What’s on the web for family physicians – common knee problems

Alfred KY Tang 鄧權恩, Wilbert WB Wong 王維斌

McMaster MSK Examination Series
http://fhs.mcmaster.ca/medicine/rheumatology/examineknee.htm

This is a website dedicated to physical examination skills of the major joints of the body. The examination of knee joint is well illustrated with marking of surface anatomy on the skin. Differential diagnosis of common knee problems were mentioned while doing revision of examination skills. Detailed descriptions in other major joints are included. Video clips in different joints are available for quick reference.

A Clinical Guide to Clinical Medicine
http://meded.ucsd.edu/clinicalmed/joints.htm

This website is maintained by the University of California, San Diego. It is a comprehensive site on physical examination and CME site for health care professionals. There are a lot of related clinical examinations of different joints with illustrations by high quality clinical pictures. Video clips for clinical tests for different specific conditions are available in the website.

Digital Media Library: Musculoskeletal
http://www.fammed.wisc.edu/our-department/media/623/knee-exam

The website is maintained by Department of Family Medicine – University of Wisconsin School of Medicine and Public Health. This website includes good quality of video clips for knee examination in general, and then various separated clips for different conditions. These video are good revision materials for knee examinations in our daily practice.

Knee Investigation:
Radiology Masterclass
http://radiologymasterclass.co.uk/tutorials/musculoskeletal/x-ray_trauma_lower_limb/lower_limb_trauma_x-ray_start.html

Radiology Masterclass is a collection of educational materials on radiology and medical imaging, all intended for physicians. The section on knee illustrates common knee conidtions encountered in daily practice. Main educational activities at the website include Tutorials, Galleries, Test Yourself Quizzes. The musculoskeletal xray tutorial contains a good libary of clinical pictures on trauma cases good for revision purpose.

MRI of knee
http://www.racgp.org.au/download/Documents/AFP/2012/November/201211skinner.pdf

This article from Australian Family Physician provides comprensive information about MRI imaging for knee problems. It considers areas such as indications. It answers common questions asked by referring physicians, including contraindications, what the limit of the test, interpretation of results and its safety with pregnancy.

Intra-articular Hyaluronic Acid Injections for Knee Osteoarthritis
http://www.aafp.org/afp/2000/0801/p565.html

This article from the American Family Physician journal introduces the use of hyaluronic acid as a treatment option for knee osteoarthritis. Different types of viscosupplements, clinical studies supported, indications, adverse effects as well as the injection technique are all included in the article.

Multimedia Knee Exam
http://www.sportsdoc.umn.edu/Clinical_Folder/Knee_Folder/knee.htm

This website is developed by the Sports Medicine Institute – University of Minnesota Orthopedics. It includes details in multimedia for knee examinations. It contains a comprehensive rehabilitation protocols. Protocols for postoperative management plan of different knee surgeries like ACL reconstruction. Other programs on acute knee injury like MCL sprain are also included.