Knee Examination

benryan95's version from 2016-09-28 08:23

Section 1

Question Answer
What are the different core components of the knee examination?Inspect while standing, look, feel, move
What are the different components of inspect while standing?Look from the front, back and sides and assess gait.
What are the different components of look?skin (wounds, scars, erythema), swelling, popliteal fossa, calf swelling, knee joint, muscle bulk and alignment of the leg
What are the different components of feel?temperature, tenderness with knee extended and flexed, testing for effusion
What are 3 ways to assess for effusion?stroke test, patellar tap and cross fluctuance
What are the different components of move?active range of movement (0-130), active extension, passively flex and extend knee (crepitus too), collateral ligaments testing with varus and valgus stress, cruciate ligament tests, menisci tests
What are the cruciate ligament tests?anterior and posterior draw tests, lachman test, pivot shift,
How are the menisci tested?McMurray's test - flex hip and knee, externally (and later internally) rotate tibia then extend - positive if painful click over medial/lateral joint line
How are the anterior and posterior draw tests carried out?Flex knee to 90 degrees, look from side to see if any posterior sag, pull proximal tibia forward whilst stabilising the foot
How is lachman test carried out?Similar to anterior draw with knee flexed at 15 degrees

Section 2