Examination of patient with posterior knee pain (a) Observation—standing. Obvious swelling or fullness of the posterior aspect of the knee joint suggests.

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WEEK 1 ORTHO CURRICULUM Lower Extremity H&P: Knee Exam.

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REPRODUCED WITH PERMISSION FROM BRITISH JOURNAL OF SPORTS MEDICINE162

Reproduced with permission from British Journal of Sports Medicine

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REPRODUCED WITH PERMISSION OF BRITISH JOURNAL OF SPORTS MEDICINE

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IMAGE COURTESY OF CYCLEFIT UK

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Examination of the patient with posterior thigh pain (a) Observation

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Lower Extremity H&P: Knee Exam

Rafael Walker-Santiago, M. D. , Victor Ortiz-Declet, M. D. , David R

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Examination of patient with posterior knee pain (a) Observation—standing. Obvious swelling or fullness of the posterior aspect of the knee joint suggests a Baker’s cyst. Inspection may reveal a biomechanical abnormality (b) Resisted movements—knee flexion in external tibial rotation. Resisted contraction of the popliteus tendon (c) Resisted movement—popliteus. With the patient supine, hips and knees flexed to 90° and the leg internally rotated, the patient is asked to ‘hold it there’ while the examiner applies an external rotation force (d) Palpation. This should be performed with the knee in flexion. Tenderness can be elicited over the hamstring tendons (shown), gastrocnemius origin or popliteus. It is helpful for the patient to gently contract and relax individual muscles that are being palpated in order for the examiner to precisely pinpoint the site of pain Source: Lateral, medial and posterior knee pain, Brukner & Khan’s Clinical Sports Medicine: Injuries, Volume 1, 5e Citation: Brukner P, Clarsen B, Cook J, Cools A, Crossley K, Hutchinson M, McCrory P, Bahr R, Khan K. Brukner & Khan’s Clinical Sports Medicine: Injuries, Volume 1, 5e; 2017 Available at: https://csm.mhmedical.com/DownloadImage.aspx?image=/data/books/1970/bru61384_3713.png&sec=168695555&BookID=1970&ChapterSecID=168695419&imagename= Accessed: January 01, 2018 Copyright © 2018 McGraw-Hill Education. All rights reserved