MSK Module Knee Examination in Orthopedics.ppt

Orthopedic Physical Examination of the Knee Joint for Medical Students

1. Orthopedic Physical Examination
Knee examination
Dr. Bandar Hetaimish M.B.B.S. MED.
FRCSC.
Associate Professor of Orthopedic
Surgery.

2. Knee Examination

3. Knee Examination
•Look
•Feel
•Move
•Do
–Special tests

4. Knee Examination
•Look

11. Knee Examination
•Look ( Both knees and back of the knee )
–Alignment and axis
•Lying and Standing
–Position
–Scars , Lacerations , Abrasions , Ecchymosis ,
Bruising , Sinuses
–Deformity

12. Knee Examination
•Look ( Both knees and back of the knee )
–Swellings
•Generalized
•Localized
–Skin color change
–Muscle atrophy ( Quadriceps femoris )
•Thigh muscle Girth

13. Knee Examination
•Feel

15. Knee Examination
•Feel ( systematic round about exam and back
of the knee )
–Soft tissue structures
•Skin ( compare with other side and nearby structures
same side )

16. Knee Examination
•Feel ( systematic round about exam and back
of the knee )
–Bony prominences
•Patella
•Tibia tuberosity
•Medial and lateral collateral femoral and tibial
attachments
•Joint lines
•Vascular and pulse

17. Knee Examination
•Move

19. Knee Examination
•Move ( Active and Passive )
–ROM
•Flexion
•Extension

20. Knee Examination
•Do
–Special tests

23. Knee Examination
•Do
–Special tests
•Stability
–Stress test for collateral ligaments
»Medial

24. Knee Examination
•Do
–Special tests
•Stability
–Stress test for collateral ligaments
»Lateral

33. Knee Examination
•Do
–Special tests
•Stability
–Cruciate Ligaments
»Drawer tests ( Anterior )

34. Knee Examination
•Do
–Special tests
•Stability
–Cruciate Ligaments
»Drawer tests ( Posterior )

35. Knee Examination
•Do
–Special tests
•Stability
–Cruciate Ligaments
»Lachman test

36. Knee Examination
•Do
–Special tests
•Stability
–Cruciate Ligaments
»Pivot Shift test

43. Knee Examination
•Do
–Special tests
•Knee Effusion
–Milking test

44. Knee Examination
•Do
–Special tests
•Knee Effusion
–Patellar Tap test

45. Knee Examination
•Do
–Special tests
•Knee Effusion
–Ballottement and Cross Fluctuation test

50. Knee Examination
•Do
–Special tests
•Menisci
–McMurry test

51. Knee Examination
•Do
–Special tests
•Menisci
–Apley Compression and Distraction test