Examination_of_the_knee.ppt

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DrShubhamNagdev

Knee examination

Healthcare

Presenting Complaints
• Pain
• Locking
• Clicking
• Giving way
• Stiffness
• Loss of ROM

Understanding patient’s
complaints
Pain
Only after activity
At rest
Gradual-onset
Acute 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

Let the patient
be comfortable
and relaxed

Muscle wasting
indicates long-
standing problem

Examination for ligaments
• Compare with opposite side
• Look for ‘one more’ ligament injury
• Look for PCL injury

Quadriceps
contraction
Resting position
(tibia subluxed)
tibia moves
anterior
Quadriceps active 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

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 …

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