An Unusual Cause Of Knee Swelling - Page #1

Author: Zoubair Ahmed, MBBS
Co Author #1: Katherine Wojnowich MD
Senior Editor: Rachel Coel, MD, PhD
Editor: Cleo Stafford, II, MD, MS

Patient Presentation:
A 50-year-old male presented to our sports medicine clinic for left knee swelling and discomfort for the past six weeks.

Patient denied trauma, injury, twisting, fall or prior surgery of his knee. He endorsed pain with walking but denied locking or instability of his knee. He stated the swelling started gradually and had gotten progressively worse. He had been limping while walking and had difficulty climbing stairs.

Physical Exam:
It was notable for a large suprapatellar effusion with markedly reduced knee flexion. Patellar apprehension was negative and testing for ligaments and menisci was difficult due to large knee effusion but appeared negative. There was no evidence of trauma or bruising.

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.

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Phone: 913.327.1415

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