Knee/Thigh Regional Exam L Comments WNL ______□ R ©2014 by Professional Health Systems Inc

Knee/Thigh Regional Exam L Comments WNL ______□ R ©2014 by Professional Health Systems Inc

Knee Exam Form Knee/Thigh Regional Exam Check normal, circle & describe abnormal Patient:_________________________________ date: _________ Insurance: _____________________________________ (dd/mm/yr) CC & significant history: ____________________________________________________ Date of birth: ____________________________________ M/F __________________________________________________________________________ Fracture screen (tuning fork, percussion, torsion test, 5-step test): □ WNL □ Refer for X-ray: __________________________________________ Observation: □ WNL Palpation: □ WNL, □ pain (circle), □ spasm (s), □ edema (e), □ fibrotic (f), □ MFTP (x), □ ache (a), □ tingling (t) Development: □ good, □ fair, □ poor Palpation L R Palpation L R □ Posture: _________________________ Right Left □ Skin (bruising, scars): _______________ Quadriceps Saphenous vein □ Swelling: _________________________ Patella (facets, bursa) Popliteal fossa □ Asymmetry: _______________________ Patellar ligament Gastrocnemius heads Observation □ WNL L R Tibial tuberosity Baker’s cyst Retinaculum/plica Lateral hamstrings Toe in / out Adductor canal Iliotibial band (ITB) Arch low / high Pes anserine Popliteus Patella position (med, lat, ↑, ↓) Med. joint/meniscus Lateral collateral lig. Q-angle Med. femoral condyle Lateral joint/meniscus Genu varum / valgum MCL & capsule Lat. femoral condyle Femur rotated int. / ext. Medial hamstrings Lat. tibial condyle Iliac crest height Lumbar hyper / hypolordosis Knee hyperextended Leg length Gait analysis Vascular Screen: □ WNL Orthopedic: □ WNL Pulses (0-4) L R L R L R Popliteal pulse Ballotment/ Varus stress 0° buldge Tibial pulse Varus stress 30° Bounce home Dorsal pedial Pivot shift ROM & Joint Play: □ WNL McMurray’s Blanch test Patellar apprehen. Steinmann’s □ Pain at end ROM: __________________ Plica tests Anterior drawer □ Abnormal motion: __________________ Pat-femoral grind Neurologic: □ WNL Posterior drawer Clarke’s test Active Passive Slocum’s ROM Sensation, □ WNL L R Genu recurvatum Lachman’s L R L R Light touch Apley compression Ober/Renne Flexion (150°) Sharp/dull Apley distraction Valgus stress 0° Extension (0°) Hyperflexion test Internal rotation Reflexes (0-5), □ WNL L R Valgus stress 30° External rotation Patellar (L4) Hamstring (L5) Joint Play L R Comments Patellar (S1) Anterior glide Babinski Posterior glide Motor (0-5), □ WNL L R Medial tilt Med. hamstrings (L4-S1)(sciatic) Lateral tilt Lat. hamstrings (L4-S2)(sciatic) Patella Poplteus (L4-S1)(tibial) Internal rotation Additional procedures: □ WNL Hip adductors (L2-L4)(obturator) External rotation □ Hip exam: __________________________________ Sartorius (L2-L3)(femoral) A↔P tibia/fibula □ Ankle exam: _________________________________ TFL (L4-S1)(superior gluteal) Superior tib/fib □ Lumbosacral: _______________________________ Rectus femorus (L2-L4)(femoral) Hamstring stretch Vastus intermed. (L2-L4)(femoral) Quadricep stretch Vastus medialis (L2-L4)(femoral) DDx: Vastus lateralis (L2-L4)(femoral) other: Each item should be utilized as a diagnostic option based on the patient’s presenting symptoms and the clinical discretion Rapid Review DDx Rapid Review of the examiner. Every procedure does not have to be performed on every patient. Patient information contained within Signature: Date: this form is considered strictly confidential. Reproduction is permitted for personal use, not for resale or redistribution. ©2014 by Professional Health Systems Inc. All rights reserved. “Dedicated to Clinical Excellence.” FREE full sized download & printing for personal & classroom use available at www.prohealthsys.com 420 | Extremity Manual www.prohealthsys.com Vizniak 11-Appendix Index Extremity.indd 420 2014-01-19 3:43:26 AM.

View Full Text

Details

  • File Type
    pdf
  • Upload Time
    -
  • Content Languages
    English
  • Upload User
    Anonymous/Not logged-in
  • File Pages
    1 Page
  • File Size
    -

Download

Channel Download Status
Express Download Enable

Copyright

We respect the copyrights and intellectual property rights of all users. All uploaded documents are either original works of the uploader or authorized works of the rightful owners.

  • Not to be reproduced or distributed without explicit permission.
  • Not used for commercial purposes outside of approved use cases.
  • Not used to infringe on the rights of the original creators.
  • If you believe any content infringes your copyright, please contact us immediately.

Support

For help with questions, suggestions, or problems, please contact us