Procedure

  1. Patient supine with leg straight
  2. The examiner strokes the medial side of patella upward while simultaneously stroking the lateral side of patella downward with the opposite hand
  3. This procedure is repeated two or three times.

Interpretation

Positive Stroke Test

Fluid accumulation at the inferior medial border of the patella (bulge): Internal derangement, ligament sprain or rupture, vascular damage, fracture

Clinical Notes

The most common cause of knee swelling results from edema secondary to intra-articular trauma.