Case study ( 4048 views as of January 16, 2019 )
Simon is a 41-year-old male recreational hockey player who visits his physician complaining of medial right knee pain. The knee feels stiff in the mornings, and is sore after running, but not so much with hockey. He had a previous ACL tear and reconstruction 20 years ago in college. He has some swelling after activity, but no locking or giving way. He has an old custom-made knee brace, but hasn’t worn it in years.
On exam, his knee is slightly swollen, with tenderness over the medial joint line. He has some limitation in flexion and extension, and some atrophy of his quads and hamstrings. His ACL graft feels stable.
Simon could benefit from seeing a physiotherapist to work on his strength, and to reduce his pain. He might benefit from a new custom knee brace to include offloading of his medial side. He might also benefit from a viscosupplement or platelet rich plasma injection, to reduce pain and improve function.Author: Dr. Grant Lum