collateral ligament injury, and lateral meniscal tear. Pain at the lateral femoral condyle is suggestive of iliotibial band syndrome. Swelling at the popliteal fossa may reveal a Baker's cyst. Motion Assessment of effusion The absence of normal grooves around patella may indicates a patellar intra-articular effusion. There are two ways to confirm the effusion. The knee is extended fully before the examination begins. This first way is the patellar tap. It is to squeeze the fluid between the patella and the femur by pressing at the medial patella using a non-dominant hand. Then, using the dominant hand to press on the patella vertically. If the patella is ballotable, then patellar intra-articular effusion is present. Another way is the milking of the patella. First, the effusion is milked at the medial border of the patella from inferior to superior aspect. Then, using another hand, the effusion is milked at the lateral border of the patella from superior to inferior aspect. If effusion is present, a bulge will be appear at the medial border of the patella because the effusion is milked back to the medial patella. Assessment of range of motion Both the active and passive range of motion should be assessed. The normal knee extension is between 0 and 10 degrees. The normal knee flexion is between 130 and 150 degrees. Any pain, abnormal movement, or crepitus of the patella should be noted. If there is pain or crepitus during active extension of the knee, while the patella is being compressed against the patellofemoral groove, patellofemoral pain syndrome or chondromalacia patellae should be suspected. Pain with active range of motion but no pain during passive range of motion is suggestive of inflammation of the tendon. Pain during active and passive range of motion is suggestive of pathology in the knee joint. Assessment of collateral ligaments Valgus stress test can be performed with the examined knee in 25 degrees flexion to determine the integrity of the medial collateral ligament. Similarly, varus stress test can be performed to access the integrity of the lateral collateral ligament. The degree of collateral ligament sprain can also be assessed during the valgus and varus tests. In a first degree tear, the ligament has less than 5 mm laxity with a definite resistance when the knee is pulled. In a second degree sprain, there is laxity when the knee is tested at 25 degrees of flexion,