Move Active Vs. Passive Active Always to start with / not to cause pain More used in upper limb Must for assessment of muscle power Passive If need to.

Slides:

Advertisements

Similar presentations

CHAPTER 13: OFF-THE-FIELD EVALUATION

Advertisements

Tests Used to Evaluate Knee Injuries

WEEK 1 ORTHO CURRICULUM Lower Extremity H&P: Knee Exam.

Mark Clatworthy Orthopaedic Surgeon Knee Specialist Middlemore Hospital.

Musculoskeletal Assessment. History This is the information gathering and recording phase of the assessment. The history should give a clear idea of what.

Ultrasound Guided Injections in a Sports Medicine Practice Edward W. Kelly, MD October 7, 2013 Annual Orthopedic Care Team Conference.

Meniscus Injury/Knee Pain Matthew E. Mitchell M.D.

Orthopedic Clinical Pearls June 8, Case # 1 45 y/o man presenting with tearing injury to R elbow Pain settles in 15 minutes, movement normal No.

Neural mobilization Tests

Knee Examination Abdulaziz Al-Ahaideb MD,FRCSC. Orthopedic physical exam: Look Feel Move Special tests.

Knee Examination Dr.Kholoud Al-Zain Acknowledgment: Dr.Abdulaziz Alomar.

Spinal Trauma. Anatomy and Physiology  Vertebral Column  Spinal Cord.

Principles of Orthopedics INVESTIGATIONS Dr. Mohammed M. Zamzam Associate Professor & Consultant Pediatric Orthopedic Surgeon.

Musculoskeletal Radiology

Knee Injuries Sports Medicine 2.

Knee Injuries University of Debrecen Medical and Health Science Centre Department of Traumatology and Hand Surgery University of Debrecen Medical and Health.

WEEK 1 ORTHO CURRICULUM Lower Extremity H&P: Hip Exam.

MUNIR SAADEDDIN, FRCSED ASSOCIATE PROFESSOR & CONSULTANT COLLEGE OF MEDICINE KING SAUD UNIVERSITY Introduction to Orthopaedics.

EXAMINATION OF THE KNEE AND ASPIRATION TECHNIQUE C SNYCKERS.

Off-Field Injury Evaluation. Evaluation vs. Diagnosis O By law, ATC’s cannot diagnose O Education and training allow them to make quick and accurate judgment.

The Shoulder & Pectoral Girdle (2). Imaging X-ray shows sublaxation, dislocation, narrow joint space, bone erosion, calcification in soft tissues Arthrography.

The Meniscus. Anatomy Lies between the femur and the tibia Two menisci: lateral and medial Avascular- doesn’t have blood vessels inside (prevents it from.

History Taking in Orthopedics Prof. Mamoun Kremli AlMaarefa College.

MUNIR SAADEDDIN, FRCSED ASST. PROFESSOR & CONSULTANT COLLEGE OF MEDICINE KING SAUD UNIVERSITY Introduction to Orthopaedics.

Knee injuries Dr Abir Naguib.

Back & Neurological Examination Dr Munir Saadeddin FRCSed.

Assessment of the Musculoskeletal System. Skeletal System Bone types Bone types –Long bones, such as the femur, are cylindric with rounded ends; they.

Evaluation of a Painful Total Knee Arthroplasty Sarat Kunapuli, DO EASTERN OKLAHOMA ORTHOPEDIC CENTER.

Approach to Limb Pain in Children/Osteomyelitis

Orthopedic investigations Dr. Abdulrahman Algarni, MD, SSC (Ortho), ABOS Assistant Professor Consultant Orthopedic and Arthroplasty Surgeon.

Orthopedic investigations. Radiological Non Radiological (Laboratory)

OMT EVALUATION Dr. Asif Islam PT,SMC,UOS.. Goals of the OMT evaluation  The OMT evaluation is directed toward three goals: 1) Physical diagnosis  To.

Displacement Described as: Distal in relation to proximal Un-displaced Shift Sideways Shortening Distraction Angulation In all planes Rotation.

Introduction to Orthopedics Prof. Mamoun Kremli AlMaarefa College.

ORTHOPEDIC PHYSICAL ASSESSMENT BY Dr:Osama Ragaa Assistant prof. of physical therapy Batterjee college for medical sciences&technology.

Assessment of Musculoskeletal System By Dr. Hanan Said Ali.

Shoulder Examination Prof. Mamoun Kremli AlMaarefa College.

Lower limb injuries Richard Hardern. Content Knee, ankle, foot Anatomy History and examination Treatment of limb threatening problems.

Imaging studies of Lower limb Dr. Abubakr H. Mossa

CLINICAL EXAMINATION. Diagnostic approach depends upon assessment of function.

Ankle Evaluation. History How did this injury occur? –Mechanism of injury When? Where does it hurt? Did you hear any sounds or feel a pop? Any previous.

