The Exam for Knee Pain - Stanford Medicine 25
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- เผยแพร่เมื่อ 18 ก.ค. 2018
- This video is brought to you by the Stanford Medicine 25 to teach you the common causes of knee pain and how to diagnose them by the physical exam.
The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future clinicians and other healthcare provides better at the art of physical diagnosis and more confident at the bedside of their patients.
Visit us:
Website: stanfordmedicine25.stanford.edu/
Blog: stanfordmedicine25.stanford.ed...
Facebook: / stanfordmedicine25
Twitter: / stanfordmed25
Knee Diagnoses Covered in Video:
Anterior Cruciate Ligament (ACL) Injury
Posterior Cruciate Ligament (PCL) Injury
Medial & Lateral Collateral Ligament Injury
Medial & Lateral Menisci Injury
Anterior Knee Pain (Patellofemoral Pain)
Bursitis
Inflamed Knee with Effusion
Osteoarthritis (Degenerative Joint Disease)
Stress Fracture of Tibia
Perfect video. No annoying chatty preface. Straight to the point. Detailed, comprehensive. No annoying music or mic noises.
Wast
.
Thank you for a thorough examination, explanation and giving names on the standing meniscus tests.
I learned most on TH-cam & other websites than I did in university & in high school ! Thanks doctor .good job am still a fresh student.
Awesome demonstration & explanation. Super helpful - thanks!
This is very helpful to my upcoming exam. Thank you very much.
I'm often somewhat critical of the commonly-encountered mediocre YT medical videos but this one is actually good. Diagrams and other illustrations to show how loading stresses the various structures might be helpful.
You don’t know it yet but you’re here for 4:10
This is an all-time great comment
Arr Ee omg im dying 😂😂😂😂😂😂😂😂
hahahahaha omg.
🤣🤣🤣🤣🤣🤣🤣🤣🤣
Your right I am 😂
She is really good and knows what she is doing. Very well explained.
really appreciate the thorough explanation of the diagnosis after examination and testing
Really good recap, thank you.
Perfect, thank you so much
Best lecture on Knee examination. Thank you!
Clear and precise. Unlike the rest of the internet.
concise and accurate focussed knee exam
Thank you for the comment
Thanks for your teaching methods full of pedagogy
Great assessment video. Thanks for sharing. Very educational.
This is the best revision vid I've found for knee exam so far
Well it is Standford
@@BD091959 also sitford and duckwalkford
Really lovely voice, nicely presented. It might be more helpful to the viewers to state what the condition is first with a few bullet points on the key presenting symptoms or signs, then run the appropriate ortho test with signs for positive tests. Also helpful for future videos is mentioning the treatment is recommended for referrals. Very professional and enjoyable to watch, thank you.
Thank you. Very very good. I like this isolation and diagnosis of various areas.
Very comprehensive review. Can you also please add videos on hip/ pelvis/ neck/ lower back?
Thank you so much.....
Very helpful thanks!
helpful explanation and demo, many thanks 💖💖💖💖💖💖💖
I can feel my knee hurting just watching this.
Awesome demonstration
what a great educational video!
The reflection from that guy's legs was impressive
Well done Dr brinda
The doc is a doll!
I wish Dr. Christopher did more health assessment videos.
Excellent demonstration
thank you very much
Thank you!
Very helpful.
An extremely good video, im studying sport and exercise therapy and just wanted to ask with apple's test, aren't you meant to compress the meniscal space by int rot and ext rot the tibia and then bringing the knee into traction and performing int and ext rot?
Would love to get this done for my right knee!!
Educational and relaxing too
Knowledge and calming asmr
Thank you very much
thank you!
Thankyou!
Example student must have been living in library for years. Pale level 9000 ;)
lol I was looking for this comment. Dude must be a vampire 🤣🤣
Very precise and thorough. Wish doctors in the USA would apply even 10% of this level of effort and care.
j'aime cette vidéo , j'ai le même problème de genoux , ménisque , jambe guauche merci
Thank you
amazing skin tone
Excellent video, many thanks. I would like to add that common causes of knee pain in clinical practice- not just osteoarthritis but also RA, trauma commonly cause knee pains too. Septic arthritis is one not to miss, and viral infections can cause knee pains eg hepatitis B or HIV.
Excellent :)
Can I be assessed like this on the NHS, been suffering with knee pain for a couple of years now, my clinic just gives me exercises to do.
excellent
Very very good
great video - thank you
amazing
i love this video. In the setting that pt has a lot of pain and the exam is limited due to pain - do you just stop the exam ?
By the way did I mention my patient Chad here.. hasn’t seen the day light for over a decade now...I keep him caged down in the basement 😭
I was surprised to see him stand up at the end. I thought it was a corpse!
Chad thank you so much for the cooperation, appreciate it
😁
But make sure he does 20 minutes of Duck Waddling a day
Kylo Ren's is a Sith lord he knows no sunlight.
Good job mam
Good exam!
Dang ! First thing I would check is blood flow to the legs .
