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Knee Assessment Clinical & Radiological

Dr. Rabi Solaiman, an Orthopaedic Surgeon at Monash Health, Melbourne, Australia, outlines the clinical and radiological approach to knee assessment including history, examination, and radiological imaging. Learn about the importance of preoperative templating and the summary of key evaluation steps.

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Knee Assessment Clinical & Radiological

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  1. KneeAssessmentClinical & Radiological Dr. Rabi Solaiman Orthopaedic Surgeon Monash Health, Melbourne, Australia

  2. History • Pain Profile • Site • Radiation • Severity • Aggravating Factors • Relieving factors • Analgesics

  3. History • Functional Profile • Oxford Knee Score • Walking tolerance • Medical Comorbidities • Diabetes • Obesity • IHD • PVD • Social History

  4. Examination • Look • Feel • Move • Measure

  5. Examination LOOK • Coronal Plane • Quadriceps Atrophy • Varus/Valgus • Position of Patella • scars • skin condition • Feet

  6. Examination LOOK • Sagittal Plane • Fixed Flexion • Hyperextension • Gait • Antalgic • valgus/varusthrust • foot drop • etc.

  7. Examination FEEL • Effusion • swipe test • Ballottement • Patella Tap Test

  8. Examination • Quad power • Quadriceps Lag • Range of Motion • Patella tracking • Patella grind test

  9. Examination • Quad power • Quadriceps Lag • Range of Motion • Patella tracking • Patella grind test

  10. FEEL • Systematic palpation • Femoral condyles • Joint line • Patella tendon • Hamstring insertion • Popliteal fossa

  11. FEEL • Stability • Load the individual compartments • Examination of the hip joint • Distal neurovascular examination

  12. Radiological Assessment • Weightbearing • AP • Rosenberg • Lateral • Patella Sky View

  13. Radiological Assessment • Weightbearing • AP • Rosenberg • Lateral • Patella Sky View

  14. Radiological Assessment • Weightbearing • AP • Rosenberg • Lateral • Patella Sky View

  15. Radiological Assessment • Weightbearing • AP • Rosenberg • Lateral • Patella Axial View • (Merchant, Sunrise)

  16. Radiological Assessment • Ultrasound  No role • CT scan  Rarely required • MRI  Osteonecrosis, OCD • Bone Scan  Rarely required

  17. PreopTemplating • Sizing the implant • Degree of varus/valgus malalignment • Dysplastic condyles • Bone deficiency • Extra Articular Deformity

  18. Preoperative Templating • Sizing implant • Distal femoral flexion • Posterior Condylar Offset • Tibial slope

  19. PreopTemplating Long limb alignment view • Sizing the implant • Degree of varus/valgus malalignment • Dysplastic condyles • Bone deficiency • Extra Articular Deformity

  20. Preoperative Templating • Long limb alignment view • Degree of varus/valgus malalignment • Dysplastic condyles • Bone deficiency • Extra Articular Deformity

  21. Preoperative Templating • Long limb alignment view • Degree of varus/valgus malalignment • Dysplastic condyles • Bone deficiency • Extra Articular Deformity

  22. Summary • Thorough History • Focused Examination • WeightbearingXrays

  23. Thank You

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