Anterior Cruciate Ligament Injury
Age: years old
Gender:
HISTORY:
Presents with a - history of knee pain following an injury ago
Mechanism of injury:
Location is
Radiation to
Rated at / 10 ,
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Occupation:
Associated symptoms: *Try using right-click for negatives*
Contributing factors:
no history of: ,
EXAM:
Knee:
Inspection:
Palpation: on
Range of motion:
- Flexion:
- Extension:
Strength: , except on
Neurovascular: , distal pulses , cap refill sec, sensation
Special tests:
- Patellar tap:
- Bulge test:
- Lachman test:
- Anterior drawer test:
- Posterior drawer test:
- Valgus stress test:
- Varus stress test:
- McMurray test:
- Thessaly test:
- Patellar apprehension test:
- Pivot shift test:
- Patellar grind test:
- Apley test:
Gait: ,
ASSESSMENT:
DDx: knee sprain, partial ACL tear, complete ACL tear, associated meniscal injury, MCL injury, LCL injury, bone contusion, patellar dislocation, quadriceps tendon rupture, patellar tendon rupture, knee dislocation, prepatellar bursitis, osteoarthritis flare-up, septic arthritis, osteochondritis dissecans
PLAN:
Investigations:
- X-ray of the knee
- MRI of the knee
Treatments:
- Rest and avoid weight-bearing activities
- Ice application
- Knee brace for protection
-
-
- Physical therapy
Further care:
- Referral to orthopedic surgeon for ACL reconstruction
- Follow-up in
- Return if pain worsens, if new symptoms develop such as redness or swelling, or if symptoms do not improve with treatment
HISTORY: Associated symptoms: EXAM: Knee: ASSESSMENT: PLAN: