Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic left knee pain, localized to the medial/lateral femoral condyle. Symptoms include intermittent mechanical locking, catching, and localized swelling exacerbated by weight-bearing activities. Denies acute trauma. Pain is described as a dull ache, worsening with prolonged activity and relieved by rest.
Clinical Examination Findings
Left knee examination reveals tenderness to palpation over the femoral condyle. Range of motion is restricted by pain, particularly at terminal extension. Wilsonโs test is positive for pain reproduction. Mild joint effusion noted. No signs of ligamentous instability (Lachman, Varus/Valgus stress tests negative).
Treatment Protocol
Initial management includes activity modification, non-weight bearing or partial weight bearing with crutches, and physical therapy for quadriceps strengthening. NSAIDs prescribed for pain control. If lesion is unstable or symptomatic despite conservative measures, surgical consultation for internal fixation or osteochondral grafting is indicated.