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Sandy (Further info (Social hx (Lives w parents & brother, Studying …
Sandy
Further info
Mechanism of injury
Hear a noise
Clicking, locking,
Cleared
Medication
Multivitamin
Contraceptive pill
Family hx
Brother - recurrent hamstring strain
Initial treatment
Sports physician
Pain relief
Cranial-sacral therapy
Epsom salts
Able to walk small distances around the house w.o crutches
Feels unsteady
Consumed energy bars and gatorade
Past med hx
2 L ATFL sprains
1 R ATFL sprain
Knee good
Social hx
Lives w parents & brother
Studying Industrial design
Works once a week at bakery
Occasional alcohol
Non-smoker
Demanding parents
2 x knee giving way over 2 days
Walking w/o FAC
Tried to change directions
Further investigations
MRI
X-ray
Physio - prehab
PHYSICAL EXAM
Palpation okay
AROM
No full extension on L leg
Good flexion
PROM
L + 3cm
Observations
Mild ant knee swelling
Mild L quads atrophy
Strength
4/5
Special tests
Mild effusion
MCL LCL good
Lachlan's test L
+ve
Increased laxity
Soft end feel
Anterior drawer
+ve - increased laxity
McMurray's
+ve
Lateral L knee
No click or clunk
Functional tests
Single squat + hop - NA due to pain
Walking - avoiding quads
General Info
19 yrs old
Social Hx
Playing for 9 years
Plays 2 games a week, 2 training sessions, 2 gym sessions, 1-2 extra skills practice
Has potential for national squad
Worried she did something serious
HOPC
L knee injury
3 days ago
Playing hockey
Attempted tackle
Fell to ground
Severe pain approx. 60 sec
Pain went away
Played again
L knee gave way and collapsed
Swollen 2 hours later
Swelling reduced a few days later
Obs - Thigh atrophy & weakness
Stopped playing
ROM reduced
FAC NWB
Knee extension reduced - not straight