Knee exam: Difference between revisions
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==Observation== | |||
*Ecchymosis (bruise)? Surgical scars? | *Ecchymosis (bruise)? Surgical scars? | ||
*Knee resting position | *Knee resting position | ||
*Knee effusion with obscured landmarks | *Knee effusion with obscured landmarks | ||
*Quadriceps muscle atrophy | *Quadriceps muscle atrophy | ||
{{ntnes}} | |||
==Knee effusion tests== | |||
*patellar ballotment | *patellar ballotment | ||
*knee milking | *knee milking | ||
==Range of motion== | |||
* Normal flexion = 130 degrees | * Normal flexion = 130 degrees | ||
**look for pain | **look for pain | ||
| Line 15: | Line 15: | ||
*Normal extension = 10 degrees above horizontal | *Normal extension = 10 degrees above horizontal | ||
==Anterior Cruciate Ligament (ACL) Stability Tests== | |||
*Lachman's Test (most sensitive) | *Lachman's Test (most sensitive) | ||
*Anterior drawer sign | *Anterior drawer sign | ||
==Posterior Cruciate Ligament (PCL) Tests== | |||
*Posterior drawer test | *Posterior drawer test | ||
*PCL sag test | *PCL sag test | ||
==Collateral ligament evalutation== | |||
*Knee valgus stress test (Medial collateral ligament) | *Knee valgus stress test (Medial collateral ligament) | ||
*Knee varus stress test (Lateral colalteral ligament) | *Knee varus stress test (Lateral colalteral ligament) | ||
==Meniscus Evaluation== | |||
*McMurrays Test (external rotation and extension from full knee flexion for medial meniscal tear, internal rotation and extension for lateral mensicusus) | *McMurrays Test (external rotation and extension from full knee flexion for medial meniscal tear, internal rotation and extension for lateral mensicusus) | ||
*Apley's compression test (grind home test) | *Apley's compression test (grind home test) | ||
==Standing evaluation== | |||
*Balanced weight on each leg | *Balanced weight on each leg | ||
*Genu varum or | *Genu varum or genu valgum deformity | ||
*Gait analysis | *Gait analysis | ||
*Hip, knee and ankle alignment | *Hip, knee and ankle alignment | ||
[Category:OSCE] | |||
==Other OSCE modules== | |||
{{OSCE2}} | |||
[[Category:OSCE]] | |||
[[Category:Orthopedics and Rheumatology]] | |||
[[Category: Clinical Skills]] | |||
Latest revision as of 01:20, 21 April 2009
Observation
- Ecchymosis (bruise)? Surgical scars?
- Knee resting position
- Knee effusion with obscured landmarks
- Quadriceps muscle atrophy
Knee effusion tests
- patellar ballotment
- knee milking
Range of motion
- Normal flexion = 130 degrees
- look for pain
- do active vs passive ROM
- Normal extension = 10 degrees above horizontal
Anterior Cruciate Ligament (ACL) Stability Tests
- Lachman's Test (most sensitive)
- Anterior drawer sign
Posterior Cruciate Ligament (PCL) Tests
- Posterior drawer test
- PCL sag test
Collateral ligament evalutation
- Knee valgus stress test (Medial collateral ligament)
- Knee varus stress test (Lateral colalteral ligament)
Meniscus Evaluation
- McMurrays Test (external rotation and extension from full knee flexion for medial meniscal tear, internal rotation and extension for lateral mensicusus)
- Apley's compression test (grind home test)
Standing evaluation
- Balanced weight on each leg
- Genu varum or genu valgum deformity
- Gait analysis
- Hip, knee and ankle alignment
Other OSCE modules
Acute Confusion - Acute Coronary Syndrome Orders - Anemia - Arterial Blood Gasses - Asthma - Blood Pressure - Chest pain - Chest XRay - CHF - Coma - COPD - Cranial Nerves - Diabetic History - Diabetic Foot - Dysphagia - EKGs - Gallbladder and Liver - Liver Disease - Gait and Balance - Headache - Hematemesis - Hypertension - Jugular Venous Pulses - Knee Exam - Lymph Nodes - Community Acquired Pneumonia - Parkinson Disease - Peripheral Arterial Insufficiency - Pneumonia Examination - Precordial Exam - STD's - Spleen - Swollen Leg Exam - Thyroid Exam - Upper vs Lower Motor Neuron Lesions - Urinary Incontinence