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Knee | ||||
History Location of pain Mechanism of injury Foot fixation Associated sounds or sensations Onset of injury Prior history of injury Inspection Girth measurements Anterior structures Alignment of patella Patellar malalignment or dislocation (shifting of patella away from its central position on trochlea) Ruptured patellar tendon (A unilaterally high-riding patella, when accompanied by spasm of the quadriceps muscle group) Patellar tendon Quadriceps muscle group Alignment of the femur on the tibia Genu valgum (“Knock knees” angle of less than 180 degrees) Genu carum (“bowlegs” angle greater than 195 degrees) Genu recurvatum (hyperextension) Tibial tuberosity Osgood-Schlatter disease Medial Structures Oblique fibers of vastus medialis Lateral structures Fibular head Posterior tibial sag (Posterior cruciate ligament deficiency) Hyperextension Posterior structures Hamstring group Popliteal fossa (Popliteal cyst/ Baker’s cyst) Palpation Anterior structures Patella Patellar tendon Tibial tuberosity Quadriceps muscle group Sartorius Medial structures Joint line/meniscus Medial collateral ligament Medial femoral condyle and epicondyle Medial tibial plateau Pes anserine tendon and bursa Semitendinosus tendon Gracilis Lateral structures Joint line/meniscus Fibular head Lateral collateral ligament Popliteus tendon Biceps femoris Iliotibial band Posterior structures Popliteal fossa Hamstring muscle group Determination of intracapsular versus extracapsular swelling Sweep test (Swelling within the joint capsule) Ballotable patella Range of Motion Tests AROM, PROM(flexion and extension), RROM (flexion, extension, isolating the sartorius) Ligamentous Tests ACL Instability Anterior drawer test Lackman's test Alternate (Modified) Lackman's test PCL Instability Posterior drawer test Godfrey's test MCL Instability Valgus stress test LCL Instability Varus stress test Proximal tibiofibular sydesmosis Tibiofibular translation test Neurologic Tests Peroneal nerve Femoral nerve Sciatic nerve Lumbar nerve roots Sacral nerve roots Special Tests Rotary knee instability Slocum drawer test Crossover test Pivot shift test Slocum ALRI test Flexion-Rotation drawer test Meniscal tears McMarry's test Appley's compression test Appley’s distraction test ITB friction syndrome Noble's compression test Ober's test (for iliotibial band tightness) Osteochondral Defects of the knee Wilson’s test Criteria for Return to Competition Co-contraction test, carioca test, and shuttle run test |