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Knee Exam Notes

Knee Exam Notes

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Published by Dan Pucheril

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Published by: Dan Pucheril on Jun 27, 2012
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06/27/2012

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Knee Exam NotesINSPECTION
 
Have patient standing
o
 
Feet shoulder with
o
 
Obvious deformity, alignment (varus or valgus)
o
 
Observe feet (pes planus or pes cavus)
o
 
Observe feet for pronation and supination
 
Patient in supine
o
 
Warmth or erythema of knee (always compare to other side)
o
 
Quadriceps musculature (contract 
tone and atrophy)
o
 
Effusion
 
Milk down from suprapatellar aspect and lateral aspect andlook for bulging on medial aspect PALPATION
 
Knee in slight flexion (pillow under knee)
 
Palpate quadriceps muscle and tendon
 
Patella (superior, inferior, medial, and lateral aspects, patellar tendon and fat pads on either side of the tendon)
 
MCL
 
Pes anserine area (3cm below joint line)
 
LCL
 
Fullness or mass in poplitieal fossa
 
Bursa (prepatellar, infrapatellar, pes anserine)ROM
 
Place leg in full extension and look for hyper extension
 
Full flexion (knee bent)STRENGTH
 
Have patient kick out and lift upSPECIAL TESTS
 
Knee in extended position
 
Patellar apprehension test 
patellar dislocation
o
 
Pressure on medial patella and move laterally and see if sign of apprehension on patients face
 
Patellofemoral grind test 
asses Patellofemoral joint surfaces
o
 
Press down on the patella and have patient flex quadriceps
o
 
Feel for crepitus or pain
 
Lachman and Anterior drawer (integrity of ACL)
o
 
Lachman
knee in 25 degrees (put your knee under patients)

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