Varus Stress Test of the Knee

Testing For:
The integrity of the structures that prevent lateral instability at the knee (lateral collateral ligament, joint capsule, cruciate ligaments).

Procedure:

  • Patient is supine with the affected knee in full extension.
  • Therapist stabilizes the affected leg in slight external rotation with one hand on the lateral malleolus.
  • Therapist places their other hand on the medial aspect of the knee.
  • Therapist applies a laterally directed (a varus) stress on the medial knee.
  • Flex their knee to 30 degrees and apply the same pressure on the lateral side to isolate the lateral collateral ligament

Positive Sign:
Presence of pain and hypermobility at the lateral aspect of the knee