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

🩺 医療レビュー: ClinIQ 臨床アルゴリズム＆医療審査委員会 📅 最終更新: 23 Ekim 2026 ⏱️ 8 分で読める 👥 救急専門医、一般内科医、研修医、医学生

臨床上の重要ポイント

  • 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.

臨床に関するよくある質問

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.

臨床ガイドライン＆参考文献

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