Knee Pain Flashcards
Osgood-Schlatter Disease:
This is focal tibial tubercle pain.
In what age group does it tend to occur in?
With what movement does it tend to be worse with?
What will be enlarged on examination?
What movement will be painful for them? - Think about what attaches to tibial tubercle
Osteochondritis dissecans is similar to this. What addition symptoms will they report?
Teenagers
Kneeling and activity
Enlarged tibial tuberosity
Pain with extension against resistance
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Locking or giving way
Patellofemoral pain syndrome (PFPS):
In what age group does it tend to occur in?
What sex is it commoner in?
Where does the pain tend to be?
With what movement does it tend to be worse with?
Teenagers - usually in those who are athletes
Females
Anterior knee pain
Kneeling and activity
Prolonged sitting
Climbing stairs
Illiotibial band syndrome:
Where is the aching and burning?
Where does the pain radiate to?
What type of person does it occur in?
Lateral fermoral epicondyle
Thigh and hips
Runners
Bursitis - Pre-patellar bursitis:
What is this also known as?
Where do they get pain?
What is the main cause?
What emergency should be considered?
Housemaid/carpet layers knee
Anterior knee pain and boggy swelling
Prolonged pressure from kneeling
Septic A
Bursitis - Semimembranous bursitis:
What may this be confused with?
What happens to the semimembranous bursa leading to this?
Baker’s cyst
Herniates causing popliteal discomfort
Baker’s cyst:
What does fluid build up inside of leading to a baker’s cyst?
What symptoms do they get? - 2
It can rupture and cause calf swelling. What needs to be ruled out if it presents like this?
Semimembranous bursa
Aching and swelling
DVT - USS
Management the same as always - list what you would do?
Minimise/modify aggravating activities, but remain active as tolerated
Manage pain and swelling - analgesia, ice, compression, elevation
Physio - info leaflets/websites
