Posteromedial Knee Pain In A High School Swimmer

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Posteromedial Knee Pain In A High School Swimmer - Page #3

Lab Studies: Sed rate normal CRP normal RF negative ANA negative dsDNA negative -CK normal -HLA-B27 negative -No other lab work was available at the time of consultation Other Studies: Plain films of the knee were normal including the tibia/fibula films (AP/lateral views) and knee films (weightbearing AP/lateral, tunnel, Merchant views) Outside musculoskeletal ultrasound of the knee was unremarkable MRI of the knee without contrast/arthrogram was read as normal, but her orthopedist noted thickening of the medial subcutaneous fat At her initial visit, we performed a diagnostic ultrasound of the left medial knee region with a 15-6 MHz linear array transducer. MCL and pes anserine bursa/tendons were normal. Sonopalpation tenderness over left saphenous nerve as it exits adductor canal reproduced her presenting symptoms. At the most tender area over posteromedial knee, there was an anechoic space between the knee capsule and peripheral margin of the meniscus. She reported tenderness over the distal hamstring tendon without visible abnormality. Case Photo #2 Case Photo #3 Case Photo #4 Case Photo #5 Case Photo #6 Consultations: None Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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