Knee Examination - How to perform a KNEE EXAM for Orthopaedic Clinical Skills OSCE - Dr James Gill
The knee examination is a core skill - in this video, we demonstrate how to perform a KNEE EXAM for an Orthopaedic Clinical Skills OSCE, which should be one of the easier examination stations for medical students.
For a passing grade in your Clinical Skills OSCE, a knee assessment should have the following special tests:
- Anterior Drawer Test or Lachman's test
- valgus stress test
- varus stress test
BUT a McMurray's test is rarely used to test for meniscal damage as it is possible to cause additional trauma with this older aspect of the examination of a painful knee
Watch further orthopaedic examinations for your OSCE revision:
The Spine Examination:
• Spine Examination - Ba...
The Knee examination
• Knee Examination - Ho...
The Hip examination
• Hip Joint Clinical Exa...
The GALS examination
• GALS Screen - Gait, Ar... - Gait, Arms, Legs, Spine - GALS screen
This knee exam follows the standard "Look, Feel, Move" orthopaedic exam approach, and overall order as set out in MacLeods Clinical Examination
Knee pain and knee complaints are some of the most common reasons that patients will consult a doctor, so being able to correctly examine the knee is about more than just passing your orthopaedic OSCE station, it is about being able to assess a knee injury and understand what the causes of a painful knee are for each patient. This will apply whether during medical student training or the years as a doctor
Please note the examination of the knee joint in orthopaedics should technically also include the hip examination as you should always examine the joint above and the below the joint you are focusing your examination on
Performed by Dr James Gill
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Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
However, during OSCE assessments, different medical schools, nursing colleges and other health professional courses will have their own preferred approach or order for a clinical evaluation - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.
#clinicalskills #kneeexam #DrJamesGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction
00:20 - Walking Test
00:31 - Visual Inspection of Knees
00:51 - Measuring Knee Size
01:17 - Checking Leg Length
01:46 - Palpation for Pain Assessment
03:15 - Leg Raise Tests
03:47 - Ligament Examination
04:32 - Conclusion
Пікірлер: 291
It's interesting to see someone realising their semi-popularity online, and kind of embracing it, with the audio book, and the readings an such. You really do have quite a soothing voice.
@alliecattlopez537
4 жыл бұрын
"Semi popular" how dare you, Dr. Gill is a God. Spread the word. ; )
@ignotas557
Жыл бұрын
What do u mean semi? Guy is a superstar
While a lot of people (myself included) are here for enjoyment, I think it's important to remember just how amazing these videos are in educating our future medical professionals! Dr Gill really does deserve all the praise from both the ASMR and Educational communities :)
@jamesnangle2079
4 жыл бұрын
What is wrong with you? Shameful.
@keeleyduffy9828
4 жыл бұрын
I totally agree. Especially with the asmr because this man puts me to sleep just like chiropractic cracking as well as Bob ross. They are very educational too
@zaibadungaria8496
3 жыл бұрын
Ll8
@LoganDC100
3 жыл бұрын
Well said.
@Daytonian17
2 жыл бұрын
I concur!! My IQ has went up substantially since subscribing to the doc . I absorb so much from his lessons
Guess who’s back, back again, Gill is back, tell a friend
@kaneki-ken96
4 жыл бұрын
Guess who's back (x7) 😊
@kohinarec6580
4 жыл бұрын
20 million other whitecollar docs emerge But Tube feels so empty Without Gill.
@theheretic3764
3 жыл бұрын
I’m liking this in shame... but dammit I laughed
King of ASMR has return and I'm here to support
Notification of a new Dr. Gill video - "Perfect!" Ready to see the video - "Excellent!" Just finished the video - "Thank you!"
@Deathslayer296
4 жыл бұрын
That’s Brilliant
@fxjrulpzxi
3 жыл бұрын
That’s fine
He's like the Bob Ross of the Medical field
Thank you for all your effort, Dr. Gill. This is a very useful, thorough, and informative video. Especially for me as I have a bad knee and am scheduled for a check up next week, so I know what to expect during the examination. Great work, as always!
@DrJamesGill
4 жыл бұрын
thank you! I hadn't thought about the benefit from the patient perspective in knowing what will happen!
