Case Report Right Knee Injury

The knee is an integral joint in terms of movement, but this joint absorbs much impact while it supports the weight of the body. Depending on the type of activities that you engage in, the level of impact absorbed by your knee may vary. The knee joint connects the kneecap (the patella) with the second bone in the lower part of the leg (the fibula). It also connects the shin bone (the tibia) with the thigh bone (the femur). Four ligaments serve to stabilize the joint; these ligaments are known as the Lateral Collateral Ligament, Medial Collateral Ligament, Posterior Cruciate Ligament, and the Anterior Cruciate Ligament.

Per medical report dated 2/16/16 by Dr. Bakhos, the patient has been in physical therapy and using brace with goof relief of his pain. However, he reports increasing pain in the anterior knee for the past 3 weeks. The pain is exacerbated with stairs and kneeling. It is decreased with a brace and Advil. The patient received steroid injection to the right knee.

This is a 35-year-old male with a 9/18/2015 date of injury. The IW sustained the injury, while she was on a business trip in Seattle. She got robbed and ran after the robber in her business suit and high heel, tripped while running, and fell on to her right knee, left elbow and left hip. Her knee took the grunt of the fall and she has scrapes on her elbow and hip.

There is pain with lumbar flexion and extension. There is no aberrant behavior. The patient feels that he can perform increased activities of daily living with his current medications.

Based on the progress report dated 03/02/16 by Dr. Ozaeta, the patient has had a right knee corticosteroid injection one week ago. She had to take a Norco yesterday for right knee pain. She saw Dr. Cantrell, who requested 8 additional physical therapy sessions. She has low back discomfort, notable when sitting. She takes nortriptyline and an antihypertensive.

This is a 28-year-old male with a 3/17/2015 date of injury. He sustained the injury, when 6 sheets of sheetrock fell on his leg.

Health History: A 25-year-old male injured his left knee in a recent skiing accident. The patient stated that he lost his balance because the inner edge of his right ski got caught while skiing. This resulted in the right leg being externally rotated followed by and audible “pop” as he lost footing. By evening, the right knee joint had become swollen, causing intense pain. The primary care physician referred the case to an orthopedist.

As per office notes dated 5/4/16, the patient is seen for bilateral elbow pain and bilateral wrist pain. She rates the pain as 3/10 with medication and 7/10 without medication. She is active for at least six hours a day and has energy to make plans. Her activity level has

The patient is a 48-year-old individual who sustained an injury on 09/20/16. During that time, he was running food on a plastic tray plate at work when the plates suddenly jammed to his left hand.

The knee is a complex joint. There are many different injuries that can occur during sports. The most predominant type of injuries to the knee is those done to the Meniscus and the ligaments. There are two areas of ligaments that are commonly affected; the cruciate ligaments and the Collateral ligaments. Within the Cruciate ligaments there are posterior and anterior injuries, and within the Collateral ligaments there are medial and lateral injuries. It is very important that these injuries be taken seriously in athletics due to the seriousness of their affects to the knee.

Per the IME report on 4/28/16 by Dr. Pierce Ferriter, the patient reports that he is actively treating with physical therapy and chiropractic treatment at a frequency of 3 to 4 times per week. The patient’s diagnoses include resolved lumbar strain, resolved cervical strain, resolved left shoulder strain and resolved right knee strain. There is no medical necessity for further physical therapy, orthopedic treatment of diagnostic testing based on examination.

The patient has difficulties ambulating stairs. Her pain is waking her up at night. She failed to improve with the plethora of conservative treatment entailing physical and acupuncture therapies, activity modifications, home-type exercise, injections, medications. On physical examination, the patient is utterly uncomfortable. She ambulates with antalgic gait. Well healed incisions are noted on the left knee. Patellar crepitus noted on the flexion and extension of the right knee with medial and lateral joint line tenderness more so in the medial side. McMurray's test is positive medially. Patellar crepitus is noted together with pain in patellar compression. Patient’s Voltaren gel was refilled. Patient was recommended to undergo right knee arthroscopy with partial meniscectomy and lateral patellar release surgery. She failed to improve with above mentioned conservative treatment. Any further conservative treatment will be of no benefit. Patient was also recommended 12 PT sessions for the right knee

S: TM works in GA, running 05R. He runs O5R, which requires turning and pushing with his left leg, then, 07L standing on his toes process. On 1/10/2017, he felt sharp, burning pain in his left outer lateral knee, while he was working with radiator hoses. When he turns on his left leg, on his left toes, he felt a sharp pain below outer lateral left knee. Since then there were several incidents, where he felt the burning or locking up sensations in his left outer lateral knee, when he turn his left foot to the right, on unleveled ground, and/or getting up from a sitting position. TM reports pain level is 5/10, when the symptoms occur and denies previous injury to the location. TM takes BC power PRN. TM wants

DOI: 4/28/2013. Patient is a 53-year old female registered nurse who sustained injury while she was filling a wash basin and pivoted around, causing her left knee to buckle and she felt pain. Per OMNI, she was initially diagnosed with meniscal tears, severe localized osteoarthrosis of the left knee. Patient was deemed to have reached maximum medical improvement on 10/09/15 by Dr. Louie with 10% whole person impairment.

The patient stated that he began experiencing painful swelling in his right knee over a decade ago. A large mass grew around the knee and he underwent a total knee arthroplasty. Not long after the arthroplasty of his right knee, he began experiencing similar symptoms in his left knee and right elbow.