Surprisingly Severe Knee Injury In An Obese Female - Page #1
 

Author: Valerie Rygiel, DO
Co Author #1: Sangili Chandran, MD
Editor: Kelly Wilkinson, MD, MS
Senior Editor: Kristine Karlson MD

Patient Presentation:
The patient is a 33 year old African American female with a medical history of severe obesity who presented to the ER with right knee pain status post hyperextension injury.

History:
While at work, the patient had bent forward to pick up a 15 pound box from the floor when she felt her right knee lock up. Immediately afterwards, the patient was unable to bear weight on the affected leg. She denied numbness, tingling, weakness, or a prior injury to that lower leg.

Physical Exam:
BMI 61, patient in mild distress. Deformity of the proximal tibia was present with pronounced swelling of the right knee. The patient was unable to flex or extend the right knee. Full range of motion and 5/5 strength of the ankle and hip joints. Special tests were unable to be performed. Neuro-vascularly intact with +2 pulses and normal sensation of the lower extremities bilaterally. The remainder of the physical exam was within normal limits.

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