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Examination_of_the_knee.ppt
- 1. Examination of the knee
- 3. H/O Injury • Yes • No
- 4. Presenting Complaints • Pain • Locking • Clicking • Giving way • Stiffness • Loss of ROM
- 5. Understanding patient’s complaints Pain Only after activity At rest Gradual-onset Acute onset
- 6. Understanding patient’s complaints Locking v/s pseudo-locking
- 11. Examination
- 12. Exposure
- 13. Let the patient be comfortable and relaxed
- 14. Examine the knee from the same side
- 15. Examine standing
- 16. Examine walking
- 17. Deformity
- 19. Tell-tale sign
- 20. Muscle wasting indicates long- standing problem
- 21. Effusion
- 22. Fluid-shift test
- 23. Specific Point of tenderness ??
- 24. Examination for ligaments • Compare with opposite side • Look for ‘one more’ ligament injury • Look for PCL injury
- 26. Quadriceps contraction Resting position (tibia subluxed) tibia moves anterior Quadriceps active test
- 28. Tests for meniscus tear • Mc Murray's • Apley’s • Squat test • Xxx • xxx
- 29. Patello-femoral joint • Alignment • Medio-lateral tissue balancing • Crepitus • Tenderness
- 32. To conclude… • IDK means “I Don’t Know” • Compare with the other side • Patello-femoral joint is also there
- 33. Thank you for your kind attention
- 34. Be careful with... • Patients with severe disease wanting a minimal-invasive option for their fully invaded disease
- 35. Be careful with... • Patients asking for arthroscopy as MRI shows …