On top of being prime asmr it's also really nice he provides these videos for free online for anyone who is in medical school and needs to reference something like this 😊
Love Dr Gill and his calming voice.. I wish he was my doctor 😊
@ramon8486
4 жыл бұрын
Yes true, it helps me relax 👍
@pookungthai7862
4 жыл бұрын
You shouldn't, if he is your doctor you maybe sleep while examination
@Cindee-Schnitman
3 жыл бұрын
Right me too. 🙃🙃
Never clicked so fast to a video,
@baseddugalle1838
4 жыл бұрын
DarthSidious How’s the republic going ?
@michaek7438
3 жыл бұрын
Lone Count V ahaha ha, what republic?
Dr Gill coming through with those thanksgiving blessings 🙏🏻🙏🏻
Dr. Gill establishing the size for a Navy pant for war.
@jameskirkbydrums
4 жыл бұрын
he also lives by the code: chevorolet zebra honesty
Dr Gill! So polite. So educational. So relaxing.
Imagine if Dr. Gill just randomly put a piece of paper on his knee
@kiarona.
2 жыл бұрын
You mean imagine if he putapitapaper on his knee!
From Argentina. I listen to you every night . I fall asleep in a few minutes. The voice, so calm and the tone. Better than sleeping pils
@DrJamesGill
2 жыл бұрын
I think I saw glazed eyes with the students this week lol!
Measuring tape plus doctor Gill's voice? Visual and sound triggers unlocked! Thanks, Doc. Virus free hugs from Brazil, Kelly.
I wish I had a Dr. Gill near me. Your demeanor is so comforting and thorough.
Dr. Gill flexing by showing off his hand sanitizer at the beginning of each video.
@DrJamesGill
4 жыл бұрын
🤣🤣🤣 well it’s not like I have any real muscles to flex! That’s the problem being a cyclist, we look like bags of bones!
@Cindee-Schnitman
3 жыл бұрын
Dr James Gill I have actual problems with my knees since I was a kid. One knee clicks and pops and the other doesn’t. I certainly have questions
@faazilvally626
3 жыл бұрын
@@Cindee-Schnitman im not a doctor but there could be an issue with your meniscus(fibrous cartilage) in your knee joint. Alternatively it could be ligament problems. I currently have a tear in my Meniscus so im speaking from just the research that I've done over the past few months. Im too scared to go for surgery thats why im still sitting with the issue just btw. Hope that helped
so happy seeing you back here doc!
One of your best yet Dr Gill!
10/10 cured my lid lag
Your videos are fab! Would love to see a longer one if possible! Could listen to your voice all day! Thanks :)
Thank you for these short yet comprehensive clinical skills videos Dr. Gill ! It really helps me as I'm a second year for a refresher as I'm going into my weekly OSCE exams.
@DrJamesGill
Жыл бұрын
Glad it was helpful!
In regards of the editing part, I think you pretty much nailed it. Also applaud the effort you're putting on the whole production (even though "color correction" for a Knee examination seems a tad overkill to me). Anyway, im enjoying your content (maybe more that I should) and Im eager to see more. Cheers!
@DrJamesGill
4 жыл бұрын
doubt I'll ever get the colours perfect, as I'm a touch colour blind!
@dirk2655
3 жыл бұрын
@@DrJamesGill It looks great however it gets difficult with pathology or the abnormal knee. Perhaps you should use an artificial knee to show what a negative knee result might indicate.
We love Dr. Gill! ❤️❤️
We all love Dr Gill x
The best doc and ASMR wizard known to man
"Chevrolet, Zebra and Honesty"
@gabrielesimionato1210
4 жыл бұрын
Stopwatch, monitor, this book
@DrJamesGill
4 жыл бұрын
Is this What Three Words?
@diobrando2027
4 жыл бұрын
@@DrJamesGill Its from a neuropsychology exam from Dr. James Kelly and Pat Lafontaine. Its become somewhat of a meme and you can see it in almost every comment section that has something to do with medical exams😁
@gabrielesimionato1210
4 жыл бұрын
@@DrJamesGill the doctor asked the patient to remember three words to be repeated after a while
@DrJamesGill
4 жыл бұрын
Ah yes. Short term memory recall as part of a cognitive assessment. Three unconnected words, which the patient should know and understand However the words are supposed to be objects. So “Honesty” wouldn’t technically be appropriate I normally use “Ball, pencil and car”
this is lovely, thank you
This has become an instant classic.
