Physical Exam-Knee Flashcards Preview

MSK II > Physical Exam-Knee > Flashcards

Flashcards in Physical Exam-Knee Deck (12)
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1
Q

Where should you palpate a patient’s knee if you suspect a lateral collateral ligament tear?

A

LCL tears rarely occur in the middle of the ligament. You need to palpate the tibial and femoral attachments.

2
Q

What structures do you palpate in this patient as you move posteriolaterally?

A

Lateral joint line, anterior horn of the lateral meniscus, LCL, biceps femurs tendon and the IT band.

3
Q

What can you have the patient do to get a better angle for palpation of the LCL?

A

Have them lie down and make a figure 4

4
Q

What structures should you feel in this patient as you palpate medially?

A

Medial joint line, anterior horn of the medial meniscus, MCL, posterior horn of the medial meniscus, semimembranosus and semitendinosis.

5
Q

What is the most common location for a meniscal tear?

A

Posterior horn of the medial meniscus

6
Q

What muscles insert on the pes anserine region?

A

Sartorius, Gracilis and Semitendinosus

7
Q

What areas of the knee do you palpate for bursitis?

A

The lateral portion where the IT band crosses the lateral femoral epicondyle and the pes anserine.

8
Q

What elements are you looking for in inspection of the knee?

A

Gait (antalgic, shuffling), Swelling, Eccymosis, Atrophy and Varus/Valgus

9
Q

What components do you look for in the neurovascualar exam of the knee?

A

L4,L5,S1 sensation and distal pulses

10
Q

What are the special tests for knee effusion, meniscal tears and ligament tears?

A

Effusion (warm-cold-warm test and fluid wave), Meniscus (McMurray’s), Ligaments (Ant/Pos Drawer ACL test, Lachman’s ACL test, Varus(LCL)/Valgus(MCL) stress test).

11
Q

What is the most sensitive test for ACL injury?

A

Lachman’s Test

12
Q

What are the special tests for patellar injury?

A

Dislocation (Patellar apprehension test) and Patellofemoral (Patellar grind, retropatellar tenderness, Patellar shrug test)