Clarkes test is used to diagnose a degenerative condition called Chondromalacia of the very thick hyaline cartilage under the knee cap.
Your chiropractor will place his hand over your patella, press gently downwards and towards your foot.
Now, VERY GENTLY, (may I repeat this!!! VERY GENTLY) contract your Quadriceps muscle, the large thigh muscle. When this test is positive it may be extremely painful. The kneecap is forced up and over the groove in the femur. If there is degenerative change on either side - the femur or the patella - then you will feel a grinding sensation, and sometimes extreme pain.
Even when thin whisps of calcium can be seen on x-ray - we call it calco-chondrinosis - PFPS responds very nicely to gentle mobilisation of the patella.
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Clarkes Test
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