BEST DOCTOR!!
Never seen this 1!!! Dr gill you my favorite Male ASMR!!!
Oh. Now I have double vision. This time.
I can watch this all the day .
Thanks a lot Dr Gill
My god, this man’s voice!
Very nice, the edits look great!
These videos are too short!!!! I'd watch it for hours with his sweet British accent that I love
Thank you so much another sweet night of sleep :) You are amazing! :3
Oh god it’s 10pm and I have an exam tomorrow and I didn’t read and now that I’m watching this I’m already sleepy this ain’t good
@EmbeRobin
4 жыл бұрын
FUCK I fucked up the exam and the doctor had the audacity to laugh at my answers when she collected the papers 😩😂💔 I wish I can say your voice is to blame but I don’t wanna sound like a creep
@DrJamesGill
4 жыл бұрын
Are your results in yet? It’s not over until the results are out
@EmbeRobin
4 жыл бұрын
Dr James Gill omg I didn’t expect you to read this comment I apologize for my language 🌚 Actually the results are usually out after we finish the block so it’ll take a while. So far I’m expecting a C or a C+ :))
He seems like a cool guy... love the new fashion styling as well... would love to go have a beer with Dr Gill... or tea in England hehe
Please make longer vids lf possible, like 30 mins.
@DrJamesGill
4 жыл бұрын
Once I’ve done the new 4k examinations, I really want to do a break down of the examinations, to stand as an additional teaching tool. But only some many hours in the day lol
@massakr
4 жыл бұрын
@@DrJamesGill No worries, appreciate the effort nonetheless. Thank you.
@anduxx
4 жыл бұрын
Dr James Gill Thank you for gifting us with your talent and asmr natural skills. I’ve never been so excited to get home and watch those examinations videos. Longer videos would be much appreciate.
@davidrodriguezc3724
4 жыл бұрын
@@DrJamesGill you're the best!!!! I love everything you do
HOW DID I JUST FIND OUT HE HAS HIS OWN KZread CHANNEL
@DrJamesGill
4 жыл бұрын
Clearly I need to improve the SEO! 😊
His voice is like a pleasant rustling of leaves in Autumn.
Dr. Gill i enjoy very much your examination in general
@DrJamesGill
3 жыл бұрын
👍
I tore my ACL about a month ago. Surgery coming in two weeks. Really hoping PT goes well so I can return to being active again.
Dr. James Gill has uploaded new video? Guess I can use a nap
Me estan gustando mucho estos videos, no solo aprendo algo sino que me relaja uwu
Dr Gill.... Wow!! When you visit Brazil, let me know. I want to make an appointment. Very long .... lol
Could you do a video on a damaged knee please? I've torn my acl,meniscus and other ligaments and would like to know more about the injury and what will happen next.
It’s like Christmas!!
so the first video i watched before this was the hand examination and i'd just like to point out the improvement on the sound. On the last video there was a "bump" in the audoo whenever you cut the video, but with this one the sounds continues smoothly. That's pretty cool!
@DrJamesGill
4 жыл бұрын
thanks, I think I'm learning more on the editing side 😊
EXCELLENT
This Is so cool! I'd.love to ser a video about plantar fascitis
Dear dr Gill, my sleep says a big thank you 😉😉😉👍👍
If Dr Gill was examining my knees it wouldn’t be no four minute video.
I have one bad knee and I’m curious how it would be different during this because I don’t have any pain when I do these but squatting and turning does
Subscribed!
Dr. Gill, if you even read the comments, I don’t know if you’re making these for ASMR or education at this point but from a student, it would be awesome if you could reiterate some of what you’re assessing while you’re doing it (ie. patellar reflex, anterior drawer test). Your assessment skills are lovely btw!
@DrJamesGill
4 жыл бұрын
That will come later. These are intentionally left blank so that we can literally teach over then in clinic / and lectures. “Ok, so what are we looking for here?” Etc
@feliciagoughenour7979
4 жыл бұрын
@@DrJamesGill brilliant!
