The knee examination is a core skill - in this video, we demonstrate how to perform a KNEE EXAM for an Orthopaedic Clinical Skills OSCE, which should be one of the easier examination stations for medical students.
For a passing grade in your Clinical Skills OSCE, a knee assessment should have the following special tests:
- Anterior Drawer Test or Lachman's test
- valgus stress test
- varus stress test
BUT a McMurray's test is rarely used to test for meniscal damage as it is possible to cause additional trauma with this older aspect of the examination of a painful knee
Watch further orthopaedic examinations for your OSCE revision:
The Spine Examination:
• Spine Examination - Ba...
The Knee examination
• Knee Examination - Ho...
The Hip examination
• Hip Joint Clinical Exa...
The GALS examination
• GALS Screen - Gait, Ar... - Gait, Arms, Legs, Spine - GALS screen
This knee exam follows the standard "Look, Feel, Move" orthopaedic exam approach, and overall order as set out in MacLeods Clinical Examination
Knee pain and knee complaints are some of the most common reasons that patients will consult a doctor, so being able to correctly examine the knee is about more than just passing your orthopaedic OSCE station, it is about being able to assess a knee injury and understand what the causes of a painful knee are for each patient. This will apply whether during medical student training or the years as a doctor
Please note the examination of the knee joint in orthopaedics should technically also include the hip examination as you should always examine the joint above and the below the joint you are focusing your examination on
Performed by Dr James Gill
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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
However, during OSCE assessments, different medical schools, nursing colleges and other health professional courses will have their own preferred approach or order for a clinical evaluation - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.
#clinicalskills #kneeexam #DrJamesGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction
00:20 - Walking Test
00:31 - Visual Inspection of Knees
00:51 - Measuring Knee Size
01:17 - Checking Leg Length
01:46 - Palpation for Pain Assessment
03:15 - Leg Raise Tests
03:47 - Ligament Examination
04:32 - Conclusion