Examination of the knee. History-taking H/O Injury Yes No.
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Transcript of Examination of the knee. History-taking H/O Injury Yes No.
Examination of the knee
History-taking
H/O Injury
• Yes
• No
Presenting Complaints
• Pain
• Locking
• Clicking
• Giving way
• Stiffness
• Loss of ROM
Understanding patient’s complaints
PainOnly after activityAt rest
Gradual-onsetAcute onset
Understanding patient’s complaints
Locking v/s pseudo-locking
Understanding patient’s complaints
Knee gives way
Understanding patient’s complaints
Stiffness
Understanding patient’s complaints
Clicking
Understanding patient’s complaints
Loss of ROM
Examination
Exposure
Let the patient be comfortable and relaxed
Examine the knee from the same side
Examine standing
Examine walking
Deformity
Tell-tale sign
Muscle wasting indicates long-standing problem
Effusion
Fluid-shift test
Specific Point of tenderness ??
Examination for ligaments
• Compare with opposite side
• Look for ‘one more’ ligament injury
• Look for PCL injury
Quadricepscontraction
Resting position(tibia subluxed)
tibia movesanterior
Quadriceps active testQuadriceps active test
Modified Lachmann Test
Tests for meniscus tear
• Mc Murray's
• Apley’s
• Squat test
• Xxx
• xxx
Patello-femoral joint
• Alignment
• Medio-lateral tissue balancing
• Crepitus
• Tenderness
To conclude…
• IDK means “I Don’t Know”• Compare with the other side• Patello-femoral joint is also there
Thank you for your kind attention
Be careful with...
• Patients with severe disease wanting a minimal-invasive option for their fully invaded disease
Be careful with...
• Patients asking for arthroscopy as MRI shows …