When Knee Pain Becomes A Giant Problem

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When Knee Pain Becomes A Giant Problem - Page #1

Author: Calli Fry, DO Co Author #1: Jacklyn Bascomb-Harrison, MS, LAT, ATC Co Author #2: Grant Rowland, MD, FAAOS Co Author #3: Elizabeth T. Nguyen, MD, CAQSM Senior Editor: Drew Duerson, MD Editor: Kiyomi Goto, DO Patient Presentation: A 20-year-old female musical theater actress presented to the training room for right knee pain. History: Initially, she was thought to have a possible hamstring strain about 3 to 4 months ago. Her symptoms included pain in the posterior aspect of her right knee, aching with impact activities, limited range of motion, and mechanical symptoms of buckling and catching. She denied numbness or tingling. She tried rest, activity modification, and exercises with the athletic trainer. She was waking up at night due to pain but denied fever or night sweats. Physical Exam: General: No acute distress, afebrile, alert, and oriented. Lungs: No respiratory distress, no wheezing. Neurovascular: Intact. Right Knee: No bruising, atrophy, or deformity. Mild generalized soft tissue swelling and joint effusion. Extension to 0 degrees, Flexion to 110 degrees. Generalized tenderness to palpation over the anterior and posterior knee. No discrete joint line tenderness. Negative valgus and varus stress test at 0 and 30 degrees. Negative Lachman's. Negative anterior and posterior drawer. Positive McMurray. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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