ORTHOPAEDICS ASSESSMENT

ORTHOPAEDICS  ASSESSMENT

Reg. No. Name, Age/sex, Date of admission, Address, Occupation
Referred by (consultant) and hospital
Consultant’s probable diagnosis
Type of operation/illness
Date of discharge
Discharge summary
Instruction for physiotherapist
History of present illness
Past medical history
ADL activity
Personal history
Social history
Family history

 *ON OBSERVATION*
Attitude of limb
Facial expression
Deformity
Posture: Lying
Sitting
Standing
Pain:
Type
Onset
Nature
Radiation
Intensity
Aggravating factor
Relieving factor
Severity (visual analoguel scale)
Associated symptoms

 ON PALPATION
Temperature
Tenderness
Oedema—pitting/non-pitting
Inflammatory sign
Muscle wasting
Contractures

 *ON EXAMINATION*
Range of movement
Active
Passive
Joint effusion measurment
Muscle girth
Limb length
End feel: Capsular
Noncapsular
Differential test
Gait assessment
MMT
Neurological test
Dermatomes
Reflexes
Myotomes
Special tests
Investigation—Blood/X-ray/CT scan/MRI