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TEXTBOOK READING
PHYSICAL EX AMINATION
OF KNEE
M U H . YA S D A R B A H R I
111 2 0 1 5 0 0 9 9
S U P E RV I S O R : D R . M . A L I H A S T I , S P. O T
A D V I S O R : D R . W I L L I A M
ORTHOPEDIC DEPARTMENT
MEDICAL FACULTY
MOSLEM UNIVERSITY OF INDONESIA
ANATOMI
Medial Collateral ligament
(MCL)
Lateral Collateral ligament
(LCL)
Anterior Cruciate Ligament
(ACL)
Posterior Cruciate Ligament
(PCL)
Stability of knee
HISTORY
Chief Complaint
Onset of Symptoms
Mechanism of Injury
Location of Symptoms
Behavior of Symptoms
Quality of the Symptoms
PHYSICAL
EXAMINATION
inspection strength of
muscles
assessment
of ROM
palpation
provocativ
e
maneuvers
Knee,
ligament
and
supporting
structures
INSPECTION
Observed during ambulation
Symmetry Erythema
Weight bearing
and non–
weight bearing
Swelling or
Effusion
Gait Patient Sitting
Patient
Standing
Examination standing (a,b) Look at the general shape and posture,
first from in front and then from behind.
Normally the knees are in slight valgus. Look for swelling of the
joint or wasting of the thigh muscles; quadriceps wasting
occurs very quickly. (c) This patient has rheumatoid arthritis and
bilateral valgus deformities; in contrast, osteoarthritis is
likely to lead to varus deformities (d). Unilateral deformity is
easier to notice and almost always pathological – this man has
Paget’s disease of the tibia (e).
(a) (b) (c) (d) (e)
PALPATION
Joint
line
and
patella
Bulges
Warmth
Pain
Swelling or bulges (possible
effusions)
Movement :The knee should move from full extension (a) through a range
of 150 degrees to full flexion (b). Small degrees of flexion deformity (loss of
full extension) can be detected by placing the hands under the knees while
the patient forces the legs down on the couch (c); if your hand can be
extracted more easily on one side than the other, this indicates
loss of the final few degrees of complete extension.
(a) (b) (c)
SPESIAL/STRESS
TEST
REFLEX
NEUROVASCULAR
THANK YOU

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READING TEXTBOOK PHISICAL EXAMINATION OF KNEE.pptx

  • 1. TEXTBOOK READING PHYSICAL EX AMINATION OF KNEE M U H . YA S D A R B A H R I 111 2 0 1 5 0 0 9 9 S U P E RV I S O R : D R . M . A L I H A S T I , S P. O T A D V I S O R : D R . W I L L I A M ORTHOPEDIC DEPARTMENT MEDICAL FACULTY MOSLEM UNIVERSITY OF INDONESIA
  • 3. Medial Collateral ligament (MCL) Lateral Collateral ligament (LCL) Anterior Cruciate Ligament (ACL) Posterior Cruciate Ligament (PCL) Stability of knee
  • 4.
  • 6. Chief Complaint Onset of Symptoms Mechanism of Injury Location of Symptoms Behavior of Symptoms Quality of the Symptoms
  • 8. inspection strength of muscles assessment of ROM palpation provocativ e maneuvers Knee, ligament and supporting structures
  • 10. Observed during ambulation Symmetry Erythema Weight bearing and non– weight bearing Swelling or Effusion Gait Patient Sitting Patient Standing
  • 11.
  • 12. Examination standing (a,b) Look at the general shape and posture, first from in front and then from behind. Normally the knees are in slight valgus. Look for swelling of the joint or wasting of the thigh muscles; quadriceps wasting occurs very quickly. (c) This patient has rheumatoid arthritis and bilateral valgus deformities; in contrast, osteoarthritis is likely to lead to varus deformities (d). Unilateral deformity is easier to notice and almost always pathological – this man has Paget’s disease of the tibia (e). (a) (b) (c) (d) (e)
  • 15.
  • 16. Swelling or bulges (possible effusions)
  • 17.
  • 18. Movement :The knee should move from full extension (a) through a range of 150 degrees to full flexion (b). Small degrees of flexion deformity (loss of full extension) can be detected by placing the hands under the knees while the patient forces the legs down on the couch (c); if your hand can be extracted more easily on one side than the other, this indicates loss of the final few degrees of complete extension. (a) (b) (c)
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 32.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.