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KNEE EVALUATION

Historical Clues to Knee Injury Diagnoses Noncontact injury with “pop”ACL tear Contact injury with “pop”MCL or LCL tear, meniscus tear, fracture Acute

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Page 1: Historical Clues to Knee Injury Diagnoses Noncontact injury with “pop”ACL tear Contact injury with “pop”MCL or LCL tear, meniscus tear, fracture Acute

KNEE EVALUATION

Page 2: Historical Clues to Knee Injury Diagnoses Noncontact injury with “pop”ACL tear Contact injury with “pop”MCL or LCL tear, meniscus tear, fracture Acute

Historical Clues to Knee Injury Diagnoses

Noncontact injury with “pop” ACL tear

Contact injury with “pop” MCL or LCL tear, meniscus tear, fracture

Acute swelling ACL tear, PCL tear, fracture, knee dislocation, patellar dislocation

Lateral blow to the knee MCL tear

Medial blow to the knee LCL tear

Knee “gave out” or “buckled” ACL tear, patellar dislocation

Fall onto a flexed knee PCL tear

Page 3: Historical Clues to Knee Injury Diagnoses Noncontact injury with “pop”ACL tear Contact injury with “pop”MCL or LCL tear, meniscus tear, fracture Acute

Observe

Genu valgum Genu varum

Page 4: Historical Clues to Knee Injury Diagnoses Noncontact injury with “pop”ACL tear Contact injury with “pop”MCL or LCL tear, meniscus tear, fracture Acute

Surface Anatomy - Anterior, Extended

Patella

Hollow

Indented

Page 5: Historical Clues to Knee Injury Diagnoses Noncontact injury with “pop”ACL tear Contact injury with “pop”MCL or LCL tear, meniscus tear, fracture Acute

Normal Knee – Anterior, Flexed

Patella

Head OfFibula

TibialTuberosity

Page 6: Historical Clues to Knee Injury Diagnoses Noncontact injury with “pop”ACL tear Contact injury with “pop”MCL or LCL tear, meniscus tear, fracture Acute

Surface Anatomy - Medial

TibialTuberosity

JointLine

MedialTibial Condyle

Patella

Medial FemoralCondyle

Page 7: Historical Clues to Knee Injury Diagnoses Noncontact injury with “pop”ACL tear Contact injury with “pop”MCL or LCL tear, meniscus tear, fracture Acute

Palpation - Medial

Pes anserine bursa**

Medial Collateral Ligament (MCL)*

Medial joint line

Page 8: Historical Clues to Knee Injury Diagnoses Noncontact injury with “pop”ACL tear Contact injury with “pop”MCL or LCL tear, meniscus tear, fracture Acute

Surface Anatomy – Lateral

Quadriceps

Head OfFibula

Patella

TibialTuberosity

Page 9: Historical Clues to Knee Injury Diagnoses Noncontact injury with “pop”ACL tear Contact injury with “pop”MCL or LCL tear, meniscus tear, fracture Acute

Palpation – Lateral

Lateral Collateral Ligament (LCL)**

Lateral joint line