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6 knee joint palpation

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Palpation of knee joint can be done in various positions based on the comfort of the patient and therapist. If the patient is sitting, high sitting is a good position to start. If not, supine is an alternative position where the patient is most relaxed; as shown by Hutchinson in the BJSM video.

Practice is the key to master the examination. The students should be aware of the location of the structures in such a way that you should be able to see through the skin and locate the structures underneath. Practice by marking the skin for various structures under the skin.

Published in: Health & Medicine
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6 knee joint palpation

  1. 1. Saurab Sharma, MPT Lecturer, KUSMS Knee joint assessment Palpation Skills
  2. 2. Objectives of session At the end of the class, students will be able to:  Identify various landmarks in and around knee joint  Palpate important structures around knee joint  Identify Zones of soft tissue palpation  Palpate soft tissues in various zones 2
  3. 3. Palpation:  With various angles of knee flexion  Patella  Joint line (Medial and lateral)  Tibial tuberosity 3
  4. 4. Palpation:  With various angles of knee flexion.  Medio patellar Plica- on the medial border of the patella.  Jumper’s knee: at the apex of patella (patellar tendon)  Patellar tendinitis: palpate distally  Housemaid’s knee: prepatellar bursitis 4
  5. 5. Palpation:  Patellar retinaculum: can be palpated on either side of the patella  Quadriceps muscle: can be palpated for any strain, wasting or hard mass (myositis ossificans)  MCL: along the medial aspect of the knee  Pes Anserine bursitis: medial and slight distal to tibial tuberosity  IlioTibial Band: may be palpated over the anterior surface of lateral condyle of tibia medial to the fibular head) 5
  6. 6. Palpation: (Antero-medial aspect) 6
  7. 7. Palpation: (Antero-medial aspect) 7
  8. 8. Palpation: (Antero-medial aspect) 8
  9. 9. Palpation: (Antero-medial aspect) 9
  10. 10. Palpation: (Antero-medial aspect) 10
  11. 11. Palpation: (Antero-medial aspect) 11
  12. 12. Palpation: (Antero-medial aspect) 12
  13. 13. Palpation: (Antero-lateral aspect) 13
  14. 14. Palpation: (Antero-lateral aspect) 14
  15. 15. Palpation: (Antero-lateral aspect) 15
  16. 16. Palpation: (Antero-lateral aspect) 16
  17. 17. Palpation: (Antero-lateral aspect) 17
  18. 18. Palpation: (Antero-lateral aspect) 18
  19. 19. Palpation: (Antero-lateral aspect) 19
  20. 20. Palpation: (Antero-lateral aspect) 20
  21. 21. Palpation: (Antero-lateral aspect) 21
  22. 22. Palpation: (Antero-lateral aspect) 22
  23. 23. Palpation: (Antero-lateral aspect) 23
  24. 24. Soft tissue Palpation: 24  Four clinical zones: Zone 1: Anterior Zone 2: Medial Zone 3: Lateral Zone 4: Posterior
  25. 25. Soft tissue Palpation Zone 1: Anterior 25
  26. 26. Soft tissue Palpation Zone 1: Anterior 26
  27. 27. Soft tissue Palpation Zone 1: Anterior 27
  28. 28. Soft tissue Palpation Zone 2: Medial 28
  29. 29. Soft tissue Palpation Zone 2: Medial 29
  30. 30. Soft tissue Palpation Zone 2: Medial 30
  31. 31. Soft tissue Palpation Zone 2: Medial 31
  32. 32. Soft tissue Palpation Zone 3: Lateral 32
  33. 33. Soft tissue Palpation Zone 3: Lateral 33
  34. 34. Soft tissue Palpation Zone 3: Lateral 34
  35. 35. Soft tissue Palpation Zone 3: Lateral 35
  36. 36. Soft tissue Palpation Zone 3: Lateral 36
  37. 37. Soft tissue Palpation Zone 3: Lateral 37
  38. 38. Soft tissue Palpation Zone 4: Posterior aspect 38
  39. 39. Soft tissue Palpation Zone 4: Posterior aspect 39
  40. 40. Summary: 40
  41. 41. References 41  Stanley Hoppenfield’s book
  42. 42. Plan for next class: 42  Range of motion examination  Muscle length test  MMT  Reflex  Prerequisites:  Muscle attachment  Tools required: Goniometer, reflex hammer

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