KNEE PATIENT EVALUATION FORM - memorialorthopaedic.com 2025

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The document is a Knee Patient Evaluation Form designed to collect comprehensive information about a patient's knee symptoms, medical history, and current health status. It includes sections for personal details, symptom description, pain assessment, previous treatments, and overall physical health. The form aims to assist healthcare providers in diagnosing and treating knee-related issues.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information at the top of the form, including your name, chart number, age, sex, and the date of your evaluation.
In the symptoms section, check all applicable complaints such as pain or swelling. Be thorough to ensure accurate assessment.
Indicate how long you have experienced these symptoms and specify which knee is affected.
For pain-related questions, provide detailed responses about when the pain occurs and any factors that worsen or relieve it.
Complete sections regarding previous treatments and medical history to give a comprehensive view of your condition.
Finally, review all entries for accuracy before submitting the form through our platform for processing.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the red flags for knee exam?

Red flags in physical examination For those who are symptomatic can present with discoloration, pain, warmth, swelling, and tenderness of the affected extremity (11).

What are three special tests for the knee?

Knee Special Tests The Lever Test. The lever test for anterior cruciate ligament integrity. The Bounce Test. The bounce test with a soup can placed beneath the heel. Patella Apprehension Test. Hyperflexion Test.

How do you evaluate a knee?

Making sure the patient is fully relaxed, assess passive movement. This is done by placing one hand on the knee (feeling for crepitus) and flexing the knee as far as possible, noting the range of movement. Assess full flexion and extension of the knees, comparing one to the other.

What are 5 things you need to observe when evaluating the knee?

The objective assessment should include observation, a gait analysis, functional screening, a neurological screen, palpation, range of motion testing, and muscle length and strength assessment. There are a number of special tests that can help identify specific knee conditions.

What are 5 symptoms of a knee injury?

Your doctor may ask specific questions about your activities, symptoms, and prior injuries, and want to know whether your symptoms appeared immediately after an injury or in the days afterward. This helps your doctor determine if pain is a sign of osteoarthritis or other problem of the knee.