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Knee Exam

The document outlines various tests used to examine the knee, including osseous palpation of bony landmarks, soft tissue palpation of muscles and ligaments, range of motion testing, and orthopedic tests for structures like the meniscus, ligaments, and patellofemoral joint. Specific tests described include the McMurray's test for the meniscus, Lachman's test for the ACL, drawer sign for the ACL and PCL, and tests for the MCL and LCL like the varus/valgus stress tests. Palpation, range of motion measures, and special tests can evaluate the bones, soft tissues, and function of the knee joint.

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ColeStreets
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145 views

Knee Exam

The document outlines various tests used to examine the knee, including osseous palpation of bony landmarks, soft tissue palpation of muscles and ligaments, range of motion testing, and orthopedic tests for structures like the meniscus, ligaments, and patellofemoral joint. Specific tests described include the McMurray's test for the meniscus, Lachman's test for the ACL, drawer sign for the ACL and PCL, and tests for the MCL and LCL like the varus/valgus stress tests. Palpation, range of motion measures, and special tests can evaluate the bones, soft tissues, and function of the knee joint.

Uploaded by

ColeStreets
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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KNEE EXAM OSSEOUS PALPATION Patella Medial tibial plateau Tibial tubercle Medial femoral condyle Lateral tibial

al tibial plateau Lateral femoral condyle Joint line Gerdes Tubercle Fibula head

SOFT TISSUE PALPATION Quadricep muscles o Rectus femoris o Vastus medialis o Vastus lateralis o Vastus intermedialis Infrapatellar tendon Bursae: o Prepatellar o Superficial infrapatellar o Deep infrapatellar Medial meniscus: o Int rotate foot Medial collateral ligament: o Closed and open packed position Pes anserine area o Sartorius o Gracilis o Semitendinosus Lateral meniscus: o Ex rotate foot Lateral collateral ligament Closed and open packed position Popliteal fossa Popliteal artery Gastrocnemius muscle

RANGE OF MOTION Flexion 135 Extension 0

REFLEX Patellar

ORTHOS Meniscus B - Bounce Home Test o Pt flexes knee, dr holds heel, pt relaxes and drops knee A - Apleys Compression Test o Pt prone, knee @ 90, dr compresses & int & ext rotates leg M - McMurrays Test o Pt supine, flex leg, valgus stress, ext rotate foot, extend knee o Pt supine, flex leg, varus stress, int rotate foot, extend knee Plica Tests M - Mediopatella Plica Test o Pt supine, flex leg to 30, dr moves patella medial Ligamentous Instability D - Drawer Sign (test) ACL, PCL o Pt supine, bend knee foot on table, dr grasps behind leg pulls & pushes A - Apleys Distraction Test MCL, LCL o Pt prone, flex leg to 90, Dr distracts leg @ ankle & rotates leg int & ext A - Adduction Stress Test (aka. LCL Test) LCL, ACL, PCL o Closed pac: Pt supine, dr stabilizes med thigh, pushes low leg med o Open pac: Pt supine, flex 20-30, stabilize med thigh, push leg med A - Abduction Stress Test (aka. MCL Test) MCL, ACL, PCL o Closed pac: Pt supine, dr stabilizes lateral thigh, pushes low leg lateral o Open pac: Pt supine, flex 20-30, stabilize lateral thigh, push leg lateral L - Lachmans Test ACL o Pt supine, flex knee, dr reaches under & stabilizes opposite leg making a fulcrum for flexed knee, hold ankle with other hand, pt attempts to extend knee

Patellofemoral Dysfunction P - Patella Apprehension Test o Displace patella laterally or medially P Pattella test o Move patella around P Pattella (femoral) grind Test o Push patella down (S-I), pt contracts quad & lifts leg Knee Joint Effusion (fluid) P - Patella Ballottement Test o Pt supine, dr holds sup patella, w/other hand pushes patella I-S **Terrible Triad: ACL tear, meniscus tear, MCL tear

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