Knee Examination

Question 1

Knee history

-important questions

Answer 1

Nature of injury - direct, indirect, rotational, presence of locking, giving way?

Past Hx of knee issues

Question 2

Knee examination

• what to look for
• what should you do

Answer 2

Insepction - wasting, deformity, swelling, bruising

Palpation - effusion, local tenderness, popliteal swelling

Movement tests for range of movement

• straight leg raise => rule out quads tear
• compare extension on both sides => rule out locking
• McMurray => rule out meniscal tear
• Drawer => ACL, PCL injuries

Question 3

Knee examination

• imaging
• when would you do a knee xray?

Answer 3

AP, L Xray
Ottawa Knee Rules
-55+
-isolated patella tenderness
-fibula head tenderness
-can't flex 90
-cannot bear weight