Case study ( 3276 views as of October 23, 2017 )
James, a 38-year-old male, presents to his physician following a motor vehicle collision three months ago. He struck his right knee on the dash during the collision and complained of swelling within the knee and a bruise anteriorly. He thought that it would settle but has been having a sense that his knee is loose. He also has some pain at the back of the knee.
On examination, the physician notes a posterior sag sign and loss of the tibial step off. The posterior drawer test to assess posterior ligament damage is positive. The dial test to assess for the involvement of other structures is negative. There is no fluid in the joint and no pain over either jointline.
James could benefit his condition by seeing a physiotherapist to help him with stability and by having an MRI to rule out a tear. A bracing specialist could help him with bracing options to keep his knee mobile and active. Pilates and massage could also help with his range of motion, swelling and pain. Lastly, seeing an orthopedic surgeon to consult regarding surgical options.Author: Dr. Jordan Leith