Knee pain resident survival guide
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Tayyaba Ali, M.D.[2]
Synonyms and keywords: Knee stiffness, Knee swelling, Hot knee joint
Overview
Causes
Common Causes
Anterior Knee Pain |
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Medial Knee Pain |
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Lateral Knee Pain |
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Posterior Knee Pain |
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Non-Traumatic causes of knee pain
Unilateral Knee Pain |
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Bilateral Knee Pain |
Diagnosis
Shown below is an algorithm summarizing the diagnosis of [[disease name]] according to the [...] guidelines.
Seek proper history: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Examine the patient: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Initial workup for knee pain: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Knee pain associated with trauma | Knee pain not associated with trauma | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Significant knee swelling | Limited knee swelling | Knee joint effusion present | Knee joint effusion absent | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Activity related knee pain ❑ Chronic osteochondral defect ❑ Knee osteoarthritis | Not activity related knee pain ❑ Crystal arthropathy ❑ Septic arthritis ❑ Systemic rheumatic disease | According to the focus of knee pain | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Anterior knee pain ❑ Tibial tubercle apophysitis (Osgood Schlatter) ❑ Hoffa's fat pad syndrome ❑ Quadriceps and patellar tendinopathy ❑ Prepatellar or infrapatellar bursitis ❑ Plica syndrome | Vague anterior knee pain ❑ Chronic patella dislocation or subluxation ❑ Patellofemoral pain ❑ Chondromalacia patella ❑ Patella stress fracture | Medial knee pain ❑ Degenerative medial meniscal tear ❑ Saphenous nerve entrapment ❑ Pes anserine bursitis | Lateral knee pain ❑ Iliotibial band syndrome ❑ Degenerative lateral meniscal tear | Posterior knee pain ❑ Popliteal artery aneurysm ❑ Popliteal artery entrapment ❑ Popliteal (Baker's) cyst ❑ Popliteus tendinopathy | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according to the [...] guidelines.
[4]/Life style modification for the knee pain depending on the condition
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Knee pain due to septic arthritis
| Knee pain due to osteoarthritis ❑ Nonpharmacologic treatment (eg, exercise, weight loss) ❑ NSAIDS as needed (alternate: acetaminophen) ❑ If symtoms persist: ❑ If significant impairment: | Knee pain due to crystal arthropathy '''Gout''' ❑ Acute attack: ❑ Recurrent attacks (Tophi, renal uric acid stones): | {{{ C04 }}} | {{{ C05 }}} | {{{ C06 }}} | {{{ C07 }}} | |||||||||||||||||||||||||||||||||||||||||||||||||
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.
References
- ↑ Jump up to: 1.0 1.1 "www.aafp.org" (PDF).
- ↑ Jump up to: 2.0 2.1 Hussain, SM; Neilly, DW; Baliga, S; Patil, S; Meek, RMD (2016). "Knee osteoarthritis: a review of management options". Scottish Medical Journal. 61 (1): 7–16. doi:10.1177/0036933015619588. ISSN 0036-9330.
- ↑ Scott, David L; Wolfe, Frederick; Huizinga, Tom WJ (2010). "Rheumatoid arthritis". The Lancet. 376 (9746): 1094–1108. doi:10.1016/S0140-6736(10)60826-4. ISSN 0140-6736.
- ↑ Neogi, Tuhina (2011). "Gout". New England Journal of Medicine. 364 (5): 443–452. doi:10.1056/NEJMcp1001124. ISSN 0028-4793.