Knee examination Flashcards
How might a Baker’s Cyst present?
Fluid-filled swelling in the popliteal fossa which is sometimes painful
What might posterior sag of the tibia indicate?
A posterior cruciate ligament (PCL) tear
Which special test would you do for a suspected injury to the anterior cruciate ligament (ACL)?
Anterior drawer or Lachman’s Test
How would you test for hyperextension of the knee?
Fix the thigh just above the knee and lift the ankle. Hyperextension might also be visible on inspection
Damage to which nerve can cause foot drop?
Peroneal nerve
What are common signs/symptoms of a meniscal tear?
Pain, joint line tenderness, effusion, history of locking or giving way
How would you test for a small effusion of the knee?
Bulge sign.
Stroke the medial side of the knee upwards towards the suprapatellar pouch, emptying the medial compartment of fluid. Now stroke the lateral side of the knee downward and see if a bulge appears back on the medial side.
On which area of the foot is the skin innervated by the tibial nerve
The sole of the foot
The common peroneal nerve is responsible for which movement or movements of the foot?
Dorsiflexion of the foot and extension of the greater toe
Identify the collateral ligaments on the diagram
Which test would you do for a medium size effusion and how would you do it?
Patella tap test.
Slide your hand down the patient’s thigh, compressing the suprapatellar pouch, forcing excess fluid behind the patella. With your other hand, press down gently with 2 or 3 fingers to see if the patella bounces or taps the femur behind.
Identify the quadriceps tendon and patellar ligament in the diagramme