Lower Limb MSK Examination

1) Introduce self, state purpose and ensure P&C
2) Ask patient's name & age
3) Short history- when and why?
4) Explain to patient about the examination about exposure
5) PLEASE TELL ME IF YOU FEEL ANY PAIN/ PLEASE STOP ME IF THERE IS ANY PAIN
6) WASH YOUR FREAKING HANDS

7) LOOK!!!!
SWEATS, Compare both sides

8) FEEL!!!
ASIS, pubic tubercle, (femoral pulse in between),
greater trochanter of femur,
tibial Tuberosity,
Feel for Baker's cyst
condyles,
patella, ( patella Tap, Bulge test-milk test)
medial and lateral malleolus

9)Movement (Active first , then passive)
Hip - Flexion/Extension , Abduction/Adduction, Internal/External R.
Knee - Flexion/Extension ,
Ankle - Plantarflex, Dorsiflex ; Eversion/Inversion

Specific Test
1) Tredenlenburg (double check this *)
2) Thomas Test *
3) Drawers Test
4) Lachman Test - ACL
5) Mcmurray Test - Medial Meniscus and Lateral Meniscus
6) Patella Apprehension *(during palpation)- move patella laterally, and extend your knee.
7) Bulge Test * (during palpation)- Milking
8) Semen Test - Squeeze your Calve muscles, if normal got plantarflexion
Measurement
1) True Length - asis to the medial malleolus
2) Apparent Length- belly button to medial malleolus