DOI: 01/24/2012. Patient is a 34-year-old female certified nursing assistant who incurred a work-related injury to her low back when she reached down to adjust wheelchair brakes and he felt low back pain. Patient is diagnosed with lumbar spine sprain with radiculopathy, right knee lateral meniscal tear, cervical spine sprain, right shoulder sprain, and right wrist and hand sprain. She is status post right knee arthroscopic sub-total lateral meniscectomy, chondroplasty of lateral femoral condyle, limited synovectomy, and diagnostic arthroscopy with placement of pain pump and application of Bledsoe brace on 05/17/13.
MRI of the right knee obtained on 11/20/15 showed an increased signal in the posterior horn of the medial meniscus, which reflects internal degeneration. Osteochondral …show more content…
Her knee gives way and she feels as if she is going to fall. She reports that her knee cap moves to the outside of her knee and she has to move her knee to get it to “pop” back into place.
Her pain increases with walking and standing more than 15 minutes and climbing stairs. She is unable to kneel due to pain.
Patient reports being unable to sleep and is experiencing depression. Patient’s weighs has also slowly increased since her injury due to her low back pain.
On examination of the right knee, the patient flexed, extended and internally rotated her log several times and the patella slipped into place, with an audible pop. Right knee is tender to palpation along the medial jointline and the lateral patella. Patella is palpated lateral to the patellar groove. Range of motion is decreased in flexion due to pain along the lateral patellar aspect. Chondromalacia patellar compression test and medial collateral ligament (MCL) test is positive on right
Diagnoses include right knee lateral meniscus tear, bone marrow edema, internal derangement and internal subluxation of the
MRI of the right knee obtained on 11/20/15 showed an increased signal in the posterior horn of the medial meniscus, which reflects internal degeneration. Osteochondral …show more content…
Her knee gives way and she feels as if she is going to fall. She reports that her knee cap moves to the outside of her knee and she has to move her knee to get it to “pop” back into place.
Her pain increases with walking and standing more than 15 minutes and climbing stairs. She is unable to kneel due to pain.
Patient reports being unable to sleep and is experiencing depression. Patient’s weighs has also slowly increased since her injury due to her low back pain.
On examination of the right knee, the patient flexed, extended and internally rotated her log several times and the patella slipped into place, with an audible pop. Right knee is tender to palpation along the medial jointline and the lateral patella. Patella is palpated lateral to the patellar groove. Range of motion is decreased in flexion due to pain along the lateral patellar aspect. Chondromalacia patellar compression test and medial collateral ligament (MCL) test is positive on right
Diagnoses include right knee lateral meniscus tear, bone marrow edema, internal derangement and internal subluxation of the