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 use Our Contact Form.

Please provide as much information as possible.

Your Name

Age

Your Email

Knee Knee Left Right

Standing Alignment Standing Alignment Varus Valgus Neutral

Generalised Laxity

Feet Feet Normal Flat Feet Hind Foot Valgus

Gait Gait Normal Antalgic Stiff Knee Varus Thrust

Quadriceps Wasting

Effusion Effusion No Effusion Grade 1 Grade 2 Grade 3

Symmetrical Extension

Fixed Flexion Degrees

Fixed Varus/Valgus

Correctable Varus/Valgus

On Full Extension

Deep Flexion

Tenderness Tenderness Medial Lateral Patella Tendon Patella Compression

McMurray Test

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

Crepitus

Lateral Tightness

J Tracking

Q Angle

Pedal Pulse

Neurology