Kneedless Risks At A Trampoline Park

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Kneedless Risks At A Trampoline Park - Page #1

Author: Tyler Schmitz, DO Co Author #1: Jennifer Maynard, MD Co Author #2: Jeremy Rush, MD Senior Editor: Yaowen Hu, MD, MBA Editor: Caitlyn Mooney, MD Patient Presentation: A five year-old male presents with his grandmother to the sports medicine clinic with the chief complaint of left knee pain. History: Ten days before presentation, the patient's sister landed on his left anterior knee at a trampoline park. Afterwards, he could not bear weight fully, and he had swelling prompting an emergency room visit where x-ray s were normal. He has been using ibuprofen three times per day for pain relief. He denied any giving way, catching, locking, popping, numbness, or tingling. Physical Exam: General: Normal weight prepubescent male in no acute distress Gait: Antalgic gait favoring his left knee with knee in slight flexion on tiptoes. Neurological: Sensation intact to light touch and symmetric throughout bilateral L2-S1 dermatomes. Left knee: (Exam limited due to guarding) Inspection: Moderate effusion present. No gross deformity, erythema, ecchymosis, warmth. Palpation: Tenderness along distal femur laterally, at popliteal fossa, and over patella. Nontender at medial or lateral joint line or over tibial plateau. Range of motion: Active range of motion 20-60 degrees. Special tests: Equivocal Anterior and Posterior Drawer, Negative Lachman test, Negative Varus and Valgus stress, and Negative McMurray test Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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