How would you change the alignment of jakes tibia

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A promising 17-year-old junior footballer Jake comes in to see you with anterior knee pain. On visual inspection, you notice some mild swelling (effusion) and atrophy (wasting) in the medial compartment of the knee and upper thigh. Jake cannot remember a single specific incident where the knee was badly twisted or he suffered severe trauma to the knee joint. You are concerned about the integrity of the medial (tibial) collateral ligament and the medial meniscus and decide to assess these. You also decide to assess the hip joint and foot mechanics in your initial assessment.

Question:

Starting from a neutral position, how would you change the alignment of Jake's tibia to apply a valgus stress to the knee to assess the medial (tibial) collateral ligament? Why would you perform this test at 0 and 35° degrees of knee flexion?

Reference no: EM133448419

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