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Knee Assessment

Physiotherapy · Subjective & Objective Examination

KNEE
DH
RightLeft
RightLeftBilat
1

Presentation & Red Flags

Red flags — Ottawa Knee Rules
Imaging indicated if any of:
No red flagsIsolated pain on palpation — patellaIsolated pain on palpation — head of fibulaInability to stand on the leg immediately after the traumaInability to flex > 90°
2

History

3

Pain

Body chart
Mark pain location, type & radiation
No pain
0
1
2
3
4
5
6
7
8
9
10
Worst
Morning
Afternoon
Evening
Night
Plot key events along the line — injury, flare-ups, treatments, return to activity, milestones.
Onset Today
4

Lifestyle & Context

Sleep
Diet
Smoking
Alcohol
5

Clinical Reasoning Framework

Characterise the presentation — circle / annotate the relevant descriptors on each strip.
Diagnosis
Diagnosis
Stage of disorder
Stage of disorder
Pain features
Pain features
6

Flags & Whole-Person Considerations

Flags framework
7

Goals

8

Objective — Knee

Range of motion (A = Active  P = Passive — note both if different)
MovementRightLeftNorm / Notes
Flexion
Extension
Varus
Valgus
External rotation
Internal rotation
Strength record per movement
Load (kg)
Movement
Patient position
Angle / joint
Result
Laterality
Neurovascular screen
Notes
Special tests
Special testRightLeftFinding / Notes
Lachman test / Anterior drawer ACL
Noble's test ITB
Renne's test ITB
Hoffa's test fat pad
Thessaly test meniscus
McMurray test meniscus
Palpation
Tick tender / relevant structures
PatellaHead of fibulaJoint line — medialJoint line — lateralPatellar tendonMCL / LCLPes anserinus
9

Functional Assessment

Static — loaded tasks
TaskRightLeftObservation / Notes
Squat
Split squat
Bridge — bilateral
Bridge — unilateral
Hip thrust
Lateral lunges
Weight-bearing lunge test (+++)
Calf raise
Cyclist wall
Others
Dynamic — balance
TaskRightLeftObservation / Notes
Hold step up
Side step up
Unilateral RDL
Single leg stance
Eyes
open
Eyes
closed
Eyes
open
Eyes
closed
Aeroplane
Others
Jump / plyometric
TaskRightLeftObservation / Notes
Jump — bilateral
Jump — unilateral
Side hop test
Figure-of-eight hop
Triple jump
Klatt test
Others
10

Adjacent Joints

Ankle
Knee-to-wall dorsiflexion test · ROM active & passive · Biomechanics (pronation, flat / high arch)
Hip
Thomas · 90/90 · Neutral-pelvis standing extension · Stability in the three planes
Back
Mobility · Stability
11

Others

12

Retest

DateTest / measureResult (R / L)Notes
13

Questionnaires

Patient-reported outcome measures — record the score at baseline and at each retest.
QuestionnaireDateScoreNotes / interpretation
Knee Injury and Osteoarthritis Outcome Score (KOOS)
Kujala Anterior Knee Pain Scale (AKPS)
IKDC Subjective Knee Evaluation Form
14

Hypothesis diagnostic