Case study ( 3893 views as of January 24, 2019 )
Sharon, a 19-year-old university basketball player, presents for evaluation of her right knee. She injured it in a game two weeks ago and while landing a layup came down on her right leg. Her knee felt as if it twisted and she heard a pop. She was unable to weight bear fully and had to be carried off the court. She developed swelling in the knee and had some lateral-sided pain. She has never injured this knee before.
A physical examination of Sharon's injury reveals a minor residual hemarthrosis with only mild loss of full extension. She is not tender to palpation over either joint line or about the knee. Her ligament exam reveals her to be stable to testing of the MCL, LCL and PCL. She has a positive Lachman test with a soft endpoint and a positive pivot shift. There are no other abnormalities with her examination.
Sharon could possibly benefit from seeing a radiologist for proper diagnosis of her injury, a physiotherapist for optimal treatment and an orthopedic surgeon knowledgeable about sports injuries.Author: Dr. Jordan Leith