Asked by: Duret
medical health bone and joint conditions

Where is the joint line in your knee?

Last Updated: 11th June, 2020

The joint line palpation of the knee starts from the medial border of the patellar ligament towards the posterior aspect of the knee. Beginning at the lateral border of the patellar ligament, the lateral joint line was palpated in a similar way along the joint line in the posterior direction.

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Also question is, what are joint lines?

A tissue called the synovial membrane lines the joint and seals it into a joint capsule. The synovial membrane secretes a clear, sticky fluid (synovial fluid) around the joint to lubricate it.

Additionally, what does positive McMurray's test mean? The McMurray test, also known as the McMurray circumduction test is used to evaluate individuals for tears in the meniscus of the knee. If a "thud" or "click" is felt along with pain, this constitutes a "positive McMurray test" for a tear in the posterior portion of the lateral meniscus.

Keeping this in consideration, can you palpate the meniscus?

Place the index, middle, and ring fingers of your left hand along the lateral joint line. Gently extend and flex the knee. If the lateral meniscus has been injured, you may feel a "click" with the hand palpating the joint line. You may also elicit pain.

What is joint line pain?

Definition/Description. The joint line tenderness test is used to screen for sensitivity related to meniscal injuries. The test can be used if pain is localized to either the medial or lateral aspect of the joint, this is usually due to pathology of either the articular joint cartilage or the medial or lateral meniscus

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What is joint line of the knee?

Joint line of the knee (JL): the line through the most distal points of the medial and lateral femoral condyles in the coronal plane, or the line through the most distal point of the femur perpendicular to the anatomical axis of the tibial shaft in the sagittal plane.

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What is TTP of the knee?

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What makes up the knee joint?

Bones. Three bones meet to form your knee joint: your thighbone (femur), shinbone (tibia), and kneecap (patella). Articular cartilage. The ends of the femur and tibia, and the back of the patella are covered with articular cartilage.

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How is the knee joint formed?

The knee joint is a hinge type synovial joint, which mainly allows for flexion and extension (and a small degree of medial and lateral rotation). It is formed by articulations between the patella, femur and tibia. Fig 1 – The femur, tibia and patella of the knee joint.

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How do you diagnose knee effusion?

Perform the patellar tap test or fluid displacement test to determine the presence of fluid in the knee joint. The patellar test is best for identifying moderate-sized effusions. The fluid displacement test is better for smaller effusions.

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What bony and soft tissue structures can be palpated at the knee?

Soft tissues like the quadriceps muscle, anserine bursa, Hoffa's fat pad, iliotibial tract, patellar ligament and lateral and medial collateral ligaments can be assessed by palpation. A Baker cyst can be palpated in the popliteal fossa.

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What is a musculoskeletal assessment?

It involves inspecting carefully for joint swelling and abnormal posture, as well as assessing the joints for normal movement. This screening examination is known by the acronym 'GALS', which stands for Gait, Arms, Legs and Spine.

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How do you check tenderness?

To check for rebound tenderness, a doctor applies pressure to an area of your abdomen using their hands. They quickly remove their hands and ask if you feel any pain when the skin and tissue that was pushed down moves back into place. If you do feel pain or discomfort, you have rebound tenderness.

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What is the Lachman drawer test and how does it work?

Purpose. The Lachman test is a passive accessory movement test of the knee performed to identify the integrity of the anterior cruciate ligament (ACL). The test is designed to assess single and sagittal plane instability.

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How do you diagnose a torn meniscus?

To test for a suspected medial meniscus tear, the patient is asked to turn his feet outward, externally rotating the knee. He then squats and slowly stands back up. The patient and examiner are alert for an audible and/or palpable click or pain in the area of the meniscus.

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Where is medial meniscus?

The menisci — the medial meniscus and lateral meniscus - are crescent-shaped bands of thick, rubbery cartilage attached to the shinbone (tibia). They act as shock absorbers and stabilize the knee. The medial meniscus is on the inner side of the knee joint. The lateral meniscus is on the outside of the knee.

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How do you test anterior drawer?

Perform the Anterior Drawer Test for Your ACL
  1. Lie on your back with your injured knee bent and your foot flat on the floor.
  2. Have your friend sit gently on your foot so it does not move.
  3. Have your friend grasp your knee with her thumbs in the front of your knee and her fingers behind your knee.

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Can meniscus heal on its own?

Can A Meniscus Tear Heal On Its Own? If your tear is on the outer one-third of the meniscus, it may heal on its own or be repaired surgically. This is because this area has rich blood supply and blood cells can regenerate meniscus tissue — or help it heal after surgical repair.

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What is a positive Thessaly test?

The patient tests first the good leg and then the injured leg. The test is considered positive for a meniscus tear if the patient experiences medial or lateral joint line discomfort. The patient may also have a sense of locking or catching in the knee. [

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What is the bounce home test?

Bounce Home test is an orthopaedic test of the knee joint that assesses the integrity of the meniscus.

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How accurate is McMurray's test?

The McMurray test had an overall accuracy of 78% and 84%, a sensitivity of 48% and 65% and a specificity of 94% and 86%. suspected meniscal injury. the McMurray, JLT and Thessaly tests. at 5º had an overall accuracy of 49% and 71% and a specificity of 68% and 89%.

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How do you sleep with a torn meniscus?

Sleep on your back with the leg slightly elevated
This is especially important during the first few days after meniscus surgery. Keeping the leg elevated (but not bent!) encourages healthy circulation, which helps keep pain and swelling in check.