{"id":1213,"date":"2010-12-04T14:50:25","date_gmt":"2010-12-04T14:50:25","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/active-movement-examination-5\/"},"modified":"2024-01-08T13:54:43","modified_gmt":"2024-01-08T13:54:43","slug":"active-movement-examination-5","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-examination-of-the-lower-extremities\/the-knee\/active-movement-examination-5\/","title":{"rendered":"Active Movement Examination"},"content":{"rendered":"<hr \/>\n<ul>\n<li><span style=\"color: #003366;\">The patient should lie completely flat with extended hips and knees. <\/span><\/li>\n<li><span style=\"color: #003366;\">The \u2018<em>neutral position<\/em>\u2019 of the knee joint is where the <span style=\"color: #33cccc;\"><strong>hip<\/strong><\/span>, <span style=\"color: #33cccc;\"><strong>knee<\/strong><\/span> and <span style=\"color: #33cccc;\"><strong>ankle<\/strong><\/span> lie on a single line when viewed laterally <em><strong>[Figure 56]<\/strong><\/em>.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1209\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-56.jpg\" alt=\"\" width=\"400\" height=\"295\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-56.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-56-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><strong><span style=\"width: 400px; display: block;\">Figure 56<\/span><\/strong><\/span><\/p>\n<hr \/>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/124602267?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\"><\/iframe><\/p>\n<hr \/>\n<h3><span style=\"color: #003366;\">Procedure<\/span><\/h3>\n<p><span style=\"color: #003366;\">Inspect the movements and assess:<\/span><\/p>\n<ul>\n<li><span style=\"color: #003366;\">Course of the movement.<\/span><\/li>\n<li><span style=\"color: #003366;\">Maximum range of motion.<\/span><\/li>\n<li><span style=\"color: #003366;\">Occurrence of pain.<\/span><\/li>\n<li><span style=\"color: #003366;\">Occurrence of crepitations.<\/span><\/li>\n<li><span style=\"color: #003366;\">Lateral displacement of the patella (<em>a dysplastic patella can become displaced during flexion<\/em>).<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"color: #003366;\">Assess this by asking the patient to perform the following movements:<\/span><\/p>\n<ul>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Flexion<\/strong><\/span> &#8211; Bring the heel against the buttocks if possible <em><strong>[Figure 57]<\/strong><\/em>.<\/span><\/li>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Extension<\/strong><\/span> &#8211; \u2018<em>Press<\/em>\u2019 the hollow of the knee downwards into the examination table. The movement should start with the knee in a position of maximum flexion<em><strong> [Figure 58]<\/strong><\/em>.<\/span><\/li>\n<li><span style=\"color: #003366;\">The <span style=\"color: #33cccc;\"><strong>exorotation<\/strong><\/span> and <span style=\"color: #33cccc;\"><strong>endorotation<\/strong><\/span> of the knee at 90\u00b0 flexion, is almost never disturbed in active movement and does not need to be actively examined.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1211\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-57.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-57.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-57-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><strong><span style=\"width: 400px; display: block;\">Figure 57<\/span><\/strong><\/span><\/p>\n<hr \/>\n<p><span class=\"jce_caption\" style=\"display: inline-block; color: #003366;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-1212\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-58.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-58.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/LowerExtrem_le-fig-58-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><strong><span style=\"width: 400px; display: block;\">Figure 58<\/span><\/strong><\/span><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The patient should lie completely flat with extended hips and knees. The \u2018neutral position\u2019 of the knee joint is where the hip, knee and ankle lie on a single line when viewed laterally [Figure 56]. Figure 56 Procedure Inspect the movements and assess: Course of the movement. Maximum range of motion. Occurrence of pain. Occurrence [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[70],"tags":[144],"class_list":["post-1213","post","type-post","status-publish","format-standard","hentry","category-the-knee","tag-the-examination-of-the-lower-extremities"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Active Movement Examination - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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