The Musculoskeletal System
In most of the objective structured clinical examinations (OSCE), there must be at least one and usually two stations from the musculoskeletal system. It can be either a brief history taking with focused physical examination station or a detailed physical examination station. It can be related to any joint. Practicing all the joints is equally important. It is very important to first memorize the sequence of various tests that need to be performed and, second, practice each test well. The examiner will be watching and it is very important to perform each test properly. Also take care of the patients. Inform them about what to expect and avoid using excessive force while assessing joints. Time management is also key to success in these stations. Customizing the history part and picking up only the most important and relevant tests will be essential. Sufficient time (about a minute) should be allocated for a wrap-up in the end.
This chapter outlines musculoskeletal system topics that are important for OSCE. An overview of the pattern of history taking is given in the start of the chapter. Physical examination checklists are given for a quick review. Most of the tests are shown in pictures as well. Some important topics, such as ankylosing spondylitis, carpal tunnel syndrome, and ankle sprain, are also included.
KeywordsCervical spine examination Lumbar spine Lumbar spine examination Low back pain Ankylosing spondylitis Shoulder examination Elbow examination Hand and wrist examination Carpal tunnel syndrome Hip examination Knee examination Ankle sprain
- 1.McRae R. Ch 1. General principals in the examination of a patient with an orthopaedic problem. In: Clinical orthopaedic examination, 4th ed. UK: Churchill Livingstone. 1998. p. 7.Google Scholar
- 3.Ch 9. The musculoskeletal exam. In: Hall J, Piggott K, Vojvodic M, Zaslavsky K (eds). Essentials of clinical examination handbook, 6th ed. New York, USA: Thieme. 2010. p 159–161.Google Scholar
- 4.Hurley KF. Ch 6. Musculoskeletal system, cervical spine: examination. In: OSCE and Clinical skills handbook, 2nd ed. Toronto: Elsevier Canada. 2011. p. 185–188Google Scholar
- 5.Della-Giustina D. Acute low back pain: recognizing the “red flags” in the workup. Consultant. 2013;53(6):436–40.Google Scholar
- 9.McHale KJ, Park MJ, Tjoumakaris FP. Ch 2. Physical examination for meniscus tears. In: Kelly JDIV, editor. Meniscal injuries: management and surgical techniques. New York: Springer Science + Business Media; 2014.Google Scholar