The
quadriceps active test is performed with the knee flexed to 80° and in neutral
rotation. Its starting point is in effect the tibial drop back test.
From
its initial relaxed position at 80°, the patient is asked to fire their quadriceps
muscle ("straighten out your leg") while the examiner applies counter
pressure against the ankle.
The
quadriceps pulls anteriorly through the tibial tubercle to reduce any posterior
translation in the knee.
Initial
starting point of the quadriceps active test (relaxed state).
Reduction
of a posteriorly subluxed tibia with quadriceps contraction in a PCL deficient
knee.