Table of Contents
- Examination Structure
- Opening
- Look
- Feel
- Move
- Special Tests
- Overall Assessment
- Examination Checklist Table
- Examiner Details
- Visual Aid
Knee Clinical Examination Station
The task involves examining a patient with pain in the right knee.
Examination Structure
The examination is structured into several key components: Opening, Look, Feel, Move, and Special Tests. Each section has specific procedures and weightage for assessment.
Opening
- Introduction, Privacy, Permission & Exposure: 2 marks
- Deformity and Extra: 1 mark
Look
- Inspect for deformity, skin, muscle bulk, and bony landmarks: 1 mark
- Examination of the back of the knee: 1 mark
Feel
- Assess tenderness (general and localized):
- Quadriceps, Patella, Patellar tendon, Tibial tuberosity, Origin, and insertion of collateral ligaments: 2 marks
- Joint-line tenderness (medial and lateral): 1 mark
- Temperature comparison (right vs. left, distal vs. proximal): 1 mark
- Examination of the back of the knee for baker’s cyst and tenderness: 1 mark
Move
- Active movement first for general screening of pain, followed by passive movement: 1 mark
- Assess Flexion & Extension: 1 mark
- Check for Effusion using either Milking OR Patellar Tap: 2 marks
Special Tests
- Assess Collateral Ligaments using Varus and Valgus stress at 30 degrees: 2 marks
- Evaluate ACL & PCL using Lechemann OR Drawer test OR Pivot Shift test: 1 mark
- Assess PCL using Drawer test OR posterior Sag test: 1 mark
- Evaluate Meniscus using McMurry’s test OR Medial & Lateral joint tenderness: 2 marks
- Perform Patellar test using Patellar Tracking OR Patellar Grinding: 1 mark
Overall Assessment
- Attitude with the patient: 1 mark
- Total Marks: 22
Examination Checklist Table
| Item | Procedure | Weight | Marks |
|---|---|---|---|
| Opening | Introduction, Privacy, Permission & Exposure | 2 | |
| Deformity and Extra | 1 | ||
| Look | Skin, Muscle bulk, bony landmarks | 1 | |
| Back of knee | 1 | ||
| Feel | Tenderness (General, Localized): Quadriceps, Patella, Patellar tendon, Tibial tuberosity, Origin, and insertion of collateral ligaments | 2 | |
| Joint-line tenderness, medial and lateral | 1 | ||
| Temperature: compare R & L, distal & proximal | 1 | ||
| Back of knee, baker’s cyst and tenderness | 1 | ||
| Move | Active first: General screening for pain, then passive | 1 | |
| Flexion & Extension | 1 | ||
| Effusion: Milking OR Patellar Tap | 2 | ||
| Special Tests | Collateral Ligaments: Varus and Valgus stress at 30 degree | 2 | |
| ACL & PCL: Lechemann OR Drawer test OR Pivot Shift test | 1 | ||
| PCL: Drawer test OR posterior Sag test | 1 | ||
| Meniscus: McMurry’s test OR Medial & Lateral joint tenderness | 2 | ||
| Patellar test: Patellar Tracking OR Patellar Grinding | 1 | ||
| Overall | Attitude with patient | 1 | |
| Total Marks | 22 |
Examiner Details
- Examiner Name: …
- Signature: …
Visual Aid
