Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right knee pain, localized to the medial/lateral femoral condyle, exacerbated by weight-bearing activities and prolonged standing. Reports intermittent mechanical symptoms including catching, locking, and localized swelling. No history of acute trauma; symptoms are insidious in onset.
Clinical Examination Findings
Right knee examination reveals localized tenderness over the femoral condyle. Effusion is present. Range of motion is limited by pain at terminal extension/flexion. Wilsonโs test is positive for pain. Ligamentous stability (ACL/PCL/MCL/LCL) is intact. No neurovascular deficits noted distally.
Treatment Protocol
Initial management includes activity modification, non-weight bearing or partial weight bearing with crutches, and physical therapy for quadriceps strengthening. If lesion is unstable or refractory to conservative management, surgical intervention (arthroscopic debridement, drilling, or internal fixation) is indicated.