Who knew that a standard knee assessment posted on YouTube.com would be viewed over 3 million times? Well that is exactly what happened when Dr Mark Hutchinson, professor of Orthopaedics and Sports Medicine at the University of Illinois Medical Centre, teamed up with the British Journal of Sports Medicine (BJSM) to develop a series of musculoskeletal physical examination videos, including a video on knee assessment.
Following the success of these videos, Professor Karim Khan, BJSM editor sat down with Dr Hutchinson to discuss the ‘pearls’ of knee examination in a BJSM podcast. Dr Hutchinson explains that a thorough understanding of the knee’s anatomy and a comprehensive subjective examination is required before undertaking the physical examination. This enables the clinician to postulate differential diagnoses and enhances clinical reasoning skills during the physical examination.
Dr Hutchinson points out that physical examinations should include aspects of inspection, palpation, range of movement, ligamentous and meniscal tests and tests of motor control. The weighting placed on the findings of tests should be determined by the subjective examination. During the physical examination he explains the importance of palpating the joint lines while performing the McMurray’s test and how thorough palpation can identify bony tenderness which may indicate a fracture.
Download and listen to podcast now and listen to:
- How to differentiate a haemarthosis from a joint effusion and why it matters
- The pros and cons of knee drainage
- Does my patient need ACL surgery or not?
- Management of patella dislocations
This expanded 4th edition of the Clinical Sports Medicine dedicates three chapters to the knee joint (Acute knee injuries; Anterior knee pain; Lateral, Medial and Posterior knee pain). And of course CSM4 as we like to call it has more than 4 hours of video material itself – developed specifically to augment the text. Every book comes with a sign-in code you can use on one computer. And remember, as with all chapters, the knee chapters not only outline the complete subjective and physical assessment of the knee, but guide the reader through the process of expert clinical reasoning.