Case Studies
A 15-year-old gymnast has noted knee pain that has become progressively worse during the
past several months of intensive training for a statewide meet. Her physical examination
indicated swelling in and around the left knee. She had some decreased range of motion and
a clicking sound on flexion of the knee. The knee was otherwise stable.
Diagnostic Analysis
The radiographic studies of the long bones eliminated any possibility of fracture.
Arthrocentesis indicated a bloody effusion, which was probably a result of trauma. The fibrin
clot was further evidence of bleeding within the joint. Arthrography indicated a tear of the
medial meniscus of the knee, a common injury for gymnasts. Arthroscopy corroborated that
finding. Transarthroscopic medial meniscectomy was performed. Her postoperative course
was uneventful.
Critical Thinking Questions
- One of the potential complications of arthroscopy is infection. What signs and symptoms
of joint infection would you emphasize in your patient teaching? - Why is glucose evaluated in the synovial fluid analysis?
- What are special tests used to differentiate type of Tendon tears in the knee ? Explain
how they are performed (Always on boards)