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{{Family tree/start}}
{{Tree chart/start}}
{{Family tree | | | | | A01 | | | | |A01= Adult with knee pain}}
{{Tree chart | | | | | A01 | | | | |A01= Adult with knee pain}}
{{Family tree | |,|-|-|-|+|-|-|-|.| | }}
{{Tree chart | |,|-|-|-|+|-|-|-|.| | }}
{{Family tree | B01 | | B02 | | B03 |B01=Acute high energy trauma|B02= Discrete low energy trauma|B03=No trauma}}
{{Tree chart | B01 | | B02 | | B03 |B01=Acute high energy trauma|B02= Discrete low energy trauma|B03=No trauma}}
{{Family tree | |!| | | |!| | | |!| | }}
{{Tree chart | |!| | | |!| | | |!| | }}
{{Family tree | C01 | | C02 | | C03 |C01= Send to ED| C02=<ul><li>Generalised pain: ACL tear, osteochondral defect, PCL tear</li><li>Medial: MCL or medial meniscal tear</li><li>Anterior: Patellar dislocation, subluxation, tendon tear, or quadriceps tendon tear</li><li>Lateral: Lateral meniscus, posterior lateral corner, patellar dislocation/subluxation, LCL tear</li><li>Posterior: Posterior capsule tear, PCL tear, tibiofemoral dislocation</li></ul>|C03=Knee effusion present?}}
{{Tree chart | C01 | | C02 | | C03 |C01= Send to ED| C02=<ul><li>Generalised pain: ACL tear, osteochondral defect, PCL tear</li><li>Medial: MCL or medial meniscal tear</li><li>Anterior: Patellar dislocation, subluxation, tendon tear, or quadriceps tendon tear</li><li>Lateral: Lateral meniscus, posterior lateral corner, patellar dislocation/subluxation, LCL tear</li><li>Posterior: Posterior capsule tear, PCL tear, tibiofemoral dislocation</li></ul>|C03=Knee effusion present?}}
{{Family tree | | | | | | | | | |!| | | }}
{{Tree chart | | | | | | | | | |!| | | }}
{{Family tree | |,|-|-|-|-|-|-|-|(| | | }}
{{Tree chart | |,|-|-|-|-|-|-|-|(| | | }}
{{Family tree | B01 | | | | | | B02 | |B01= No effusion|B02=Effusion present}}
{{Tree chart | B01 | | | | | | B02 | |B01= No effusion|B02=Effusion present}}
{{Family tree | |!| | | |,|-|-|-|(| | | }}
{{Tree chart | |!| | | |,|-|-|-|(| | | }}
{{Family tree | |!| | | C01 | | C02 | |C01=Pain worse with activity|C02=Pain not related to activity }}
{{Tree chart | |!| | | C01 | | C02 | |C01=Pain worse with activity|C02=Pain not related to activity }}
{{Family tree | |!| | | |!| | | |!| | |C01=Pain worse with activity|C02=Pain not related to activity }}
{{Tree chart | |!| | | |!| | | |!| | |C01=Pain worse with activity|C02=Pain not related to activity }}
{{Family tree | |!| | | D01 | | D02 | |D01=Osteochondral injury or osteoarthritis exacerbation|D02=Rheumatological disease (gout, RA, psoriatic arthritis) or septic arthritis }}
{{Tree chart | |!| | | D01 | | D02 | |D01=Osteochondral injury or osteoarthritis exacerbation|D02=Rheumatological disease (gout, RA, psoriatic arthritis) or septic arthritis }}
{{Family tree | |!| | | | | | | | | | | }}
{{Tree chart | |!| | | | | | | | | | | }}
{{Family tree | E01 |-| E02 |-| E03 | |E01=Maximum area of pain?|E02=Focal anterior|E03=<ul><li>Patellar/quadriceps tendinopathy</li><li>Plica</li><li>Hoffa's fat pad</li><li>Prepatellar/infrapatellar bursitis</li><li>Osgood-schlatter</li></ul> }}
{{Tree chart | E01 |-| E02 |-| E03 | |E01=Maximum area of pain?|E02=Focal anterior|E03=<ul><li>Patellar/quadriceps tendinopathy</li><li>Plica</li><li>Hoffa's fat pad</li><li>Prepatellar/infrapatellar bursitis</li><li>Osgood-schlatter</li></ul> }}
{{Family tree | |!| | | | | | | | | | | }}
{{Tree chart | |!| | | | | | | | | | | }}
{{Family tree | |)|-|-| F01 |-| F02 | |F01=Vague or diffuse anterior|F02=<ul><li>Patellofemoral pain</li><li>OA exacerbation</li><li>Chronic patellar subluxation</li><li>Referred hip pain</li><li>Avascular necrosis</li><li>Patellar stress fracture</li></ul>}}
{{Tree chart | |)|-|-| F01 |-| F02 | |F01=Vague or diffuse anterior|F02=<ul><li>Patellofemoral pain</li><li>OA exacerbation</li><li>Chronic patellar subluxation</li><li>Referred hip pain</li><li>Avascular necrosis</li><li>Patellar stress fracture</li></ul>}}
{{Family tree | |!| | | | | | | | | | | }}
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{{Family tree | |)|-|-| G01 |-| G02 | |G01=Medial|G02=<ul><li>Degenerative meniscal tear</li><li>Pes anserine bursitis</li><li>OA exacerbation</li><li>Saphenous nerve entrapment</li></ul>}}
{{Tree chart | |)|-|-| G01 |-| G02 | |G01=Medial|G02=<ul><li>Degenerative meniscal tear</li><li>Pes anserine bursitis</li><li>OA exacerbation</li><li>Saphenous nerve entrapment</li></ul>}}
{{Family tree | |!| | | | | | | | | | | }}
{{Tree chart | |!| | | | | | | | | | | }}
{{Family tree | |)|-|-| H01 |-| H02 | |H01=Lateral|H02=<ul><li>Iliotibial band</li><li>Degenerative meniscal tear</li><li>OA exacerbation</li></ul>}}
{{Tree chart | |)|-|-| H01 |-| H02 | |H01=Lateral|H02=<ul><li>Iliotibial band</li><li>Degenerative meniscal tear</li><li>OA exacerbation</li></ul>}}
{{Family tree | |!| | | | | | | | | | | }}
{{Tree chart | |!| | | | | | | | | | | }}
{{Family tree | |`|-|-| I01 |-| I02 | |I01=Posterior|I02=<ul><li>Baker's cyst</li><li>Popliteus tendinopathy</li><li>Popliteal artery aneurysm</li><li>Popliteal artery entrapment</li></ul>}}
{{Tree chart | |`|-|-| I01 |-| I02 | |I01=Posterior|I02=<ul><li>Baker's cyst</li><li>Popliteus tendinopathy</li><li>Popliteal artery aneurysm</li><li>Popliteal artery entrapment</li></ul>}}
{{Family tree/end}}
{{Tree chart/end}}

