Knee History: Difference between revisions
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(Created page with "==Groups of Knee Pain== Acute knee pain with history of trauma or overuse Atraumatic knee pain with effusion Atraumatic knee pain without effusion Referred pain Location based...") |
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**Trauma vs atraumatic sudden vs insidious | **Trauma vs atraumatic sudden vs insidious |
Revision as of 19:46, 20 June 2020
Groups of Knee Pain
Acute knee pain with history of trauma or overuse Atraumatic knee pain with effusion Atraumatic knee pain without effusion Referred pain Location based
History
- Mechanism
- Trauma vs atraumatic sudden vs insidious
- Pain
- Location and character
- Any neuropathic qualities?
- Pattern
- Inflammatory arthropathy – morning stiffness, rest pain, relief on movement
- Mechanical – pain on weightbearing, worse later in day
- Severity – although limited clinical utility
- Location and character
- Swelling – immediate vs delayed?
- Locking, giving way, instability – internal derangement
- Snapping - consider ITB, pes anserine tendons
- Constitutional symptoms – fever, night sweats, weight loss, rash
- Back pain?
- Other joint involvement
- Previous injuries and treatments
- Medical history – any systemic or rheumatological disease?
- Occupation and hobbies/sports
- Training history
- Possible differential based on history of trauma
- Flexion, rotation, compression: meniscus
- Valgus force: MCL
- Sudden deceleration or change in direction with planted/fixed foot: ACL
- Landing on flexed knee or MVA with posterior force to tibia: PCL
- Force to anteromedial extended knee or external rotation and hyperextension: posterolateral corner injury
- Swelling in knee with occasional locking and clicking: meniscus or loose body
- Pain on prolonged knee flexion, during squats, up and down stairs: PFS
- Anterior knee pain jumping and on full flexion: patellar tendinitis, PFS