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Knee Assessment Clinical & Radiological

Knee Assessment Clinical & Radiological. Dr. Rabi Solaiman Orthopaedic Surgeon Monash Health, Melbourne, Australia. History. Pain Profile S ite R adiation S everity A ggravating Factors R elieving factors A nalgesics. History. Functional Profile Oxford Knee Score

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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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