Examination_of_the_knee.ppt easy to know

good

1. Examination of the knee

2. History-taking

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

7. Understanding patient’s
complaints
Knee gives way

8. Understanding patient’s
complaints
Stiffness

9. Understanding patient’s
complaints
Clicking

10. Understanding patient’s
complaints
Loss of ROM

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 PCLinjury

26. Quadriceps
contraction
Resting position
(tibia subluxed)
tibia moves
anterior
Quadriceps active test

27. Modified Lachmann 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…
•IDKmeans “IDon’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 …