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The knee joint contains two crescent-shaped fibrocartilaginous structures, the menisci (medial and lateral), which serve as shock absorbers and stabilize the joint during movement. Each meniscus has an outer vascular zone (red-red zone), which has a good blood supply and healing potential as well as a central avascular zone (white-white zone ...
The knee examination, in medicine and physiotherapy, is performed as part of a physical examination, or when a patient presents with knee pain or a history that suggests a pathology of the knee joint. The exam includes several parts: position/lighting/draping; inspection; palpation; motion
Most commonly, varus and valgus stress to the knee is added. These variations constitute different tests with different statistical performance and should not be confused with the original. According to some sources, the sensitivity of the McMurray test for medial meniscus tears is 53% and the specificity is 59%.
This is often done by having the patient lying on his or her back, lifting the knee to push towards the patient's chest while the other leg is allowed to fall over the side of an examination table, and is pushed toward the floor, flexing both sacroiliac joints. The test can also be performed with the patient in the lateral recumbent position.
The valgus stress test or medial stress test is a test for damage to the medial collateral ligament of the knee. It involves placing the leg into extension, with one hand placed as a pivot on the knee. With the other hand placed upon the foot applying an abducting force, an attempt is then made to force the leg at the knee into valgus. If the ...
Physical examination will often show tenderness around the knee joint, reduced range of motion of the knee, and increased looseness of the joint. [2] Prevention is by neuromuscular training and core strengthening. [3] [4] Treatment recommendations depend on desired level of activity. [1]
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The patient should be supine with the hips flexed to 45 degrees, the knees flexed to 90 degrees and the feet flat on table. The examiner positions himself by sitting on the examination table in front of the involved knee and grasping the tibia just below the joint line of the knee.