The Painful, Edematous Knee

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The Painful, Edematous Knee - Page #1

Author: Jeffrey Berg, DO Co Author #1: John Luksch, DO, FAOASM Senior Editor: Kevin Gray, MD Editor: Lauren Borowski, MD Patient Presentation: A 33-year-old male presented to the office with two weeks of atraumatic left knee pain that originated with no inciting event. He noted diffuse, moderate throbbing pain upon waking with swelling of the knee and limited range of motion. He denied any buckling, locking, or catching. History: He denied prior knee issues, recent illness, insect bites or other past medical history. Physical Exam: Left knee exam: No obvious deformity, neutral alignment. No soft tissue swelling, muscular atrophy, or skin changes 2+ joint effusion. Tenderness to palpation noted over superolateral and superomedial aspects of knee, and the patellar facets. Minimal joint line tenderness medially and laterally. No calf or bony tenderness. No appreciable Baker’s or popliteal cyst. Range of motion: limited, 10 to 85 degrees actively and 5 to 95 degrees passively with discomfort at end range of flexion only. Strength intact 5/5 except 4/5 strength in resisted knee extension Special tests negative including valgus and varus stress, Lachman’s, anterior drawer, posterior drawer; unable to perform McMurry’s secondary to joint effusion Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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