Indications

Fouchet’s Test or Fouchet’s Sign is a clinical examination of the knee that, if positive, may suggest the diagnosis of chondromalacia patella and/or other knee related disorders.


Procedure

  1. Patient supine with legs straight
  2. Examiner applies downward pressure over the patella with palmar surface of the hand in a circular motion.
  3. Examiner observes the patient for signs of pain or discomfort.
  4. If no sign of discomfort or pain is noted, the examiner then proceeds to move the patella from side to side

Interpretation

Positive Fouchet’s Test

Any sign of pain and audible or palpable crepitus (grating, crackling, or popping sounds) may indicate any of the following:

  • Patellar tracking disorder
  • Peri-patellar syndrome
  • Patellofemoral dysfunction
  • Chondromalacia patella

Clinical Notes:

Etiologies associated with patellofemoral disorders:

  1. Vastus medialis oblique deficiency
  2. Q-angle, patellofemoral groove depth
  3. Lateral retinacular tightness/plica
  4. Patella alta or baja, abnormal patellar tracking