It is important to have a systemic plan for the examination of knee arrive at the correct diagnosis, to identify its impact on the patient, to understand the patients’ needs and concerns and then to formulate a treatment plan that is individualized for the particular patient. A thorough knowledge of the normal anatomy, biomechanics of knee and the pathology of various knee disorders is a must for proper examination of knee and for the interpretation of physical findings.
First listen to the patient carefully to understand his concerns and needs and also to gain his confidence.
The involved and the normal knee should be adequately exposed to examine the knee. Always examine the spine and the hip to rule out conditions that lead to referred pain in the knee and any associated hip and spine disorders.
Always compare with the uninvolved side as wide range of anatomic and functional variations exist.
Examination should be gentle and as painless as possible to avoid worsening of injury and to ensure a cooperative patient.
The function of the knee is assessed by the patient’s ability to weight bear, walk, ability to squat, sit cross-legged, run, stair climb and the level of restriction of activities of daily living and the occupational and recreational activities.