Practical remediation

Hoffa’s Fat Pad

Exam: Supine with affected knee bent, clinician uses thumb or finger to apply pressure on medial and lateral sides of patellar tendon. passively extend patients knee

Findings: increased pain, creak is noted

FAT PAD IRRITATION

External Rotators of Hip MMT

Exam: Long sit, ask patient to push into top hand with knee and other hand with lower leg

Dynamic Patellar Apprehension Test

FADDIR

Findings: increased groin pain, grinding, crepitus

• LABRAL PATHOLOGY

with lack of ROM = FAI

Reverse Pivot Shift

ADD VALGUS FORCE

Findings: clunk sound during flexion/extension, limited ROM

• POSTURAL KNEE PATHOLOGY

McMurray’s

Findings: catching of knee, locking, popping, recreation of chief complaints

Levers Sign

Exam: FIST GOES UNDER popliteal fossa (on gastroc), opposite hand provide downward force on femur, ask patient to activate quad

Findings: anterior displacement of tibia 

ACL pathology

Hip Scouring

Perform in multiple angles!!

Findings: recreation of pain, excessive motion, hip instability

LABRAL pathology , Articular cartilage defects