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
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.
4
Lifestyle & Context
Sleep
Diet
Smoking
Alcohol
5
Clinical Reasoning Framework
Characterise the presentation — circle / annotate the relevant descriptors on each strip.
Diagnosis
Stage of disorder
Pain features
6
Flags & Whole-Person Considerations
7
Goals
8
Objective — Knee
Range of motion (A = Active P = Passive — note both if different)
Movement
Right
Left
Norm / 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 test
Right
Left
Finding / 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
Task
Right
Left
Observation / Notes
Squat
Split squat
Bridge — bilateral
Bridge — unilateral
Hip thrust
Lateral lunges
Weight-bearing lunge test (+++)
Calf raise
Cyclist wall
Others
Dynamic — balance
Task
Right
Left
Observation / Notes
Hold step up
Side step up
Unilateral RDL
Single leg stance
Eyes open
Eyes closed
Eyes open
Eyes closed
Aeroplane
Others
Jump / plyometric
Task
Right
Left
Observation / 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
Date
Test / measure
Result (R / L)
Notes
13
Questionnaires
Patient-reported outcome measures — record the score at baseline and at each retest.
Questionnaire
Date
Score
Notes / interpretation
Knee Injury and Osteoarthritis Outcome Score (KOOS)