1. Examination of the knee

2. History-taking

3. H/O Injury Yes No

4. Presenting Complaints Pain Locking Clicking Giving way Stiffness Loss of ROM

5. Understanding patient’s complaints Pain Only after activity At rest Gradual-onset Acute onset

6. Understanding patient’s complaints Locking v/s pseudo-locking

7. Understanding patient’s complaints Knee gives way

8. Understanding patient’s complaints Stiffness

9. Understanding patient’s complaints Clicking

10. Understanding patient’s complaints Loss of ROM

11. Examination

12. Exposure

13. Let the patient be comfortable and relaxed

14. Examine the knee from the same side

15. Examine standing

16. Examine walking

17. Deformity

19. Tell-tale sign

20. Muscle wasting indicates long- standing problem

21. Effusion

22. Fluid-shift test

23. Specific Point of tenderness ??

24. Examination for ligaments Compare with opposite side Look for ‘one more’ ligament injury Look for PCL injury

26. Quadriceps contraction Resting position (tibia subluxed) tibia moves anterior Quadriceps active test

27. Modified Lachmann Test

28. Tests for meniscus tear Mc Murray's Apley’s Squat test Xxx xxx

29. Patello-femoral joint Alignment Medio-lateral tissue balancing Crepitus Tenderness

32. To conclude… IDK means “I Don’t Know” Compare with the other side Patello-femoral joint is also there

33. Thank you for your kind attention

34. Be careful with... Patients with severe disease wanting a minimal-invasive option for their fully invaded disease

35. Be careful with... Patients asking for arthroscopy as MRI shows …