Wilson's Test: Difference between revisions

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'''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}}}}
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}
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== 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|knee.]] <ref name="p1">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  ==
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| {{#ev:youtube|KmzLa76Wnrk|300}}<ref>[https://www.youtube.com/watch?v=KmzLa76Wnrk&ab_channel=JIGSBINDAS 3D Knee Joint]</ref>
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== Technique ==
== Technique ==


The test has to be performed as followed:<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.  
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.  


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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">J. Bone et al, “A diagnostic sign in osteochondritis DISSECANS OF THE KNEE., 1967.</ref><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="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}}
{{#ev:youtube|vp2psDkWB78}}<ref>[https://www.youtube.com/watch?v=vp2psDkWB78&ab_channel=BallStateAthleticTraining Wilson test] </ref>


== Key Research  ==
== Key Research  ==

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