Knee Examination Hip Examination

1. Greeting, Introduction & Permission 1. Greeting, Introduction & Permission

2. Look 2. Look
a. SSCDW a. SSCDW
i. Any swelling i. Any scar
ii. Any scar ii. Any swelling
iii. Any color changes, bruises iii. Any color changes, Any bruises
iv. Any deformity : genu valgus, genu varus iv. Any Deformity, shortening of the leg
v. Any wasting : measure thigh circumference v. Any wasting
b. Anterior, Posterior, Lateral, Medial 3. Feel
c. Posterior Sag a. C-shaped tenderness
3. Feel b. Tender of the greater trochanter – OA, Trochanteric Bursitis
a. Patella tap c. Feel femoral pulse
b. Sweep d. Measure apparent length – xyphoid sternum to medial
c. Medial and lateral joint line tenderness malleolus compare both side
d. Tibial tuberosity for tenderness e. Measure true length – ASIS to medial malleolus compare
e. Patella tendon both side
f. Temperature f. Brian’s triangle to know supratrochanteric shortening
4. Move g. Thomas test – letak tgn dekat bawah patient, flex unaffected
a. Active movement : Flexion and extension hip, affected leg will show fixed flexed deformity.
b. Passive movement : Flexion and extension 4. Move
5. Special a. Flex, Extend, Abd, Add, Internal rotation, Ext rotation,
a. ACL = Anterior drawer, lachman test 5. Special
b. PCL = Posterior drawer. Posterior sag a. Trendelenburg test = pt stand, hold iliac crest, lift leg.
c. LCL = varus stress test Normally lift leg side will go up
d. MCL = Valgus stress test 6. Neurovascular
e. Med/Lat Meniscus = Med/Lat joint line tenderness, a. Check for sciatic nerve and foot drop
McMurray Test 7. Gait
6. Neurovascular a. Short limb gait
a. Pulse distal = dorsalis pedis, posterior tibia b. Trendelenburg gait
b. Sensation myotome, dermatome