@meganbarber4721
4 жыл бұрын
Awesome! Ill keep an eye out. Until then, ASMR med school. I’ll send you my tuition 😜
I like this also as I know what to expect with my doctor, and it's really interesting. Though my knees would be OUCH!
@DrJamesGill
3 жыл бұрын
I’ve had my time with painful knees following bike crashes. Knees are not fun
Any double vision ?
When you’ve been through it so many times you know every step 😂😂
@DrJamesGill
2 жыл бұрын
That’s how I learnt it at uni 😊
0:11 Doctor: "Hello, My name is Dr Gill. I've been asked to do an examination of your knees today, would that be alright?" Patient: "That's fine" Doctor: "So, before we start off, do you have any problems with your knees?" Patient: "I don't" Doctor: (thinks to himself) "Then why the heck are you here son??"
Why haven't I turned this on at night on my tv at bedtime. Lol
Boss 🙌🏼
Just for once I'd like the patient to say, stop, that really hurt.
40cm thighs? Never miss leg day! 😂
1:20 For a second I thought he was gonna measure. ....
@DrJamesGill
4 жыл бұрын
😆
Dr. Gill, how would the examination look like (differ from the "normal" one) when a patient confirms having knee/s pain? Thank you.
@Megan-nr7xe
3 жыл бұрын
If its a gp doing an examination they'll probably send them for an xray if they've got pain
Today im gonna sleep faster 😴💤 😍
@yoyomodiji
4 жыл бұрын
Hello my indian brother...
I wonder how he acts when someone actually answers yes to a “does that hurt?” question
@DrJamesGill
4 жыл бұрын
Easy. I pay more attention to that area, and examine with extra care
@alliecattlopez537
4 жыл бұрын
@@DrJamesGill He reads you a book.
@XSemperIdem5
3 жыл бұрын
I can feel my knee hurting more just watching this. I would be saying yes the second he pressed down with that measuring tape.
Dr. Gill: "I'v been asked to do an examination of your knee. Would that be oka.." Me: *passed tf out* Dr. Gill: "God dammit, not again"
@See-if_I_care
3 жыл бұрын
😂😂😂 makes sense
May I ask, as a physiotherapy student who just got introduced to all the knee/patella tests, when you pushed down on the patients left patella it seemed more loose/ to give in quite more than the right one. Would that be a positive for this test? Or is it maybe just the different angle that made it seem so?
@DrJamesGill
4 жыл бұрын
all seemed fine during the exam, likely just a visual thing
Hi, Dr. Gill! Could you please also do a video where you are explaining indicators for some problems (like if a knee cap hurts by a touch what would that mean is it a ligament problem, meniscus etc.)
@DrJamesGill
4 жыл бұрын
Eventually that is the plan
I had a knee assessment, didn't involve this much. Apparently I'm to young for treatment, Stilettos and pot holes don't end well.
Any double vision...
At first I understood: “I’ve been asked to do an examination of your niece today.”
I have had 2 knee replacements, after the first one fractured. 3 years on and still suffering pain!
@DrJamesGill
2 жыл бұрын
Ouch. That’s bad luck. How did that happen?
Hi Dr Gill. I had reconstruction of my acl in 2015 where a hamstring graft was used. Since then I never been able to achieve full flexion and do have significant tightness when stretching the knee during flexion after warming up. I occasionally during the colder weather get a dull ache deep in the knee and it's rather uncomfortable where the surgical bolt sits in the shin holding the graft in place. Any possible reason why its difficult to improve flexion despite regularly stretching?
@DrJamesGill
4 жыл бұрын
Flexion, ie bending the knee needs a full movement of the ligaments and tendons, if there is shortening it might restrict movements I shattered my elbow a few years ago. Even though I did all the physio, it won’t fully straighten, likely due to a shortened bicep ligament. Any surgery can induce scarring, which simply doesn’t stretch as well. It’s always worth whilst discussing with physio, but they might not be able to make huge changes due to the time frame since the op Hope that helps
@liamthompson9272
4 жыл бұрын
@@DrJamesGill thank you for your insight and bringing some clarity to my query. I'm sure I'll manage like I have been. You are remarkable at what you do. Got yourself a fan right here my good sir. Take care and all the best Dr Gill 🙏
You're the f*****g boss!
