Knee Pain

Question 1

Knee Pain Differentials

Answer 1

ACL
Meniscus
Collateral ligament
Patellofemoral pain syndrome
Gout
Pes anserine bursitis (anteromedial, worse stairs)
Osteoarthritis (joint line tender)

Question 2

Knee Pain OMT

Answer 2

MFR knee (direct or indirect)
VMO strengthening
Popliteal spread

Question 3

Knee Pain Plan

Answer 3

XR AP lateral and sunrise view (fx OA gout)
MRI for soft tissue
RICE
NSAIDs
Rehab exercises

Question 4

Knee Pain ROS

Answer 4

Pop sound
Swelling
Red or Hot
Fever
Stiffness
Worse w stairs
Other joint probs or injuries (family?)
Gait problems

Question 5

Knee Pain Exam

Answer 5

Heart and lungs
BILATERAL knee exam
Inspect and palpate both
Unaffected knee first
Effision (ballotment)
Posteromedial knee for pain
Bulge sign (leg straight, milk, lateral knee tap)
Balloon sign
7 Stabilizing Structures of the knee
Anterior and posterior drawer test
Lachman test
McMurray's test (90 deg, twist, straighten, click/pain)
Valgus and Varus
Patellar movement
Patellar tendon
Hip Rotation/ Ankle ROM/ Lower leg swelling
Pedal pulses

Question 6

7 Structures of the knee

Answer 6

Medial and Lateral meniscus
Anterior and Posterior Cruciate ligament
Medial and Lateral Collateral Ligament
Patellar tendon