Revision as of 18:04, 31 July 2020

Last Fellow Review:

Last Updated: 31 July 2020 by Jeremy


Adult with knee pain
Acute high energy traumaDiscrete low energy traumaNo trauma
Send to ED
  • Generalised pain: ACL tear, osteochondral defect, PCL tear
  • Medial: MCL or medial meniscal tear
  • Anterior: Patellar dislocation, subluxation, tendon tear, or quadriceps tendon tear
  • Lateral: Lateral meniscus, posterior lateral corner, patellar dislocation/subluxation, LCL tear
  • Posterior: Posterior capsule tear, PCL tear, tibiofemoral dislocation
Knee effusion present?
No effusionEffusion present
Pain worse with activityPain not related to activity
Osteochondral injury or osteoarthritis exacerbationRheumatological disease (gout, RA, psoriatic arthritis) or septic arthritis
Maximum area of pain?Focal anterior
  • Patellar/quadriceps tendinopathy
  • Plica
  • Hoffa's fat pad
  • Prepatellar/infrapatellar bursitis
  • Osgood-schlatter
Vague or diffuse anterior
  • Patellofemoral pain
  • OA exacerbation
  • Chronic patellar subluxation
  • Referred hip pain
  • Avascular necrosis
  • Patellar stress fracture
Medial
  • Degenerative meniscal tear
  • Pes anserine bursitis
  • OA exacerbation
  • Saphenous nerve entrapment
Lateral
  • Iliotibial band
  • Degenerative meniscal tear
  • OA exacerbation
Posterior
  • Baker's cyst
  • Popliteus tendinopathy
  • Popliteal artery aneurysm
  • Popliteal artery entrapment