Case study ( 3891 views as of February 20, 2019 )
Brooke is a 15-year-old female high school volleyball player visits a sports medicine physician complaining of a 2-year history of bilateral knee pains. She has no swelling, locking, or giving way of the knees, and there have been no serious injuries, but she hears “crunching” as she bends her knees or when she lands from jumping. Although she hasn’t missed any games, Brooke has to ice her knees afterwards, and has been taking 2 tablets of ibuprofen before and after games. Her main concern is an upcoming tournament, where she’ll be playing up to 4 matches each day for 3 days.
On examination, she has crepitations (crackling sounds) on active range of motion, and passive full flexion is painful. She has flat feet, and internally rotated patellae (kneecaps). Her IT bands are tight, and her glutes are weak. She is unable to squat on one leg alone due to pain.
Brooke could benefit from physiotherapy to work on her strength and flexibility, an orthotics provider to fit her for orthotics, and a bracing specialist to consider patellar stabilizing braces. Her sports medicine physician may also order any imaging tests in order to help determine the full extent of her condition.Author: Dr. Grant Lum