Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, activity-related right knee pain, localized to the medial femoral condyle. Reports intermittent mechanical symptoms including catching, locking, and localized swelling. Symptoms exacerbated by weight-bearing and high-impact activities. No history of acute trauma. Pain is described as dull, aching, and persistent.
Clinical Examination Findings
Right knee examination reveals mild joint line tenderness, specifically at the medial femoral condyle. Wilsonโs test is positive for pain at 30 degrees of internal rotation. Range of motion is full but limited by discomfort at terminal flexion. Effusion is minimal to moderate. No ligamentous instability (Lachman, anterior/posterior drawer, varus/valgus stress tests negative). Gait is antalgic.
Treatment Protocol
Initial management includes activity modification, cessation of high-impact sports, and non-weight-bearing or protected weight-bearing with crutches as indicated. Prescribed NSAIDs for inflammation and physical therapy focused on quadriceps strengthening and range of motion maintenance. Surgical consultation for potential drilling, fixation, or debridement if lesion is unstable or refractory to conservative management.