Not The Average Runner's Knee

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Not The Average Runner's Knee - Page #1

Author: Eri. A Yamaguchi, BA Co Author #1: Justin Mark J. Young Patient Presentation: A 23 year-old female recreational runner comes into sports medicine clinic with a chief complaint of recurring and ongoing right knee pain for 8 months duration. History: Onset of pain was during a hyperextension of her right knee after catching herself from tripping, 8 months ago. She used to run 1-2 miles every other day, but has stopped due to pain. The pain is dull, localized to her right knee, with a severity of 8/10, and progressing. It is most painful when she transitions from a long period of sitting to standing. The swelling around her patella has worsened as well. The patient has tried home exercises, as well as ice, bracing and ibuprofen with no improvement. Her past medical history is negative for any previous knee injuries or previous surgeries. Physical Exam: Vitals: Height 5'3", Weight 100lbs, Body Mass Index 17.7 General: Alert, no acute distress Psychiatric: Bright affect Cardiovascular: Capillary refill less than 2 seconds Respiratory: Non-labored breathing, no dyspnea Skin: No rash, no edema Right knee exam: 1+ effusion Medial joint line tenderness No patellar tenderness on palpation Full active flexion and extension (0-135deg) Pain on end range of motion No patellar instability Lachman's test: negative McMurray's test: negative Varus/ valgus testing: negative Clarke's inhibition test: positive J sign: positive Patellar compression test: negative Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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