy  ==
 
For search use: [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed], [http://www.archives-pmr.org/ Archives of Physical Medicine and Rehabilitation], [http://www.pedro.org.au/ PEDro]
 
Sugested keywords: osteochondritis dissecans; wilson`s test
 
<br>  


== References  ==
== References  ==
see [[Adding References|adding references tutorial]].


<references />  
<references />  


[[Category:Vrije_Universiteit_Brussel_Project]] [[Category:Knee]] [[Category:Assessment]] [[Category:Videos]] [[Category:Special_Tests]] [[Category:Musculoskeletal/Orthopaedics|Orthopaedics]][[Category:Knee_Examination]]
[[Category:Vrije_Universiteit_Brussel_Project]]  
[[Category:Knee]]  
[[Category:Assessment]]  
[[Category:Special_Tests]]
[[Category:Musculoskeletal/Orthopaedics]]
[[Category:Knee - Assessment and Examination]]
[[Category:Primary Contact]]
[[Category:Sports Medicine]]
[[Category:Athlete Assessment]]
[[Category:Knee - Special Tests]]

Latest revision as of 11:54, 13 September 2023

Definition/Description[edit | edit source]

The Wilson’s Test is a test used to detect the presence of Osteochondritis dissecans of the knee. [1]

Clinically Relevant Anatomy[edit | edit source]

[2]

Technique[edit | edit source]

The test has to be performed as follows:[1]
- Ask the patient to sit on a table with his legs dangling over the edge.
- Bend the patient’s knee so that it is flexed at a 90° angle.
- Grasp the patient’s foot and bring the tibia in internally rotation.
- Instruct the patient to extend his leg until he/she feels pain.


The test is positive when the patient reports pain in the knee about 30° from full extension and when by rotating the foot back (externally rotation of the tibia) in it’s normal position the pain disappears.[1][3]

[4]

Key Research[edit | edit source]

So far no studies have been done about the validity and the reliability of this test.

Clinical Bottom Line[edit | edit source]

Make sure the patient gradually extends his leg during the test, instead of thrusting it out quickly.

References[edit | edit source]

  1. 1.0 1.1 1.2 Conrad, J. M., & Stanitski, C. L. (2003). Osteochondritis dissecans: Wilson’s sign revisited. The American Journal of Sports Medicine, 31(5), 777–778. https://doi.org/10.1177/03635465030310052301
  2. 3D Knee Joint
  3. Wilson, J. N. (1967). A diagnostic sign in osteochondritis DISSECANS OF THE KNEE. The Journal of Bone and Joint Surgery. American Volume, 49(3), 477–480. https://doi.org/10.2106/00004623-196749030-00006
  4. Wilson test