🤣
He was actually born without legs so borrowed a set from a dude in the morgue.
Excellent video !!!!!
Do you do house calls?
Chad was awesome too :)
Judging from the comments, it would appear that I'm the only weirdo watching for asmr purposes. Cool.
Looks like I might be the first to mention SANDWICH BREATH
😂😂😂
Here for asmr but also cos she's lovely and its blowing my mind that his legs are the same colour as her shirt
Nope, same here, also im in love with doctor Brinda
I also watch it for the COOL METAL
great
I tore my ACL watching this
After my physical examination I have come to the conclusion that patient is a Chad
Nice
How do people determine how hard to press, push, and pull for the various steps?
It's a good cover of the knee, and thank you. But you are missing Jenny McConnell's patella tracking test. This is the main cause of patello-femoral pain - that the patella is tracking laterally. The test is clinically diagnostic.
For the test, you have first to reproduce the patient's pain. The easiest way of doing this is usually for the patient in standing to move into a squat, and stop when it hurts; then stand up again. Then the doc or therapist glides the patient's patella medially using the heel of one hand against the lateral side of the patella and pushing it strongly medially; the doc's other hand is bracing on the medial side of the patient's knee. With the patella pushed and held medially like that, the patient squats again. If the pain they got on the squat is completely or markedly reduced, then the test is positive. In practice, a patient who couldn't squat more than, say, 20-30˚ before pain stops them, will often get down into a full squat with no pain, so long as the patella is held medially in its correct groove. (This can take a bit of muscle on the part of the doc to do.)
The logic is clear. If the same action that hurt, does not hurt when the patella is held medially, then the problem producing the pain is that the patella is tracking laterally. This happens for a variety of simple musculoskeletal reasons, most of which should readily respond to physiotherapy. Common ones are a tight iliotibial band; weak VMOs (medial quads); tight piriformis, glutes, hamstrings or calves, or a longer leg on the symptomatic side - all of which tend to cause an externally rotated hip, hence a tendency for the lateral quads to work more and shorten, and the patella to start gliding laterally.
The simple first aid help for a patient with this problem is to strap the patella somewhat medially with good old Leucoplast - just push and hold it across medially and run Leucoplast from the lateral lip of the patella around to the inside of the knee, say about to the medial collateral ligament. Once you've got one strip of tape on, then reinforce it with two further strips above and below, each one covering the original by 50%. (Hold the patella medially while you're putting each strip on.) This is usually dramatically effective at removing or reducing pain, at least as long as the tape's on. They limp in; they walk out.
This is an Aussie (gasp!) advance in the understanding of patellofemoral pain - explains in most cases WHY it's patellofemoral pain and gives a clear direction of treatment. I don't think it's spread as well to the UK and US. I'm a Kiwi. Cheers, Steve August.
I wish we had her instead of a second-year ortho resident that just came off a 30-hour call rushing through a 30-minute lecture!!
Hoffa's Fat Pad sounds like an awesome nightclub
0:57 Lachman's Test (knee flexed at 20-30 degrees)
3:05 McMurray?
411foryou knee is fully flexed and compression force is applied with medial and lateral rotation of tibia.
yes McMurray
“Thank you chad” wasnt expecting that lol
Great great
I diagnose him to be a vampire !
Very professional beautiful dr
Que mano branquelo!!
Sol faz bem, kkkkk.
There's no more vedios for you any more????
concise, professional and helpful. The doc is hot as well. loved it.
Shouldnt you test the normal knee first for anterior drawer.
Where can I go to get this done kaiser permanente does nothing but offer PT but ultimately does nothing
“Say it”
*VAMPIRE*
@FranzJ being examined for knee pain
This is out of order, right? The video on the exsanguination process should have been first but you haven't posted it yet.
The legs are brighter than most of the people's future !
Thanks for this video. I have knee pain. Any possible to contact with you please Thanks
Very good vid. Every doctor should watch this. But why has my orthopedic surgeon never done any of these tests?!? 🤔 Because he's inept!! Just wants to be done with it as quickly as possible!
This dude is whiter than her shirt
lol
It's OK to be whiter than her shirt.
@@ernestmoney7252 lmao
That's a navy suit. For war.
I think he lives underground
she has a beautiful skin color
He is a bottle of white out with legs
Damn that guy’s legs are so white I need a pair of sunglasses just to watch this video.lol
She’s absolutely gorgeous
Brain+face+that accent= hot
@DG im in love!!
Omg she’s gorgeous
Bhghiokvcfuiuffhjkbcsriolm
-_&+&';)
She is indian american...
Hoffas fat pad is a great pub.
Wonderful demonstration of tests-cool and confident
What is meant by calling an effusion "bland"? Please explain.
Where are you Dr.Brenda
Same problem for me
This caught me off guard 4:10
ER and valgus force is for medial meniscus, IR and valgum for lateral meniscus ..but u did opposite...???explain ...??
Wow legs
Just looking at it hurts my knee.
The way my knee is feeling right now, I pretty much cringed through this whole video, lol.