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Orthopedic Examination Note: Joint Range of Motion, Special Tests & Trauma

🩺 Медицинска експертиза: Съвет по клинични алгоритми и медицинско съдържание на ClinIQ 📅 Последна актуализация: 23 Ekim 2026 ⏱️ 8 мин четене 👥 Лекари, специализанти, специалисти и студенти по медицина

Основни клинични изводи

  • Systematic examination order: Look (inspection/alignment), Feel (effusion/palpation), Move (active/passive ROM), and Special ligamentous tests.
  • Distal neurovascular competency (peripheral pulses, motor power, sensory distribution) must be documented in all trauma evaluations.
  • ClinIQ supports Ottawa Ankle and Knee rule calculators to reduce unnecessary radiation imaging.

1. Four Pillars of Musculoskeletal Examination

Orthopedic clinical documentation requires objective range of motion degrees, motor scoring via the MRC scale (0-5), and validated joint-specific stress tests.

Често задавани клинични въпроси

Q: What is the most sensitive physical exam test for an ACL tear?

The Lachman test is the most sensitive test, superior to the anterior drawer test in the acute setting.

Клинични ръководства и референции

  1. AAOS Clinical Practice Guidelines on Anterior Cruciate Ligament Injury, 2022.