KNEE JOINT examination

 

KNEE JOINT examination

Look

(inspection)

Feel

(palpation)

Move

Measure / special tests

Standing

  1. GAIT
  2. Skin (scar – sinus)
  3. Subcutaneous (swelling)
  4. Muscle (Quadriceps wasting)
  5. Bone (deformity): Genu varus, Valgus or recurvatum
Supine

Temperature

Tenderness

Bony promenents

  • Tibial plateau
  • Femoral Condyles
  • Patellar Griding test

Soft tissue

  • Medial and Lateral Collateral Ligaments
  • Patellar Ligament

Effusion

Patellar Tap

Fluid Shift

Fluctuation test

Flexion and extension

(0-140)

Active (1st)

Passive

Against resistance

Full range vs. limited rang

Painful vs. painless

KNEE STABILITY

  • Extension mechanism (Active SLR test)
  • Medial collateral ligament (stress valgus test)
  • Lateral collateral ligament (stress varus test)
  • PCL (posterior sag – posterior drawer test)
  • ACL (anterior drawer test – Lachmann test)
  • menisci (Mac Murry test)

MEASURE

Quadriceps wasting 15 cm above patella

Examination of joint above and joint below

Examination of sensory and motor innervations

Examination of peripheral circulation