Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive left lateral knee pain, non-traumatic in origin. Symptoms include intermittent mechanical locking, catching, and localized joint line tenderness. Pain is exacerbated by squatting, twisting, and prolonged ambulation. No history of acute injury; symptoms consistent with degenerative meniscal pathology.
Clinical Examination Findings
Left knee examination reveals localized tenderness along the lateral joint line. McMurrayโs test is positive for clicking/pain on the lateral aspect. Range of motion is full but may be limited by discomfort at terminal flexion. No significant effusion or ligamentous instability (LCL/ACL/PCL intact). Gait is antalgic.
Treatment Protocol
Conservative management initiated: activity modification, avoidance of deep squatting/twisting, and physical therapy focusing on quadriceps/hamstring strengthening. NSAIDs as needed for pain control. If symptoms persist, consider intra-articular corticosteroid injection or MRI evaluation for surgical consultation.