A careful and precise examination of the knee is mandatory for correct diagnosis, and fundamental for decision-making. It must be preceded by a complete patient history in order to address the clinical examination, even if symptoms are often non-specific. In addition, the clinical examination must be bilateral and well standardized. Every surgeon must use those tests he or she is most confident with, variably combined to improve sensitivity. Imaging studies are used only to confirm the diagnosis formulated on the basis of history and clinical examination. The patellofemoral joint is frequently injured but meniscal lesions, chondral lesions, and instability are common as well. Although these injuries often coexist, they are discussed separately here in order to present a comprehensive and reproducible method of clinical assessment.
KeywordsExternal Rotation Tibial Plateau Joint Line Lateral Meniscus Pivot Shift
- 5.Fulkerson JP, Kalenac A, Rosenberg TD et al (1995) Patellofemoral pain. In: Eilert RE (ed) AAOS Instr Course Lect, vol 41, AAOS 57-71, Rosemont, ILGoogle Scholar
- 6.Jackson DW (2008) Reconstructive knee surgery. Lippincott William and Wilkins, PhiladelphiaGoogle Scholar
- 9.Insall JN, Scott WN (2001) Surgery of the knee, (3rd edn). Churchill Livingstone, New YorkGoogle Scholar
- 10.Canale ST, Beaty J (2003) Campbell’s operative orthopaedics. Mosby (Elsevier), PhiladelphiaGoogle Scholar
- 12.Neyret P, Le Blay G, Ait Si Selm T (1996) Knee clinical examination. Maîtrise orthopedique 56 — septembre 1996. http://www.maitrise-orthop.com/corpusmaitri/orthopaedic/mo56_knee_joint/knee_joint.shtmlGoogle Scholar