Knee Pain

• Typically of gradual onset

• Worse with prolonged activity

• Worse with repetitive bending or stairs

• Worse with inactivity

• Worsening over time

• Better with rest

• Better with ice or anti-inflammatory medication

• Knee stiffness

• Knee swelling

  
  

• Excessive pressure eg kneeling

• Trauma eg falling hard on the knee repetively

  
  

A potential popping sound at the time of injury

Swelling

instability

stiffness

Locking or catching sensation

Bruising

difficulty walking

inability to hold body weight

• Bending knee/straightening knee

• STS

Swelling

Inability to weight bear

Brushing around the site of injury and general knee

Decrease in ROM of knee

Pain around knee

Instability

Tenderness to touch the shin bone

• common in adolescence

• Overuse injury

Posterior Drawer

• McMurrays

• MRI

Swelling below and around the knee cap.

Tenderness below the patella.

Pain during knee extension, bending the knee, squatting, running, climbing stairs and prolonged walking.

Usually an acute event

MOI: internal rotation of the femur with fixed foot

Direct blow to the medial or lateral aspect of the knee

Pt presents with pain, instability and locking of the knee following trauma

Objective: immediate swelling

Can have obvious deviation can relocate itself

Tenderness and pain

Patella Alta: high sat patella

Special tests:

Patella apprehension test

Patella tracking assessment

Patella hypermobility

• Hoffa's Test - isolates pain in fat pad