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SPECIALTY GUIDE: ORTHOPEDICS & TRAUMA · AAOS & Musculoskeletal Clinical Practice Compliant

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

🩺 Revue Médicale : Comité des Algorithmes Cliniques et Médical ClinIQ 📅 Dernière mise à jour : 23 Ekim 2026 ⏱️ 8 min de lecture 👥 Médecins urgentistes, internistes, résidents et étudiants en médecine

Points Clés Cliniques

  • 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.

Questions Cliniques Fréquentes

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.

Directives Cliniques et Références

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