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Updated: Feb 21, 2026

Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients
Published on: April 12, 2011
Knee upside down
Steven G J van der Aart1, Remko J A Sonnega1, Dirk-Jan Hofstee2
1Department of Orthopaedics, Noordwest Ziekenhuis Groep, Alkmaar, Netherlands.
Abstract:
We present a case of a 19-year-old woman with a forced hyperextension trauma of the knee causing a posteromedial fracture, a medial meniscus root tear and rupture of the posterior cruciate ligament. The posteromedial fracture of the tibial plateau was treated operatively with open reduction and internal fixation. Anatomical reconstruction was achieved. Postoperative treatment included unlimited flexion and minimal weight bearing. After 3 months, the patient had minimal pain after weight bearing and returned to preoperative range of motion.
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