Knee OSCE

Question 1

What is the normal Q angle of the knee

Answer 1

15 degrees

Question 2

Where does the doc place his hands for a ER and IR tibiofemoral SD

Answer 2

One hand on the lateral aspect of the patient’s foot and the other on the medial tibial plateau to monitor glide

Question 3

Define an adduction SD of the tib/fib

Define an abduction SD of the tib/fib

Answer 3

Ease of motion with valgus force, restricted to varus. Ease of medial translatory motion

Ease of motion with varus force, restricted to valgus. Easde of lateral translatory motion

Question 4

Define an anterior and posterior fibular head SD

Answer 4

Anterior - ease of glide anterior, restricted glide posterior

Posterior - ease of glide posterior, restricted glide anterior

Question 5

Define how to do a posterior fibular head SD MET

Answer 5

Patient supine

Doc then everts, abducts, and dorsiflexes foot while externally rotating lower leg. Patient moves foot medially against resistance

Question 6

Define how to do a Anterior Fibular Head SD MET

Answer 6

Patient supine/seated

Doc induces an inversion, adduction, and plantar flexion of the foot, while also internally rotating lower leg. Patient moves laterally against resistance for MET