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

Author: Valerie Rygiel, DO
Co Author #1: Sangili Chandran, 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.

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.

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