Knee OSCE

Question 1

what is being assessed when looking at the knee?

Answer 1

gait and stance
standing: valgus/varus, deformity, popliteal
supine: scars, symmetry, swelling, wasting

Question 2

what are you assessing when feeling the knee?

Answer 2

temp
patella: tenderness, subluxation
Popliteal: swellings, cyst
Effusion(bulging): sweep medial, over and down, look for refil
effusion (tap): compress fluid above, press patella
joint line (flex knee): tenderness

Question 3

what are you assessing when moving the knee

Answer 3

active and passive ROM
palpate for crepitus

Question 4

which ligaments are assessed?

Answer 4

posterior cruciate
anterior cruciate
medial and lateral cruciate

Question 5

what is the sign of PCL damage

Answer 5

posterior sag

Question 6

what is the sign of ACL damage

Answer 6

anterior draw or lachmans

Question 7

what is the sign for MCL And LCL problems

Answer 7

valgus and varus stress

Question 8

what are the special tests

Answer 8

mcmurrays
flex hip and knee, extend knee in ext and int rotation, assess click/pain

Question 9

what else can be offered

Answer 9

examine joint above and below (hip and ankle)
LLNE and LVE