Examination Mazyad Alotaibi

 Age – young, 20 ’ s, 50 ’ s, 60+  Occupation & Sports – carpet fitters, skiing, football  Site  Spread – usually localised  Onset – rapid, gradual  Duration  Behaviour - am  Symptoms – locking, giving way, agg and ease, stiffness  PMSH

 Posture  Gait  Swelling  Muscle wasting  Deformity

 Heat  Synovial Thickening  Compression Test

 Flexion  Extension

 Pain and Range  Valgus - MCL  Varus - LCL  Medial coronary  Lateral coronary  ACL – in flex  ACL – in ext – Lachman ’ s  PCL – in flex

 4 tests  Stabilise femur and palpate joint line  Looking for click, pain and apprehension  Not for acute  Foot in LR + MR

 Flexion - Prone  Extension – prone  PF pain – through range knee extension at 90, 60, 30 and 0 degrees knee flex

 Joint line  Tendons  Bursa  ligaments

 Resisted flexion in MR – differentiates popliteus with lateral meniscus  4 test – palp LCL