H13 Knee

H13 Knee

1. Fracture

   • Ottowa Knee Decison Rule US 1 sens ↑, spec ↓
     • 1. Age > 55 years 2. Tenderness at head fibula 3. Isolated Tenderness Patella 4. Inability to flex knie to al least 90 degrees 5. Inability to bear weight for four steps 6. Positive test is one of fou (nr 2-5)
   • Pittsburgh Knee Decision Rule, US 1 sens ↑, spec ↓
     • 1. Patient history of blunt trauma of a fall 2. Inability to bear weight for four steps 3. < 12 of > 50 years 4. Positive test is nr. 1 and nr 2 or 3
   • Knee Decision Rule of Bauer, US 2 sens ↑, spec ↓
     • 1. Inability to bear weight for four steps 2. Presence of knee effusion 3. Precense of ecchymosis 4. Positive test is any or 3

2. Torn Tibial Meniscus

   • Composite Physical Exam / Cluster of findings US 2
     • Muelnerr: sens ↑, spec ↑ 2 of 5: joint-line tenderness, Bohler test, McMurray's, Steinman 1 test, Apley's test
     • Bonamo: sens ↑, spec ↑: expert opinion on history en effusion, joint-line tenderness, McMurray's, pain with flexion, squat test
     • Lowery: sens↓, spec ↑: at least 3: locking, joint-line tenderness, McMurray's, pain with flexion, pain with hyperextension
     • Alleen de onderzoeken waarbij de testen beschreven zijn heb ik genoteerd:
     • Rayan: Medial: sens ↑, spec ↓, Lateral: sens↓, spec ↑: unspecified historym joint-line tenderness, McMurray's
     • Esmaili medial and lateral: sens ↑, spec ↑, history, joint-line tenderness, McMurray's
   • McMurray's test, US 2 sens↓, spec ↑
   • Appley's Test, US 2 sens↓, spec ↑
   • Thessaly Test at 20 degrees / Disco test, sens ↑, spec ↑(? wisselende uitkomsten)
   • Thessaly Test at 5 degrees, US 2 sens↓, spec ↑
   • Ege's Test, US 2 sens↓, spec ↑
   • Axial Pivot-Shift Test, US 2 sens↓, spec ↑
   • Steinman 1, US 2 sens↓, spec ↑
   • Dynamic Test, US 2 sens↑, spec ↑

3. Torn ACL and Anterior Rotary Instability

   • Composite Physical Exam (ACL Tear) US 1
     • Alleen de onderzoeken waarbij de testen beschreven zijn heb ik genoteerd:
     • Rayan,sens↓, spec ↑: unspecified history, Lachman's, anterior drawer
     • Wagemakers, sens↓, spec ↑: alle 3 + effusion, popping, giving way / anterior drawer
   • Lachman's Test, US 1 sens ↑, spec ↑, wisselende resulaten
   • Anterior Drawer Test, US 2 sens ↑, spec ↑, wisselende resultaten
   • Pivot-Shift Test, US 2 sens↓, spec ↑

4. Torn PCL and Posterior Rotary Instability

   • Composite Physcial Exam, US 2 sens ↑, spec ↑
     • Onderdelen Physical Exam niet beschreven
   • Posterior Drawer Test (PCL Tear), US 2 sens wisselend hoog laag, spec niet bekend
   • Posterior Sag sing or Godfrey's Test (PCL Tear), Us 2 sens ↑, spec niet bekend
   • Quadriceps Active Test (PCL Tear), US 2 sens / spec wisselend
   • Pivot Shift Test (PCL Tear, PLRI Tear) US 2 sens↓, spec ↑

5. Torn Collateral Ligament

   • Composite Physcial Exam, US 2 sens↓, spec ↑
     • History of Trauma bij external force to leg, rotational trauma, Laxity with valgus, pain with valgus stresss at 30 degress
   • Valgus Stress Test (MCL Tear) US 2 ,sens ↑, spec↓ /NA

6. Patellofemoral Dysfunction

   • Patellar Apprehension Test or Fairbank, US 2 sens↓, spec ↑
   • Pain during Functional Activity, US 2, sens ↑, spec ↓
   • Resisted Knee Extensio, US 2 sens↓, spec ↑

7. Plica Syndrome

   • Composite Examination / cluster of Findings US 2 sens↓, spec ↑ ( niet beschreven wat)
   • MPP Test (Median Patellar Plica Syndrome) US 2, sens↓, spec ↑

8. Proximal Tibiofibular Joint Instability US?

9. Knee Effusion

   • Cluster of Findings for Effusion, US 2 sens↓, spec ↑: patient report of swelling and Ballotement Test

10. Osteochrondal Lesions

    • Composite Examination / Cluster of Findings for OA, US 2, sens↓, spec ↑ testen niet beschreven
    • Composite Examination / Cluster of Findings for Loose Bodies, US 2, sens↓, spec ↑ testen niet beschreven
    • Composite Examination / Cluster of Findings for Chrondal Fracture, US 2, sens↓, spec ↑ testen niet beschreven