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The straight leg raise is a test that can be performed during a physical examination, with the leg being lifted actively by the patient or passively by the clinician. If the straight leg raise is done actively by the patient, it is a test of functional leg strength, particularly the rectus femoris element of the quadriceps (checking both hip flexion and knee extension strength simultaneously).
Knee replacement surgery can be performed as a partial or a total knee replacement. [3] In general, the surgery consists of replacing the diseased or damaged joint surfaces of the knee with metal and plastic components shaped to allow continued motion of the knee.
For both legs compare true (ASIS to medial malleolus) and apparent (umbilicus to medial malleolus) leg length. Ask the patient to: "put your heel onto your bottom" to test knee flexion. Place your hand over the knee and then the hip joints feeling for crepitus as the patient moves these joints.
If the anterior movement of the affected knee is greater than the unaffected knee, then the anterior drawer test is positive. The Lachman test is more sensitive than the anterior drawer test. For the Lachman test, the person lies down in supine position with the knee flexed at 20 degrees and the heel touching the bed. The tibia is then pulled ...
These treatments have been shown to have positive results for patients who have articular cartilage damage. They can provide some measure of pain relief, while slowing down the accumulation of damage, or delaying the need for joint replacement ( knee replacement ) surgery.
Joint replacement is a procedure of orthopedic surgery known also as arthroplasty, in which an arthritic or dysfunctional joint surface is replaced with an orthopedic prosthesis. Joint replacement is considered as a treatment when severe joint pain or dysfunction is not alleviated by less-invasive therapies.
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A difference of greater than 10-15° indicates a positive test and likely injuries to the posterolateral knee. Next, repeat the test with the patient's knees flexed at 90°. Increased rotation at 90° indicates a combined PCL and posterolateral knee injury. If the rotation decreases compared to 30°, then an isolated PLC injury has occurred. [7 ...