Knee Examination: A Comprehensive Guide by Kevin E. Wilk, Exams of Anatomy

Download Knee Examination: A Comprehensive Guide by Kevin E. Wilk and more Exams Anatomy in PDF only on Docsity! Knee Examination – Wilk, KE page - 1 - Knee Examination _ Special Tests Kevin E Wilk, PT, DPT, FAPTA Champion Sports Medicine Birmingham, AL I. Introduction – a. Goals of examination: i. Establish differential diagnosis ii. Identify all involved structures iii. Identify all lesions iv. Identify factors contributing with disorder v. Establish prognosis & treatment plan Key to Successful Treatment is Recognition of Problem b. Specific Examination Process i. Orderly process ii. Pain – mechanical iii. Anatomy & biomechanics determine pathology iv. Identify functional limitations Function Instability --------Functional Disability c. Elements of Exam i. Subjective history ii. Inspection & observation iii. Palpation iv. ROM v. MMT vi. Special tests vii. NV assessment viii. Instrumented testing ix. Knee scoring assessment II. Components of Exam: a. Subjective history i. Chief complaint ii. Mechanism of injury iii. Did you hear or feel anything? iv. Swelling? Knee Examination – Wilk, KE page - 2 - 1. when 2. how much 3. early – late v. Pain level 1. location, severity, nature vi. level of function vii. previous injuries &/or surgery b. Inspection & Observation i. Watch gait pattern ii. Standing alignment iii. Joint effusion iv. Muscular atrophy v. Quadriceps control vi. Thrusting gait vii. Quad avoidance gait viii. Scars/incisions, etc ix. Level of mobility 1. level surface, stairs, sit to stand, etc… c. Palpation i. Patellar mobility (M-L, S-I) ii. Temperature iii. Effusion & swelling iv. Joint line 1. femoral side 2. meniscus 3. tibial side v. Collateral ligaments 1. MCL (proximal to distal) 2. LCL (entire structure) vi. Boney structures: vii. soft tissue palpation d. Objective Examination i. ROM (PROM& AROM) ii. Accessory motion iii. Flexibility assessment iv. Manual Muscle Testing