Medical examination with knee injury

Medical examination of the knee
Women are knee injuries, such as anterior cruciate ligament rupture, six times more than men.That includes a medical examination the knee?

When knee pain be sure to consult your doctor for a comprehensive examination.Check have two opinions: the sick and the healthy, and then to compare the results.The doctor will also look to see if the nerves and blood vessels are damaged.

knee injury: medical examination

Thus, the physician should:

  • a visual inspection for the presence of knee redness, swelling, warping or skin changes;
  • feel the knee to determine its temperature - hot or cool, reveal swelling, weakness, circulatory disorders and reactions to the touch;
  • estimate the amount of knee joint movement and sound while driving - the passive test, the doctor will bend your leg at the knee, and with the active you have to strain muscles and do it yourself;in this case the doctor will try to catch the crackling, creaking or clicking of the joint;
  • check ligament, giving joint stability.Testing takes pla
    ce in 4 stages:
  • valgus test - determining the degree of curvature of the limb inwards and varus test - determining deviations knees outwards;the patient lies on the examination table, the doctor puts one hand on his knee, and the second - on the ankle and the foot moves from side to side;
  • examination of the posterior cruciate ligament - the patient lies on a table, bending the knee at 90 degrees, the foot is completely adjacent to the surface of the table, the doctor wraps her hands knee and thumb presses on the top of the kneecap;
  • Lachman test reveals the anterior cruciate ligament rupture - the doctor gently bends his knee, one hand covers the hip, and the other - the upper part of the patient's leg and pulls the leg;
  • test offset pivot point also helps to detect damage to the anterior cruciate ligament - the patient pulls the leg, the doctor takes up the lower leg and removing the knee to the side, bend the joint.

Makmyurreya test is carried out if a doctor suspected a problem with the meniscus after studying the medical history and performing all of the above inspection steps.During the test, the patient lies on a table, the doctor is taken with one hand on his knee, the other - the patient's foot.The doctor lifts the leg, bending it at the knee, at the same time presses on the knee and rotates the leg.If the patient feels pain, heard and felt a Clicking in the knee, you can talk about the damage to the meniscus.

instrumental methods with a knee injury

In some cases it is advisable to carry out arthroscopy.For her, the doctor uses a special tool that allows you to identify the weakness of the knee joint.Arthroscopy is indispensable in cases where patient movement is difficult, he complains of severe pain in the joint, or the size of the patient's normal inspection difficult.The arthroscope is equipped with two optical sensors and manual pressure amplification function by means of which the doctor increases or decreases the pressure on the knee.The device is attached to the tibia so that the sensors are disposed on the kneecap and on the lip of the tibia.

inspection may also include other tests, which will allow the doctor to assess the extent of the damage and identify violations in other parts of the knee joint.

When the knee cool

In general, the knee is considered healthy if the results of the survey are as follows:

  • knee has a natural force;
  • patient does not feel pain in the knee when pressed;
  • both knees look and move the same way;
  • on joints and around it there are no traces of liquid;
  • when viewed from the knee ligaments and foot move normally;
  • at the knee joint movement or pressure on it does not sound crackles or cracking and creaking;
  • big toes pink and warm in the lower leg does not feel numb.

If any of these items is not true, for example, the pain is felt when pressed, perhaps we are talking about a knee injury.But the knee inspection results vary depending on whether it is produced damage in acute or chronic symptoms, as well as depending on the amount of time elapsed since the injury.Therefore, a mismatch the above is not necessarily evidence of abuse of the knee.The physician is guided by data examination and medical history.

Things to think about

All the tests give accurate information about the state of the joint only when the swelling of the knee small or non-existent, if the patient is able to relax the leg, and the doctor is free to move it.Otherwise it will be difficult to achieve accurate inspection results.

If knee hot, red or very swollen, you may need to make a puncture knee joint to remove fluid from the cavity.Puncture allows:

  • relieve pain and reduce the pressure in the joint, which makes physical examination more comfortable;
  • explore the joint fluid for signs of infection and assess the degree of inflammation;
  • in the presence of blood in the joint fluid to identify the gap ligament or cartilage;
  • confirm the possibility of a fracture in the presence of liquid fat.

Local anesthetics can be applied after the removal of fluid to relieve pain and facilitate the inspection and can be examined under general or spinal anesthesia before the arthroscopy knee.

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