Thomas Test - Knee Pain Examination - Clinical Skills - Dr Gill

I've been asked to have a look at your knee today because apparently you've got some pain. Which side is affected? The left side. Before we go any further, could you please confirm to me your name and date of birth? Tavis Alvey, 4th January 2000. Super, thank you. So, I'm aware that my colleague has done a full knee examination and we think this could be Osgood-Slatter's disease. What I need to do is a specific test to have a look to see if there's any changes with regard to your leg. So, I'd like to lie you flat. Are you comfortable with that? Yes, thank you. And if we could just get you to lie all the way down. So, it's your left leg that's affected, so we're going to start off with the right. I'm going to put my hand just under your back. If you could bring this knee up to your chin for me. So, we've lost the lumbar lordosis now. I can feel the squash through. I'm looking at the opposite thigh, which has only moved ever so slightly. Relax this leg down for me. I'm just going to move to the opposite side. And again, if you raise this knee up for me. And again, we can see this leg has stayed lying on the bed. That's good. Relax down for me. So, let's get you to sit up if I can. And I can just get you to stand at the front of the bed. So, we're just going to do a similar test, but with a little bit more movement involved. So, I'm going to get you to sit down back. And then I'm going to slowly roll you back. To start off, if you could bring your right knee up to your chest for me. And then I'm going to roll you back. Super. So, we can see that your left thigh is still on the bed. But crucially, your knee hasn't kicked forward. Let's roll you up. And relax that knee. And if we can bring this knee up to your chin for me. And again, bring you down. And again, this thigh has stayed down with the couch. But crucially, this knee hasn't kicked forward. So, that's great. Get you to sit up. So, from this examination, I haven't found anything abnormal. So, what that means is I haven't found a fixed flexion deformity. When we had you lie back, your legs didn't straighten as you brought your knee up to your chin. Both lying down or here. So, I think it's unlikely that that's going to be a contributing factor to the pain that you have. Do you have any other questions for myself? Thank you very much. Thank you.