Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of left knee pain following a twisting injury. Reports mechanical symptoms including locking, catching, and inability to fully extend the knee. Denies prior history of instability or chronic pain. Pain is localized to the medial joint line, exacerbated by weight-bearing and rotational movements.
Clinical Examination Findings
Left knee examination reveals moderate joint effusion. Palpation demonstrates significant tenderness along the medial joint line. Range of motion is limited by a mechanical block in extension (positive extension lag). McMurray test is positive for a painful click along the medial joint line. Joint stability testing (Lachman, Anterior/Posterior Drawer, Varus/Valgus stress) is negative for ligamentous laxity.
Treatment Protocol
Initial management includes RICE protocol (Rest, Ice, Compression, Elevation) and non-steroidal anti-inflammatory drugs (NSAIDs). Patient is advised to remain non-weight bearing on the left lower extremity with crutches. Surgical consultation for arthroscopic evaluation and potential meniscal repair or partial meniscectomy is indicated due to the bucket-handle configuration and mechanical symptoms.