II. History: Mechanism of injury
- Type of activity
- Type of Trauma (Contact?)
- Playing surface (Concrete?)
III. History: Red Flags
- Possible Fracture, dislocation, or tendon or ligament rupture
- Severe acute pain
- Immediate swelling with injury
- Instability
- Inability to bear weight
-
Septic Joint
- Fever
- Erythema
- Limited range of motion
IV. History: Direction of injury force
- Hyperextension Injury
- Anterior Cruciate Ligament Tear
- Patella Dislocation
- Direct blow to lateral side of knee (Valgus Stress)
- Medial Collateral Ligament Injury
- Knee Dislocation (Tibial Femoral Dislocation) or Knee Subluxation
- Tibial Plateau Fracture
- Direct blow to medial side of knee (Varus Stress)
- Lateral Collateral Ligament Injury
- Knee Dislocation (Tibial Femoral Dislocation) or Knee Subluxation
- Tibial Plateau Fracture
- Direct blow to anterior knee (e.g. knee hits dashboard)
- Posterior Cruciate Ligament injury
- Knee Dislocation (Tibial Femoral Dislocation) or Knee Subluxation
- Patella Fracture
- Twisting Injury
- Anterior Cruciate Ligament Tear
- Meniscus Injury
- Patella subluxation or Patella dislocation
- Quick stop or sharp cut
V. History: Concurrent Sensations
- "Snap" or "pop" at time of injury
- Locking, clicking or catching Sensation
- Meniscus Injury
- Knee Joint loose bodies
-
Knee locks in flexed position
- Bucket-handle tear (anterior to MCL)
- Giving-way or buckling Sensation
- Anterior Cruciate Ligament Tear
- Meniscus Injury
- Patella subluxation
- Knee Joint loose bodies
VI. History: Immediate knee swelling and difficult walking (or unable to ambulate)?
- Anterior Cruciate Ligament Tear
- Acute Patella dislocation
- Osteochondral Fracture (Tibial Plateau Fracture)
- Knee Dislocation (Tibial Femoral Dislocation) or Knee Subluxation
- Tibial Plateau Fracture
- Patella Fracture
- Proximal Fibula Fracture
VII. History: Athlete continued participating in activity after Injury
- Meniscus Injury
- Patella subluxation
- Mild collateral ligament injury
VIII. History: Morning stiffness lasts >30 minutes (esp. Polyarticular)
- Age <50 years
- Age >50 years
IX. History: Other relevant history
- See Acute Knee Pain
- Knee Pain history
- Knee Injury history
- History of prior Knee Injury
- History of change in recent activities
- Past medical history
- Prior knee injuries or surgeries
- Sexually Transmitted Infections (e.g. Gonorrhea, Chlamydia, Syphilis)
- Lyme Disease
- Concurrent rheumatic or Autoimmune Conditions
X. References
Images: Related links to external sites (from Bing)
Related Studies
| Definition (MSH) | Injuries to the knee or the knee joint. |
| Concepts | Injury or Poisoning (T037) |
| MSH | D007718 |
| SnomedCT | 125601008 |
| English | Injuries, Knee, Knee Injuries, Injury, Knee, KNEE INJ, INJ KNEE, knee trauma, injury of knee, injury of knee (diagnosis), knee injury, Knee Injuries [Disease/Finding], Injury;knee, injuries knees, injury knees, injuries knee, injury knee, knee injuries, Knee injury, Injury of knee (disorder), Injury of knee, injury; knee, knee; injury, Knee Injury |
| Dutch | knieletsel, knie; letsel, letsel; knie, Knieletsel, Knieletsels, Letsel, knie-, Letsels, knie- |
| French | Lésion du genou, Blessures du genou, Lésions traumatiques du genou, Traumatismes des genoux, Traumatismes du genou |
| German | Knieverletzung, Knieverletzungen |
| Italian | Traumatismo del ginocchio, Lesioni del ginocchio |
| Portuguese | Lesão traumática do joelho, Lesões do Joelho, Traumatismos do Joelho |
| Spanish | Lesión de rodilla, Lesiones de la Rodilla, injuria de la rodilla, lesión traumática de la rodilla (trastorno), lesión traumática de la rodilla, Traumatismos de la Rodilla |
| Swedish | Knäskador |
| Japanese | ｼﾂｿﾝｼｮｳ, ﾋｻﾞｿﾝｼｮｳ, 膝外傷, 外傷-膝, 膝損傷 |
| Czech | koleno - poranění, Poranění kolene |
| Finnish | Polvivammat |
| Russian | KOLENA TRAVMY, КОЛЕНА ТРАВМЫ |
| Croatian | KOLJENO, OZLJEDE |
| Polish | Urazy kolana |
| Hungarian | Térdsérülés |
| Norwegian | Kneskader |
