7/28/2019 5. Knee Assessment-PDF

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Knee Ass sment

Scan Exam

w over pressure

Hip Flexion, ExentiAbduction, Add

Internal, Extern

nction

al (leg c n be straight if hu ts knee to bend, or a 90)

Foot andAnkle

Plantarflexion,

Inversion, Ever

orsiflexi

ion

on

Observations

bumps, bruises

scars, redness

rash, psoriasis

Anteriorly genu varus (2 figenu valgum (t

patella trackingrotated, grasshdown and up ki

ngers nogether)

baja (dpper (ouetic chai

r

wt)in

al)

n), alta (up), sq inting-retroversion=patella medially

,

swelling, trauma Lateral genu recurvatu (hyper e tension)

Posterior Bakers cyst

popliteal fossa,pes planus (hel

folds bing sign inward), cavus (achilles out

ward)

Gait muscular imbalare they limbin

nce- hip? can th

flyexors/extensors,stand on both l

, lateral/mgs? weig

dial rotatot bearing?

rsbalance?

General color, texture, scars, bruising, deformity

Neurological

Nerve Root Dermatome yotome Reflex

L2 lat-med on top f thigh ip flexion

Reflex Response:

0=absent

es a era yL3 ant thigh to knee knee ext

1+=diminished

2+=normal

L4 to the floor oles together

=

4+=non sustained

L5 web 1-2nd toe ig toe up

, ,

clonus (rhythmicmovement in response

S1 lateral foot vert foot Achilles eel

to reflex)

5+=sustained clonus

S2 medial calf knee flex

* map out peripheral

*

Grading or normal or /5 2+ normal

Movement Active

Flexion tissue stretch/ approx 0-135

Resisted

Extension tissue stretch 0- -15

mos pa n u as* passive w

overpressure

Grade 5/5 Internal Extern

Rotation

l *knee at 90 &

dorsiflexion

abnormal en

-sudden/har-capsular (s

d feels:

(mm spasm/guard)ft- edema, hard-frozen)

Patella passive *inf/sup, med/l t glide

-boney (oste

-empty (pain

ophytes)

limits- bursitis)

Plantarflexion resisted gastroc cross s knee

-spr ngy o men sca

Palpation

Bony patella, patellafhead fibula (shipatella tendoniti

joint line (medi

moral jot A to P-is)

l and lat

inc

r

, femoral condynt invert/evert f

l)

lesot), tibial uberosity (osgood schlatters,

7/28/2019 5. Knee Assessment-PDF

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Knee Ass sment

location

size, shape, tone,

edema, temp

trigger points

Soft Tissue MCL, LCLmedial/lateral

patellar tendon,quads, hamstri

popliteal pulse (Bakers cyst, D

eniscus

pes ansgs, ITB,

found mT (heat,

(j

rig

dp

int lines)

ne tendon (bursstroc, popliteus

ial head of gastainful)

itis, tendo(V),

ocs), foss

itis)

a

Special Tests EffusionTests

1. Brush Wipe

2. Valgus Stres3. Varus Stress4. Lachmans T

5. Anterior Dra6. Posterior Dr

7. Posterior Sa

est- intr

s Test- MTest- LC

est- ACL

er Test-wer Test

Sign- P

CL

A -

C

rticular effusion

LCL

MeniscalTests

1. McMurrays (

2. McMurrays (3. Thessaly Te

4. Apleys Com5. Apleys Distr6. Bounce Ho

medial)-

lateral)- lt- menis

pression-ction- ce Test-

m

atu

lle

edial meniscus

eral meniscus s

eniscusteral ligamentsniscus

Notes

trauma: always test ACL

welling:

. 0-2 hours: ACL rupture

2. 6-24hours: meniscal

3. no swelling: MCL sprain

Condition Description

OA of knee degenerative disease of the knee joint- more in ppl over 40- more

women

prain/rupture MCL/LCL, ACL/PCL

Meniscal

amage

knee pain/swelling, worse when knee bears more weight, complaint is

joint locking, when px unable to straighten leg fully- clicking

prain Popliteus caused by injury (fall) when knee is straightened, chronic overuse due

to faulty biomechanics- symptoms- knee does not fully extend, or

blocked up on flexion of the knee

akers cysts swelling in popliteal space

es Anserine

ursitis

inflammatory of medial knee at bursa- pain when climbing stairs

atella

endonitis

frequent with jumping- overuse from repetitive overloading of the

extensor mechanism of the knee