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Knee Exam
Mar 31, 2010
•
Mark Morgan
categories:
Musculoskeletal & Rheumatology
Objective/Exam
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KNEE: On inspection ***contours of the joint are normal/the joint is hypertrophic/there are irregular bony prominences palpable at the joint margins/the knee is swollen with effusion/there is reduced ROM/there is normal ROM***.
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Muscle atrophy evident: ***yes/no***
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Pain on resisted extension: ***yes/no***
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Strength on extension against resistance: ***normal/decreased***
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Effusion (fluid wave check or patellar palpation): ***none/mild/moderate/large***
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Patellar crepitus: ***none/present***
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Patellar pain: ***at medial patella undersurface/at lateral patella undersurface***
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Joint line pain: ***none medially or laterally/medially but not laterally/laterally but not medially/both medially and laterally***
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Tendon pain: ***No pain with palpation of the patellar and quad tendons/Pain with palpation of the patellar tendon but not quadriceps tendon/Pain with palpation of the quadriceps tendon but not patellar tendon/Pain with palpation of the patellar and quad tendons***
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McMurray: ***negative for crepitus and pain/McMurray positive for medial crepitus and pain/positive for medial crepitus without pain/positive for lateral crepitus and pain/positive for lateral crepitus without pain***
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Bursal swelling or pain: ***No swelling or pain over the pes anserine bursa/pain with palpation over the pes anserine bursa/pain and swelling evident with palpation of the pes anserine bursa***.
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ROM: ***normal/Flexion is limited/Extension is limited***
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Collateral ligament testing: ***shows no laxity or pain/shows medial collateral ligament pain without laxity/show lateral collateral ligament pain without laxity/shows medial collateral ligament pain and laxity/shows lateral collateral ligament pain and laxity***.
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Anterior drawer test and Lachman: ***shows no anterior cruciate laxity/shows ACL laxity***
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Posterior drawer: ***shows no laxity/shows PCL laxity***.
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Popliteal space: ***with/without mass or tenderness***.
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