Knee Grading Rubric

Total _______/58

History ***Total____/8 (1 pt each) 1 1 1 1 1 1 1 1 (quick mark offs)

_____ MOI/How did it happen? _____ When did it happen? _____ What happened?
_____ Direction of forces _____ Sport/position _____ Any sounds
_____ Location of pain _____ Type of pain  _____ Rate pain level
_____ Radiating pain _____ Referred pain _____ Overuse/acute
_____ Movement  or  pain _____ Previous injury _____ Previous treatment 
_____ Length of symptoms _____ Sounds and sensations _____ Tingling/numbing
_____ Changes in training _____ Age of shoes  _____ Type of track
_____ Other intrinsic/extrinsic factors _____ Medications  

Observation ***Total____/8 (Observation) (1 pt each) 1 1 1 1 1 1 1 1 (quick mark offs)

_____ Deformities _____ Symmetry of gait _____ Symmetry/alignment
_____ Scars/lacerations _____ Skin color  _____ Swelling
_____ Shoe/sock removal _____ Shoe wear _____ Pain/guarding
_____ Blisters _____ Callus patterns _____ VMO atrophy
_____ VMO hypertrophy _____ Flexibility of foot/LL _____ Foot deformities

Posture

_____ Pes cavus _____ Pes planus _____ Achilles t. angle 
_____ WB vs. NWB posture _____ Camel sign  _____ Genu recurvatum 
_____ Genu valgus _____ Genu varum _____ Shoe creases
_____ Shoe pattern (e.g., pronation vs. supination)  _____ Valgus/Varus orientation of forefoot/rearfoot  

Palpations ***Total___/8 (Palpations) (1 pt each)

Bony Palpation - Reasons for bony palpation: AT palpates for: Total 2 points (.5 each) ______

_____ Point tenderness _____ Deformity _____ Crepitus _____ Symmetry

Bony Palpations:

___ Patella ___Fibula Head ___ Joint line
___ Tibial Tuberosity ___ Tibial Plateau  

Soft tissue Palpation - Reasons for bony palpation: AT palpates for Total 2 points (.5 each) ____

_____Point tenderness ____ Symmetry ____ Spasm/tone ____ Swelling/ warmth

Soft Tissue Palpations 

___ Patellar Tendon
 ___ Medial Collateral Ligament
___ Lateral Collateral Ligament 
 

Range of Motion ***Total____/3 (ROM)**

___ Active ROM (F, E)  
___ Passive ROM (F, E) Bi Lateral ________ 1 pt
___ Manual muscle (F, E)  

Special tests ***Total_____/26 (Special Tests) ( 1 pt each)

Name: ___ Anterior Drawer ___Posterior Drawer  __Lachman's
Mechanics: ___ ___  ___ 
Testing for: ___ ACL tear/sprain ___ PCL tear/sprain ___ ACL tear/sprain
Positive test: ___ Anterior Translation ___ Posterior Translation ___ Anterior Trans.

Name: ___Valgus ___Varus ___Apley’s Com.
Mechanics: ___ ___ ___
Testing for: ___ MCL tear/sprain ___ LCL tear/sprain ___ Meniscus tear
Positive test: ___ Hypermobility/Pain ___ Hypermobility/Pain ___ Pain
  ___ 0 & 30
___ 0 & 30
 

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