Anterior Pain knee
Patellofemoral syndrome Patellar tendinitis Quadriceps Tendinits Bursitis Patellar fx
Posterior Pain knee
Meniscus tear
Posterior Cruciate Ligament (PCL) injury
Bakers cyst
Lateral Pain knee
Meniscus tear
ligament injury
iliotibial band syndrome
Medial Pain knee
Mensicus tear
Ligament Injury
Pes anserine bursitis
pain up or down hills/steps and prolonged sitting (theater sign) in knee
patellofemoral syndrome
locking and catching noise in knee
Meniscal
swelling in knee
intraarticular- trauma, tear, acl.pcl injury, fx
extraacrticular- bursitis, contusion, sprain
instability in knee
true giving away- ligament injury
giving away because of pain- patellar subluxation/dislocation
acute knee pain
ACl, fx dislocation
gradual knee pain
overuse injury, bursitis, tendionpathy
N/T with knee pain
spine? dermatomes?
Systemic symptoms with knee pain
signs of infection
other joints involved
hip or ankle
hyperextension injury knee leads to dx…
ACL
medial meniscus
hyperflexion injury to knee leads to dx…
medial meniscus
valgus stress (direct force outside of knee) injury leads to dx…
MCL with
medial menisucs? with
ACL?
twisting injury of knee leads to dx…
ACL+ or - menicus
dislocation of patella
direct blow to anterior tibia with flexed knee injury leads to dx…
PCL
direct blow to patella or femoral condyle
patellar fx
chondral fx of articular surface
Patellofemoral Pain syndrome
overuse of knee
bilateral, anterior part of knee
worse with activity that loads ie steps OR theaters sign
no effusion
Pes Ancerine Bursitis
Inflammation to medial knee
Spontanouse pain medial to knee
Self limiting- stretch/rehab
1st degree ligament sprain
medial or lateral collateral ligament
Ligament fibers attached
Tenderness along body of ligament
Minimum or no swelling
No joint widening with ligament stress
2nd degree ligament sprain
Partial avulsion of fivers from femoral condyle
Pain at joint line of ligament insertion
Swelling with tenderness localized to attachment point
Slight to moderate increase in joint widening with stress
3rd degree ligament sprain
Complete rupture of ligament (often associated with anterior or posterior cruciate ligament tears or tibial plateau fractures
Significant pain at ligament insertion and joint line
Significant swelling with ecchymosis
Increased joint widening with minimum stress