Knee Exam Flashcards

1
Q

look

A

alignment (varus/valgus)
muscles
popliteal fossa
gait
skin changes

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2
Q

feel

A

temperature
tibial tuberosity
patellar tendon
joint line
collateral ligaments
bursa (pre-,supra- + infrapatellar & popliteal)
popliteal fossa

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3
Q

move

A

flexion (active + passive- crepitus)
extension (STRAIGHT LEG RAISE)

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4
Q

special test for extensor mechanism

A

STRAIGHT LEG RAISE

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5
Q

special test for meniscal injury

A

STEINMAN’S

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6
Q

special test for cruciate ligaments

A

PCL- posterior drawer test, ACL- Lachman’s

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7
Q

special test for small effusion

A

MEDIAL GUTTER SWEEP TEST

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8
Q

special test for large effusion

A

PATELLAR TAP

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9
Q

special test for collateral ligament injuries

A

VALGUS (medial)/VARUS (lateral) STRESS OFF BED

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10
Q

special test for locked knee (meniscal tear)

A

HEEL HEIGHT TEST

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11
Q

*special test for patellar instability

A

LATERAL PATELLAR APPREHENSION TEST

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12
Q

*special test for patellar OA

A

PATELLAR GRIND

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13
Q

how to perform STRAIGHT LEG RAISE

A

w/ patient lying flat, ask them to lift heel off bed with leg straight

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14
Q

how to perform MEDIAL GUTTER SWEEP TEST

A

sweep around patella medially then lateral, observe if fluid moves back medially

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15
Q

how to perform PATELLAR TAP

A

ballot patella whilst holding suprapatella

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16
Q

how to perform STEINMAN’S TEST

A

with knee flexed rotate foot away from affected side (medially or laterally)

17
Q

how to perform POSTERIOR DRAWER + LACHMAN’S TESTS

A

w/ knee flexed + sitting on patient foot on bed, push posteriorly (PCL) and pull anteriorly (ACL) on tibia

18
Q

how to perform COLLATERAL LIGAMENT TESTS

A

with leg hanging off bed above knee, apply varus (medial) or valgus (lateral) stress by pulling ankle medially or laterally

19
Q

how to perform HEEL HEIGHT TEST

A

w/ patient lying on front with legs off bed above knees, check if heels are at same height