Special test for the plica of knee :

• This all test is applied by to therapist & doctor for check to injury around to knee .
• It is apply into examination part of to assessment .
• thus test is help to doctor or therapist into diagnosis of the knee injury .

What is plica of knee ?

• Into knee joint plica are embryological remints that have reminds in some people after birth .
• Normally it is a reabsorbed by to time of birth although remints may be present in 20 %to 50 %of knee.
• Because abnormal plica can mimic to meniscus pathology .
• So that this special test is apply when to plica injury is suspected .

Name of special test of plica ?

• There are three test for to check the plica injury of knee joint .
• Hughston’s plica test
• Patellar bowstring test
• Plica shutter test

Purpose of all three test ?

• These three test is used to for check the injury of plica
• These three test is also help in different diagnosis of to knee injury like as to meniscus injury or plica injury .

Hughston’s plica test :-

Technique of performance of test :

• Starting position for to test is supine.
• In to supine position examiner is flexes to knee of patient
• Then do the medially rotates means internal rotation of tibia with to help of one arm & hand while pressing to patella medially with to heel of to other hand .
• Same hand of finger is palpate to medial femoral condyle .

Result of test:

• Patient’s knee is passively flexed &extended while to examiner feels for popping of to plica band under to fingers .
• This popping sound is indicate to positive test .

Patellar Bowstring test :-

Technique of performance of test :

• Starting position for to test is side lying.
• Into side lying put to test leg is uppermost .
• Use to heel of one hand , the examiner pushes to patella medially &hold this position for some time .
• Then examiner is flexes to patient’s knee & do the medially rotates of tibia with to help of other hand .
• After that extended to patient’s knee.

Result of test :

During to extension of knee examiner is feels to any sound .
This sound is indicate to positive test .

Plica Sutter test :-

Technique of performance of test :

• Starting position for to test is sitting.
• Patient is seated on to edge of to examining table with to both knees are flexed to 90 ‘ .
• Examiner is place a finger over to one patella for palpate during of movement .
• After that instructed to patient for extend to knee slowly .

Result of test :

• This test is positive when to patella is stutters or jumps somewhere between to 60 ‘ & 45 ‘ of flexion & smooth in otherwise movement .
• This test is effective only when to not present of joint swellings .

Author: Vaishali Ladva