Clinical examination of the knee: know your tools for diagnosis of knee injuries
Tóm tắt
The clinical evaluation of the knee is a fundamental tool to correctly address diagnosis and treatment, and should never be replaced by the findings retrieved by the imaging studies carried on the patient. Every surgeon has his own series of exams with whom he is more confident and on whom he relies on for diagnosis. Usually, three sets of series are used: one for patello-femoral/extensor mechanism pathologies; one for meniscal and chondral (articular) lesions; and one for instability evaluation. This review analyses the most commonly used tests and signs for knee examination, outlining the correct way to perform the test, the correct interpretation of a positive test and the best management for evaluating an injured knee both in the acute and delayed timing.
Tài liệu tham khảo
Post WR, Teitge R, Amis A: Patellofemoral malalignment: looking beyond the viewbox. Clin Sports Med. 2002, 21 (3): 521-46. 10.1016/S0278-5919(02)00011-X.
Fredericson M, Yoon K: Physical examination and patellofemoral pain syndrome. Am J Phys Med Rehabil. 2006, 85: 234-243. 10.1097/01.phm.0000200390.67408.f0.
Haim A, Yaniv M, Dekel S, Amir H: Patellofemoral pain syndrome: validity of clinical and radiological features. Clin Orthop Relat Res. 2006, 451: 223-228.
Naslund J, Naslund UB, Odenbring S, Lundeberg T: Comparison of symptoms and clinical findings in subgroups of individuals with patellofemoral pain. Physiother Theory Pract. 2006, 22: 105-118. 10.1080/09593980600724246.
Fulkerson JP, Kalenac A, Rosenberg TD, et al: Patellofemoral pain. AAOS Instr Course Lect. Edited by: Eilert RE. 1995, Rosemont, IL: AAOS, 41: 57-71.
Jackson DW: Reconstructive Knee Surgery. 2008, Philadelphia: Lippincot William and Wilkins
Post WR: Clinical evaluation of patients with patellofemoral disorders. Arthroscopy. 1999, 15: 841-851. 10.1053/ar.1999.v15.015084.
Sheehan FT, Derasari A, Fine KM: Q-angle and J-sign: Indicative of Maltracking Subgroups in Patellofemoral Pain. Clin Orthop Relat Res. 2010, 468 (1): 266-75. 10.1007/s11999-009-0880-0.
Insall JN, Scott WN: Surgery of the Knee. 2001, New York: Churchill Livingstone, 3
Canale ST, Beaty J: Campbell's Operative Orthopaedics. 2003, Philadelphia: Mosby inc. (Elsevier)
Karachalios T, Hantes M, Zibis AH, Zachos V, Karantanas AH, Malizos KN: Diagnostic accuracy of a new clinical test (the Thessaly test) for early detection of meniscal tears. J Bone Joint Surg Am. 2005, 87 (5): 955-62. 10.2106/JBJS.D.02338.
Neyret P, Le Blay G, Ait Si Selm T: Knee Clinical Examination. Maîtrise Orthopédique. 1996, 56 - septembre, [http://www.maitrise-orthop.com/corpusmaitri/orthopaedic/mo56_knee_joint/knee_joint.shtml]
Covey DC: Injuries of the posterolateral corner of the knee. J Bone Joint Surg Am. 2001, 83-A (1): 106-18.
Ranawat A, Baker CL, Henry S, Harner CD: Posterolateral Corner Injury of the Knee: Evaluation and Management. J Am Acad Orthop Surg. 2008, 16 (9): 506-518.
Rossi R, Bruzzone M, Dettoni F, Margheritini F: Clinical examination of the knee. Orthopedic Sports Medicine, Principles and Practice. Edited by: Margheritini F, Rossi R. 2010, Milan: Springer