16 Year Old Female With Knee Pain And Swelling - Page #1
 

Author: Jill Friedman, DO, MBA
Co Author #1: Christopher Mehallo, DO

Patient Presentation:
16 y.o. female jumped down a step and heard a 'pop.' She had immediate pain and swelling of her right knee. She denies any catching or giving way.

History:
Past medical, surgical, social and family histories are all unremarkable.

Physical Exam:
Height 5'11", Weight 155 lbs. Walks with antalgic gait. Right knee demonstrates mild intraarticular effusion and good ROM 0-120 degrees. Patient has pain medially with deep flexion and is tender to palpation on femoral aspect of MCL and medial retinaculum. Posterior drawer is negative. Meniscal signs are negative. Patient is apprehensive with patellar apprehension. Lachman and anterior drawer have trace increased excursion but firm endpoint. Skin is normal and there is no calf tenderness.

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek