By Dos Winkel
Clinical Society of Flemish common Practitioners, Antwerp, Belgium. Translation, version, and compilation of 3 titles formerly released in Dutch. Halftone illustrations. 7 members, three U.S. DNLN: Leg.
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Additional info for Diagnosis and Treatment of the Lower Extremities: Nonoperative Orthopedic Medicine and Manual Therapy
2 swelling, or Before the functional examination, palpa tion only for local swelling and skin tempera ture is performed. When swelling is present, its consistency is determined. Functional Examination (Refer also to Diagnosis and Treatment of the Spine, pp. ) Before the functional examination, it should be noted whether the patient is expe riencing symptoms at that specific moment. With each test the examiner should observe whether the symptoms change. Procedurally, the affected side should always be compared with the nonaffected side.
It feels like a thick cord about 4 cm long. It is easily palpable, especially when the knee is actively extended. Anatomy and palpation sites for the nerves and blood vessels of the lower extremity are discussed in Appendix A. Chapter 3 Examination of the Hip HIP JOINT (ARTICULATIO COXAE) • • • can be felt in part of the L3 dermatome. For example, there is often only anterior knee pain when there is coxarthrosis. In such cases, the functional examination of the knee does not provoke the patient's symptoms, but functional examination of the hip will elicit pain.
Performing the test in this manner provides more reliable information about the gluteal muscles because it prevents the knee flexion function of the hamstrings by requiring simultaneous slight isometric con traction of the quadriceps. 24 Resisted Knee Extension. with the Knee in 90° Flexion The examiner stands next to the side being tested, at the level of the patient's upper body. The patient flexes the knee to 90°. With one hand, the examiner grasps the anterior aspect of the patient's lower leg just proximal to the ankle and places the other hand on the posterior side of the thigh just proximal to the popliteal fossa.
Diagnosis and Treatment of the Lower Extremities: Nonoperative Orthopedic Medicine and Manual Therapy by Dos Winkel