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Knee Injury Acute History
Aka: Knee Injury Acute History, Knee Injury
- See Also
- Knee Examination
- Acute Knee Pain
- History: Mechanism of injury
- Type of activity
- Type of Trauma (Contact?)
- Playing surface (Concrete?)
- 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
- 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
- Anterior Cruciate Ligament Tear
- History: Concurrent sensations
- "Snap" or "pop" at time of injury
- Anterior Cruciate Ligament Tear
- 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
- 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
- History: Athlete continued participating in activity after Injury
- Meniscus Injury
- Patella subluxation
- Mild collateral ligament injury
- History: Morning stiffness lasts >30 minutes (esp. polyarticular)
- Age <50 years
- Rheumatoid Arthritis
- Reactive Arthropathy
- Systemic Lupus Erythematosus
- Age >50 years
- Knee Osteoarthritis
- History: Other relevant history
- See Acute Knee Pain
- Knee Pain history
- Knee Pain location ("point with one finger")
- Knee Pain duration
- 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
- Acute Gouty Arthritis
- Pseudogout
- Rheumatoid Arthritis
- Knee Osteoarthritis
- References
- Bunt (2018) Am Fam Physician 98(9): 576-85 [PubMed]