Knee injuries
unhappy triad
- anterior cruciate ligament
- medial collateral ligament
- meniscus (classically the medial meniscus but recent evidence shows that the lateral meniscus is more commonly injured)
specific injuries
| Anterior cruciate ligament rupture | |
|---|---|
| Mechanism | |
| Clinical presentation | |
| Associated injuries | |
| Management | |
| F/up and discharge advice |
| Patellar dislocation | |
|---|---|
| Mechanism | valgus stress + flexion + ext rotation, or direct trauma Most common = lateral dislocation; superior is less comon |
| Clinical presentation | - A popping sound/sensation - Significant knee pain/tenderness - Inability to straighten the knee affected - Swelling of the knee - Inability to walk/bear weight |
| Associated injuries | Patellar tendon |
| Management | Extend knee Guide patella back into anatomical position |
| F/up and discharge advice | Splint? Crutches |
ottawa knee rule = do they need imaging?
- age >55
- isolated tenderness of patella
- fibular head tenderness
- unable to flex knee to 90 deg
- unable to weight bear in ED AND immediately after