A Rare Diagnosis And Repeated Knee Injury In A Young Athlete - Page #1

Author: Anthony Kohlenberg, MD
Co Author #1: Ketan Mody MD, CAQSM
Co Author #2: Ketan Mody MD, CAQSM
Co Author #3: Ketan Mody MD, CAQSM
Editor: Yaowen Hu, MD, MBA

Patient Presentation:
CC: Right-sided anterior knee pain with activities.

Physical Exam:
General: The patient is a well-developed, left-handed male with normal body habitus for stated age.
Inspection: The right leg has visibly less muscle mass than the left. The right calf circumference measures 29.0cm, the left measures 31.5cm. The right leg measures 1cm shorter than the left.
Active ROM: Right leg ROM is from 0 to 125 degrees of flexion at the knee. There is anterior knee pain with complete extension.
Palpation: There is 2+ tenderness of the inferior patella on the bone, no tenderness of the medial or lateral peripatellar borders. There is no patellar apprehension and no tenderness on the joint line, MCL, or LCL.
Strength: Right leg flexion/extension and foot plantarflexion/dorsiflexion are 4+/5. Respective left sided strength is 5/5.
Special Testing: Right leg ligamentous stability tests are unremarkable.
Neurologic: Bilateral patellar and Achilles reflexes are 2+/4.
Gait: Trace right-sided foot drop and intoeing.

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, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (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