THE KNEE Flashcards
Palpate the patella
patient supine
identify bade of patella - palpate border
continue down lateral aspect to apex
then up medial aspect
palpate the tibial tubercle
patient supine
palpate apex
slide fingers distally to the tibia - approx 4cm
palpate full extent
palpate head of fibula
knee in flexion - follow hamstring tendons - palpate 2cm from line
palpate full extent
palpate the knee joint line
patient crook lying - foot fixed
find gap between femoral and tibial condyles
medial joint line - from the patella to the medial tibial condyle - use lateral counter pressure
lateral joint line - from the patella apex to lateral tibial condyle
what is the classifcation of the knee joint
biaxial, complex, modified hinge joint
demonstrate full ROM for knee flexion
patient supine
bring heel to buttock
demonstrate full ROM for knee extension
patient supine
static quad contraction to lift heel off plinth
demonstrate full ROM for knee medial rotation
patient sitting over edge of plinth
dorsiflex foot - turn feet out
demonstrate full ROM for knee lateral rotation
patient sitting over edge of plinth
dorsiflex foot - turn feet in
what is normal ROM for knee flexion
0-135
what is normal ROM for knee extension
0-5 - very variable
what is normal ROM for knee medial rotation
0-40
what is normal ROM for knee lateral rotation
0-25
what is the limiting factors for knee flexion
contact of calf with posterior thigh
what is the limiting factors for knee extension
MCL, PCL, LCL and ACL all taught
extent of articular surfaces