Knee Joint Assessment

1
Knee Joint Assessment

• Dr Steve Reid
• Sports Physician
• 36 Collins Street, Hobart

2
Gradual Onset Knee Pain

• Patellofemoral pain syndrome
• Anterior knee pain sometimes large area
• Worse on stairs and hills
• Worse with sitting
• Patellar tendinopathy
• Anterior knee pain
• May warm up
• Worse after activity
• ITB friction syndrome
• Lateral
• Running, cycling
• May click

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Gradual Onset Knee Pain

• Osteoarthritis
• Medial
• Lateral
• Anterior
• Swelling
• Past history
• Injury
• Surgery

• Degenerative meniscal tear
• Medial or lateral
• Swelling
• Squatting/turning
• Juvenile
• Anterior knee pain
• Osgood Schlatters
• SLJ
• Patellar tendinopathy

4
Examination

• Knee alignment
• Valgus
• Varus

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Examination

• Foot mechanics
• Pes planus
• Pes cavus

6
Examination

• Proximal stability
• Anterior view
• Posterior view
• Associated pain?
• Gait

7
Examination

• Effusion
• Joint line tenderness
• Patellar tendon origin
• Patellar tendon insertion
• Patellofemoral joint

8
Examination

• Stability
• ACL
• PCL
• MCL
• LCL

9
Examination

• Meniscal provocation test
• ITB test

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Investigations

• Plain x-ray

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Investigations

• Aspiration
• May be diagnostic and therapeutic

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Investigations

• Ultrasound scan
• Patellar tendinopathy
• ITB friction syndrome
• Not collateral ligaments

13
Investigations

• CT scan
• Bony detail
• Not for meniscal or ligament injuries

14
Investigations

• MRI
• Meniscal tears

15
Investigations

• MRI
• Ligament injuries
• Bone oedema