The Ultimate Guide To PERFORM THE JOINT EXAMINATION?

Name- DR.Nitesh Khonde

Address- 154,Shankar Nagar,near garden,Nagpur-440010

Phone No- +91-9607957777, 7263807777

+91-9923200007

E-mail id [email protected], [email protected]

How to perform the joint examination?

Basics principles of Joint Examination are mentioned as below-

History Taking

Look or Appearance

Feel
Move
Special Tests related to Joints
History taking of patient is very important. Because by history taking we know the exact cause of disease
This includes following points like-

History of trauma or accident
Family history
Any congenital Anamoly
Personal history like smoking,alcoholism,tobacco chewing
Nature of symptoms
Pain, instability, swelling
Duration of symptoms
Any History of arthropathy like
Gout, rheumatoid
Use of immunocompromise
Steroids, diabetes
Exacerbation of arthritis

Warm joint
Reduced range of movement
Afebrile
Previous history of OA or Rheumatoid arthritis
Look Examination contains-
Any Scars of surgery
Any Deformity
Swelling over joints
Muscle wasting
Skin changes erythema/psoriasis/eczema
Bone/muscle contours
Comparison to unaffected side
Redness of joints
Feel Examination contains
Joint temperature whether it is warm or cold
Effusion
Bony prominences
Area of tenderness along joint margin
Movement Examination contains
Range of movement
Active and Passive
Stress tests