The Cribsiders

S4 Ep86: Overuse Injuries - The Leg Bone’s Connected to the Foot Bone!

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Jun 7, 2023
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ADVICE

Approach to Knee Pain

  • Approach musculoskeletal complaints by reviewing anatomy and gathering clues from the patient's history.
  • Divide the knee into sections, maintain a consistent exam approach (inspection, palpation, ROM, strength, special tests), and always examine the hip along with the knee.
ADVICE

ACL/PCL Testing

  • Use the Lockman's test for ACL/PCL assessment, as it's more sensitive and specific than the anterior/posterior drawer tests.
  • Stabilize the distal femur and translate the tibia to assess laxity, describing the endpoint as firm, boggy, or soft.
INSIGHT

Differential Diagnosis of Knee Pain

  • Differentiate acute knee injuries (ligament tears, meniscus tears, fractures) from chronic ones (overuse, tendinitis).
  • In children, consider cartilage injuries differently than in adults, as children's cartilage can soften and develop defects.
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