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Cyberschool Creators: Kevin Baumlin, MD & Michael Bessette, MD
Module Author: Edward Mintz, MD
Web Authors: Carol Lewis & Marcy Wang
| A 17-year old female presents to the emergency department complaining of pain in her right knee for two days. She is a competitive soccer player and first noticed the pain while playing, after attempting to score a goal. The pain is less intense now than at the the time of injury, but she is concerned that her knee has become warm and swollen. She was unable to complete the soccer game. At the time of injury, she limped off the field. Ice was applied by her trainer, and her knee was wrapped in an elastic bandage. She has been ambulatory with a limp without a cane or crutches. |
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1. |
What are some diagnostic clues from the above history? |
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2. |
What are the steps in your physical exam to evaluate the patient's injury? Review the anatomy of the knee. |
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3. |
Do you need to take X-rays? |
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What are some other diagnostic modalities one can use to evaluate a knee? |
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5. |
Your diagnostic work-up diagnoses a "sprain" and does not suggest a fracture. For your spectrum of diagnoses, what possible treatments in the emergency department? How are "sprains" graded? |
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6. |
What is the need for and timing of orthopaedic follow-up? |
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7. |
What are the types of meniscal tears? How are these treated? |
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8. |
What are the exercises one can prescribe to strengthen the knee? |
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