Knee

History

Age
Occupation
Pain
- Location
  - point to where it is
- radiation
  - does the pain go anywhere else
- Type
  - Burning, sharp, dull

How long have you had the pain
How did it start
- Injury
  - Mechanism of injury
    - Position of leg at time of injury
    - Direct / indirect
    - Audible POP
    - Could you play on or did you leave the field?
  - ACL
    - Did it swell at the time
      - Immediately
        Haemathrosis
      - Delayed
        Traumatic synovitis
    - Audible POP
  - How was it treated?
- Insidious
Progression
- Is it getting worse or is it remaining stable
  - Is it better, worse or the same

When
- Mechanical / Walking
- Rest
- Nocte
- constant
Aggravating & Relieving Factors
- stairs
- start up, mechanical
- pain with twisting & turning
- up & down hills
- kneeling
- squatting

Other
- Swelling
  - Length of time
  - Progression
  - ? painful
  - Local vs generalised
  - Associated with injury
- Locking / clicking
  - Loose body, meniscal tear
  - Locking vs pseudo-locking
- Giving way
  - Buckling 2° pain
  - ACL
    - Twisting
  - PCL with PLC
    - Going downstairs
  - Patella
  - MCL
    - Cutting movements
Red Flags
Risk Factors
Function
- How has this affected your life
- Home
  - getting out of chairs / bed
  - socks
  - stairs
  - squat or kneel for gardening
  - walking distance
  - get & out of cars
- Work
- Sport
  - Type & intensity
  - Run, jump
Treatment
- Nonoperative
  - Medications
    - Analgesia
    - How much
    - How long
  - Physio
  - Orthotics
    - Walking sticks
    - Splints
- Operative
Past Medical History
- Family history

Any last questions

what would you like done?
What problem would you like fixed?