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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
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]
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.
The examiner's fingers monitor the medial joint space for gapping while placing the opposite hand on the ankle. The knee is placed in 20° of flexion. The examiner then uses their own thigh as a fulcrum at the knee and applies a valgus force (pulling the foot and ankle away from the patient's body).
Running long distance can cause pain to the knee joint, as it is a high-impact exercise. [2] The location and severity of knee pain may vary, depending on the cause of the problem. Signs and symptoms that sometimes accompany knee pain include: [1] Swelling and stiffness; Redness and warmth to the touch; Weakness or instability; Popping or ...
[3] [10] The knee joint may exhibit noises such as clicking. [7] However, this has no relation to pain and function. [11] [12] Giving-way of the knee may be reported. [7] Reduced knee flexion may be experienced during activities. [13]
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Diagnosis of knee osteoarthritis often entails a physical examination, assessment of symptoms and the patient's medical history, but may also involve medical imaging and blood tests. [1] Persistent knee pain, limited morning stiffness and reduced function, crepitus , restricted movement, and bony enlargement appear to be the most useful ...