0:47 when you hold your breath and bend/stretch
I’ve got a question Dr Gill, my knees crack/make cracking sounds with almost every movement. It’s been like that for years now, I am only 19 though. My knees are slightly turned towards each other and hurt after driving in the car, especially the left knee. My doctor said there is nothing we could do about it, is that true?
@faazilvally626
3 жыл бұрын
Go for an MRI scan if possible. There may be an issue with your tissue in the knee. Possibly a meniscus tear? Dont leave it unattended please, you have your whole life ahead of you.
I love your videos. But went back to this one due to knee discomfort.
@DrJamesGill
3 жыл бұрын
Esther Trevino I hope you’ve had it checked out. DONT LET KNEE DISCOMFORT MORE THAN A MONTH SIT. Have a chat with your GP
@tetesworld
3 жыл бұрын
Dr James Gill haven’t been able to get in with the doctor due to covid. It hurts only when bending knee and specially when getting up from sitting. No pain while walking or sitting. Hoping to get it checked out soon.
@musiclikerperson
2 жыл бұрын
@@tetesworld I don't know if you've got it checked out or what the COVID situation is for you now, but I just wanted to suggest communicating over phone calls, video or email if nothing else - it's better than nothing! You could detect problems, or your doctor could see that you might have an urgent problem and push for tests or visits (done as safely as possible).
Nobody: THE KNEE: I am now VERticAL
man knows our kneeds
If I got examined by Dr. Gill maybe I'll sleep peacefully like never sleeping before.
i think if dr gill was my doctor i would fall asleep in the middle of the examination
That high pitched "akay" at :47😂😂😂😂😂can't stop laughing
@Matt-pu1sn
3 жыл бұрын
Hahah
ASMR icon!
Told a doctor my left knee hurts chronically. They did not do all this. Just sent me for an xray. Long story short my knee still hurts like hell.
@kiarona.
2 жыл бұрын
Are you able to ask for an ultrasound perhaps? That might show if there's something in the muscles that won't appear in an X-ray. I had monoarticular arthritis in my left knee last year - the ultrasound found excess fluid around my knee where the X-ray showed nothing at all. Unfortunately there was no cure - I just had to wear a knee brace until it healed 😅
@DrJamesGill
2 жыл бұрын
I’m sorry to hear that. It is worth while asking for further care, regardless of what that transpires to be if you are still in pain
Failed to verify name and birth date. Minus 10 pts, Gill.
As someone who’s gone hilariously flying across the floor when getting up from squatting because my knee didn’t come with me and for which has popped my knee out of place in so many strange/hilarious ways I cringed just seeing them get on and off that table so quickly, haha, if only it were that easy for me still. Gotta love hereditary joint problems…
@DrJamesGill
2 жыл бұрын
It’s surprising the number of people I’ve seen recently with things like Ashlee Danlos
this reminds me of playing doctor 👀👀
“A snake doesn’t really have parts.. if it was anything I’d say it was his knee” Adam Sandler’s the water boy
What is the purpose of sweeping the knee? I've had an acl repair and that made me cringe a little lol
@DrJamesGill
3 жыл бұрын
Checking for an effusion
damn that guy's foot almost reached the ceiling
Are you measuring the patient for a pair of trousers?
@DrJamesGill
3 жыл бұрын
Leg is important for hip and knee pathologies, differences in length can affect gait
Dr. James, did you forget to confirm name and date of birth or that isn't always necessary? I'm not a medical student but i do Love your videos and i notice this small difference in this one. Sorry about my english. Big fan from brazil.
@DrJamesGill
4 жыл бұрын
Fernanda E. Lima yes that was a very big mistake on my part 😭
@FernandaELima-sk2pg
4 жыл бұрын
@@DrJamesGill Doctor, stop that, you're incredible! ♥
Dr: Hello I’m Dr Gill. I’ve been asked to examine your knees is that ok? Patient: Yes, that’s fine. Dr: Please remove your shirt. Patient: 😐
- Right... Hello my name is Dr Gill and I’ve been ask to examined your knees... - **Me gets shivers on the back of my skull and think here we go***