Lower Limb Examination
Principles of Joint Examination
Inspection LooK
Palpation Feel
Active motion Move
Passive motion
Resisted movements
Special tests
Examination of the Hip
LOOK
Inspection usually unhelpful - but do it anyways
Patient Standing
Pelvic tilt
Iliopsoas bursa
Muscle Wasting
Patient lying Supine
Scars
Lower limb length discrepancy
Flexion deformity of hip
FEEL
Palpation
MOVE
Flexion
Thomas's Test
Internal and External Rotation
Trendelenberg Test
Adbuction and Adduction
FUNCTION
Examination of the Knee
Inspection
LOOK
Palpation
FEEL
Active Motion
Passive Motion
Special Tests
Symmetry and Alignement
Deformity
Scars
Quad muscle bulk
Swelling / heat / colour change
Psoriasis
Temp
Tenderness
Effusion
Patellofemoral crepitus / grind
MOVE
Flexion 135 degree
Extention
Hyperextention 10 degree
Compare sides
Feel for crepitus movement
Anterior / Posterior Cruciate ligamnt stability
ANterior Drawer Sign - ACL tear
Posterior Drawr sign (PCL tear)
Medial / Lateral Collateral Ligament Stability
Stress each side of knee
Hip
Knee