Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of knee pain following a twisting injury. Reports mechanical symptoms including locking, catching, and inability to achieve full knee extension. Denies prior history of instability or trauma. Pain localized to the medial joint line.
Clinical Examination Findings
Physical examination reveals joint line tenderness along the medial aspect. Range of motion is restricted, specifically demonstrating a block to terminal extension (locked knee). Positive McMurray test and Apley compression test for medial meniscus. No significant ligamentous laxity (Lachman/Varus/Valgus negative). Effusion present.
Treatment Protocol
Immediate management includes RICE protocol, non-weight bearing with crutches, and pain management. MRI of the knee is indicated to confirm bucket handle tear morphology. Surgical consultation for arthroscopic repair or partial meniscectomy is recommended due to mechanical locking.