Knee Exam

Question 1

what would you inspect in a knee exam

Answer 1

scars, swelling, hyperextension, bakers cyst, valgus, varus wasting
gait

Question 2

what would you palpate in a knee exam

Answer 2

temperature
quads tendon
borders of patella
back of knee
patella tap - one hand compress suprapatellar pouch then tap with other hand
bulge test - one hand sweep medially up knee then other hand comes down laterally
palpate knee at 90 degrees

Question 3

what would you move in a knee exam

Answer 3

actively flex and extend knee
passively flex and extend knee whilst feeling for crepitus

Question 4

what is a posterior sag test

Answer 4

knee flexed to 90 + inspect from side if there is a sag of upper tibia - suggests pcl damage

Question 5

what is an anterior draw test

Answer 5

knee flexed 90 + fingers behind knee and thumbs on tibial tuberosity pull forwards - lots of movement = acl damage

Question 6

what are the medial and lateral collateral ligament test

Answer 6

flex knee to 20 grab patients heel with one hand while exerting pressure against inside of knee (lateral) apply medial pressure on outside of knee (medial)

Question 7

what would you offer to complete knee exam

Answer 7

examine hip and ankle
examine neurovascular status