Lateral Knee Pain In A 17-year-old Soccer Athlete

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Lateral Knee Pain In A 17-year-old Soccer Athlete - Page #1

Author: Alex Wade, MD Co Author #1: Kyle Smoot, MD, CAQSM Senior Editor: Margaret Gibson, MD, FAMSSM Editor: Rathna Nuti, MD History: A 17-year-old soccer athlete with no significant past medical history presented with acute right knee pain which occurred following a varus-stress contact injury during a soccer game. Contact occurred with the opponent while he was initiating a jump in the air. He felt a pop at the time of injury and was unable to bear full weight immediately following the injury and walked with a limp. Pain level was an 8/10 at presentation. Pain consistently woke him from sleep and was exacerbated with any exertion or ambulation. Physical Exam: Right knee exam was significant for a moderate effusion with significant pain upon palpation along the lateral joint line of the right knee. Full extension was present with flexion to 135°. 4/5 strength was noted with flexion/extension of the right knee. No laxity with Lachman testing. Posterior drawer testing with lower extremity externally rotated showed laxity compared to the contralateral side. Laxity and pain were noted with varus/valgus testing at 0° and 30°. Significant pain with Thessaly testing and McMurray testing along the lateral and posterior aspect of his right knee. Dial test was asymmetric and reproduced lateral pain. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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