Popliteal (Baker’s) Cyst

Assessment of the Musculoskeletal System. Skeletal System Bone types Bone types –Long bones, such as the femur, are cylindric with rounded ends; they.

Athletic Training.  Injury History  Inspection and Observation  Pain and Palpation  Range of Motion  Manual Muscle Testing  Special Test  Functional.

Articular Cartilage Lesion – Chondral Defect

Principles Of Fractures(1)

Chronic osteomyelitis When the duration of osteomyelitis is more than 3 weeks, its called ch. Osteomyelitis. Causes- 1.Trauma causing open fractures. 2.Post.

Chapter 6 The Knee continued. Clinical Evaluation of Knee and Leg Injuries Evaluation Map – Page 196 Patient preparedness Compressive forces, shear forces,

© TANUVAS, 2011 EXAMINATION OF EQUINE FOR LAMENESS.

Understanding Medical Surgical Nursing, 4th Edition Musculoskeletal Function and Assessment.

 The menisci are C-shaped discs of fibrocartilage that are interposed between the condyles of the femur and tibia.  Primary function is load transmission.

INTRODUCTION TO Orthoaedic

Knee Examination Dr Abdulaziz Al-Ahaideb د عبدالعزيز الأحيدب.

Introduction to Orthopaedics

CT Scan vs MRI.

Knee Joint Assessment By : Fahad Iftikhar DPT.

Examination of the patient with anterior thigh pain (a) Passive movement—quadriceps stretch. A passive stretch of the quadriceps muscles is performed to.

HOPS: Palpation, Stress Tests

Fracture of the patella

Dislocation of the hip joint

HOPS: Palpation, Stress Tests

The Knee Some slides adapted from University of Wisconsin Medical School.

Orthopaedic examination

Lower Extremity H&P: Knee Exam

Orthopedic investigations

Orthopedic History & Physical Examination.

Bellwork What are 3 stress/special tests that we do?

Ultrasound Examinations Indications Evaluation of the site of pain (e.g. gall bladder). Evaluation of liver disease. Diagnosis of renal or ureter.

Presentation transcript:

Move Active Vs. Passive Active Always to start with / not to cause pain More used in upper limb Must for assessment of muscle power Passive If need to see difference from active More used in lower limbs

Range of movement Recorded in degrees Range of motion: Starting from resting xx degrees to xx degrees where motion stops Zero is the neutral or anatomical position of the joint e.g, ‘knee flexion 0–140 o means range of flexion from zero (the knee absolutely straight) through an arc of 140 o e.g, ‘knee flexion 20–90 o means flexion begins at 20 o (i.e. the joint cannot extend fully) and continues only to 90 o Do NOT use the words: ‘full’, ‘good’, ‘limited’, ‘poor’

Special tests Different for different joints e.g. Anterior Drawer Test for ACL tear in Knee e.g. Patellar tap for knee effusion e.g. Thomas Test for fixed flexion deformity of Hip Weight-bearing / gait Examination of all weight-bearing joints is not complete until weight-bearing is assessed!

Motor power grading 0 = No power I = fasciculation of muscle fibers – no movement II = move with gravity eliminated III = move against gravity VI = less than full power V = full power - normal

Structures affected Bones Joints Muscles Tendons Nerves

Diseases

Congenital

Diseases Congenital

Diseases Congenital Developmental

Diseases Congenital Developmental Infections / Inflammations

Diseases Congenital Developmental Infections / Inflammations

Diseases Congenital Developmental Infections / Inflammations Metabolic

Diseases Congenital Developmental Infections / Inflammations Metabolic Tumors / tumor-like

Congenital Developmental Infections / Inflammations Metabolic Tumors / tumor-like Neuromuscular Diseases

Congenital Developmental Infections / Inflammations Metabolic Tumors / tumor-like Neuromuscular Traumatic Diseases

Investigations Blood Imaging Special

Investigations – Blood Tests CBC, differential WBC, ESR C reactive protein Biochemistry Hormones Vitamin D Special

Investigations - Imaging X-rays: Low of 2s Two views: AP and Lateral Two joints: Above and Below Two sides: Right and Left Two occasions Two Doctors ! Special views: Obliques, Tunnel view, skyline, functional flexion / extension Arthrography: Shows intra-articular structures Functional in hip

Investigations - Imaging Other imaging techniques CT scan Bone components and fragment relations MRI (with / without contrast) Soft tissue Tumors Bone scan Functional: blood supply, infection

Investigations - Special Culture / sensitivity Manteaux test Serology Factors Sickling Genetic Biopsy Arthrocentesis (aspiration) Arthroscopy

Summary Orthopedic course is interesting, logic, makes sense, mechanics History Relate to function Detailed mechanism of injury in trauma Examination: Look, Feel, Move, Special Diseases All types of disease and injury