Examination Form

The knee symptom form and Examination form are to help General practitioners, Sports Physicians and Physiotherapists refer patients with adequate information. The information is also designed to help Orthopaedic trainees/ residents learn a systematic examination technique. This page is not for patients to self refer themselves to my clinic.

Please Contact my Secretary Ms Christine Kirkham on 07784476138

Please provide as much information as possible

 

Your Name*

Age*

Email*

Knee


Standing Alignment

Generalised Laxity

Feet


Gait

Quadriceps Wasting

Effusion

Range of Motion

Symmetrical Extension

Fixed Flexion Degrees

Fixed Varus/Valgus

Correctable Varus/Valgus

Pain

On Full Extension

Deep Flexion

Tenderness

McMurray Test

Ligament Tests

Lachman Test

End Point

Anterior Draw

Pivot Shift

Posterior Sag

Posterior Draw

Quadriceps Active Test

MCL

LCL

Dial Test at 30 Degrees

Dial Test at 90 Degrees

Patella

Crepitus

Lateral Tightness

J Tracking

Q Angle


Pedal Pulse


Neurology