We have updated the knee injury encounter form [see “A Tool for Evaluating Patients With Knee Injury,” March 2005] to improve its usefulness. Because the pivot shift and McMurray tests may be difficult to perform on patients with a great deal of pain and swelling, the form now reminds physicians that the exam is limited and they should reexamine the patient in a certain number of days. Also, the form now includes additional prompts reminding physicians to evaluate the patient's strength, range of motion and neurovascular status, which are important factors for medical and medicolegal reasons.
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