Case study ( 5000 views as of July 25, 2021 )
Karl, a 22-year-old university hockey player injured his knee in a game two days ago. He presents to his physician with significant pain and swelling to his left knee. He describes being hit along the anteriomedial aspect of his planted knee. He felt something tear and pop in his knee. He had immediate pain and was unable to continue playing or to weight bear on his left leg. He was placed in a knee immobilizer.
His examination reveals marked swelling in the knee and significant loss of motion. Gentle ligament exam reveals laxity to testing the PCL. The ACL is stable as was the MCL. He has laxity to varius testing at 30 degrees. He has increased external rotation at both 30 degrees and 90 degrees of knee flexion. There is subtle external rotation recurvatum. There is marked tenderness posteriolaterally as well.
Karl could benefit his condition by seeing a sports medicine doctor and getting an MRI to confirm whether he has a ligament tear. A referral to an orthopaedic surgeon who specializes in knees and a physiotherapist for post-surgical rehabilitation. He might consider a knee brace for strength and stability post surgery.Author: Dr. Jordan Leith