The Exam for Knee Pain - Stanford Medicine 25
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- Опубліковано 18 лип 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
.
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 😂
Thank you for a thorough examination, explanation and giving names on the standing meniscus tests.
Awesome demonstration & explanation. Super helpful - thanks!
I learned most on UA-cam & other websites than I did in university & in high school ! Thanks doctor .good job am still a fresh student.
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.
This is very helpful to my upcoming exam. Thank you very much.
I can feel my knee hurting just watching this.
Perfect, thank you so much
Best lecture on Knee examination. Thank you!
Really good recap, thank you.
Thanks for your teaching methods full of pedagogy
Very helpful thanks!
Great assessment video. Thanks for sharing. Very educational.
concise and accurate focussed knee exam
Thank you for the comment
really appreciate the thorough explanation of the diagnosis after examination and testing
Very comprehensive review. Can you also please add videos on hip/ pelvis/ neck/ lower back?
This is the best revision vid I've found for knee exam so far
Well it is Standford
@@BD091959 also sitford and duckwalkford
She is really good and knows what she is doing. Very well explained.
The reflection from that guy's legs was impressive
Thank you so much.....
Thank you. Very very good. I like this isolation and diagnosis of various areas.
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.
Awesome demonstration
helpful explanation and demo, many thanks 💖💖💖💖💖💖💖
Clear and precise. Unlike the rest of the internet.
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?
what a great educational video!
Excellent demonstration
Very helpful.
Thank you!
I wish Dr. Christopher did more health assessment videos.
Educational and relaxing too
Well done Dr brinda
Knowledge and calming asmr
The doc is a doll!
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.
Would love to get this done for my right knee!!
Very precise and thorough. Wish doctors in the USA would apply even 10% of this level of effort and care.
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.
thank you!
Thank you very much
Excellent :)
thank you very much
Thankyou!
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.
j'aime cette vidéo , j'ai le même problème de genoux , ménisque , jambe guauche merci
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
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.
amazing skin tone
Excellent video !!!!!
Do you do house calls?
Example student must have been living in library for years. Pale level 9000 ;)
Thank you
I tore my ACL watching this
Very very good
excellent
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 ?
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!!
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.
After my physical examination I have come to the conclusion that patient is a Chad
great video - thank you
amazing
Good job mam
Good exam!
Chad was awesome too :)
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
The legs are brighter than most of the people's future !
Hoffa's Fat Pad sounds like an awesome nightclub
How do people determine how hard to press, push, and pull for the various steps?
Thanks for this video. I have knee pain. Any possible to contact with you please Thanks
“Say it”
*VAMPIRE*
Que mano branquelo!!
Sol faz bem, kkkkk.
Where can I go to get this done kaiser permanente does nothing but offer PT but ultimately does nothing
Shouldnt you test the normal knee first for anterior drawer.
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
great
She’s absolutely gorgeous
Brain+face+that accent= hot
@DG im in love!!
Nice
Great great
Omg she’s gorgeous
Bhghiokvcfuiuffhjkbcsriolm
-_&+&';)
She is indian american...
concise, professional and helpful. The doc is hot as well. loved it.
“Thank you chad” wasnt expecting that lol
He is a bottle of white out with legs
There's no more vedios for you any more????
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!
Very professional beautiful dr
she has a beautiful skin color
@FranzJ being examined for knee pain
Holy crap, I thought MY legs were pale....
This is out of order, right? The video on the exsanguination process should have been first but you haven't posted it yet.
I diagnose him to be a vampire !
Damn that guy’s legs are so white I need a pair of sunglasses just to watch this video.lol
Where are you Dr.Brenda
What is meant by calling an effusion "bland"? Please explain.
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 ...??
Hoffas fat pad is a great pub.
Wonderful demonstration of tests-cool and confident
Same problem for me
Wow legs
10 bucks says that if that guy steps out into sunlight he'll explode.