         
        bjective assessment

HIV
nocturnal pain/ drop attacks/
speaking/ swallowing problem
dizziness
cancer/ inflammatory arthritis
TB
weight loss/ fevers
less than 20/ more than 55
double vision
severe pain
spinal cord compression
significant vertebral tenderness
knee trauma/ surgery
preceding trauma or knee surgery
bladder/bowel incontinence
loss of feeling in both legs

Please seek medical help if any of the above apply or else confirm that you have checked that none do.


Was there a recent accident, trauma or direct impact to the knee?


Is the patient able to bear weight on the leg and is one of the Ottawa knee rules positive?


Is there deformity to the femur or tibia?


Is the patella out of normal alignment or sub-luxed?


Is there laxity to the ligaments ( ACL/ PCL / LCL / MCL ) without an end feel?


Is there laxity to the ligaments (ACL/ PCL / LCL / MCL ) with an end feel and pain?


Is there pain on McMurray’s testing?


Is there bruising / tenderness to the quadriceps / hamstring region?


Is there pain on resisting the painful muscle?


Is pain worse on rest then relieved on movement and patient over 50 years?


Is the pain provoked with Clarke’s test and taking steps in the full squat position?


Is there pain to the lateral (outside) aspect of the knee and a positive Ober’s test?

Objective assessments (print-out version)

1: Was there a recent accident, trauma or direct impact to the knee?

5 yes 2

2: Is the patient able to bear weight on the leg and is one of the Ottawa knee rules positive?

3 yes 5

3: Is there deformity to the femur or tibia?

4 yes yes Fracture

4: Is the patella out of normal alignment or sub-luxed?

5 yes yes Patella dislocation

5: Is there laxity to the ligaments ( ACL/ PCL / LCL / MCL ) without an end feel?

6 yes yes Ligament tear grade 3

6: Is there laxity to the ligaments (ACL/ PCL / LCL / MCL ) with an end feel and pain?

7 yes yes Ligament tear grade 1-2

7: Is there pain on McMurray’s testing?

8 yes yes Meniscal injury

8: Is there bruising / tenderness to the quadriceps / hamstring region?

10 yes 9

9: Is there pain on resisting the painful muscle?

10 yes yes Muscle strain

10: Is pain worse on rest then relieved on movement and patient over 50 years?

11 yes yes Osteoarthritis

11: Is the pain provoked with Clarke’s test and taking steps in the full squat position?

12 yes yes Patello-femoral syndrome

12: Is there pain to the lateral (outside) aspect of the knee and a positive Ober’s test?

END yes yes
Iliotibial band syndrome

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