Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right knee pain, localized to the medial femoral condyle, exacerbated by weight-bearing activities. Reports intermittent mechanical symptoms including locking, catching, and localized swelling. No history of acute trauma. Pain is described as a dull ache, rated [X]/10, with occasional episodes of sharp pain during terminal extension.
Clinical Examination Findings
Right knee examination reveals mild joint line tenderness, specifically at the medial femoral condyle. Wilsonโs test is positive for pain reproduction. Range of motion is limited by discomfort at terminal extension. Mild effusion noted; no ligamentous instability (Lachman, anterior/posterior drawer tests negative). Gait demonstrates a slight antalgic component.
Treatment Protocol
Initial management includes activity modification, cessation of high-impact sports, and protected weight-bearing with crutches as needed. Physical therapy initiated for quadriceps strengthening and range of motion maintenance. Imaging follow-up (MRI) scheduled to assess lesion stability. If lesion is unstable or symptomatic despite conservative measures, surgical consultation for internal fixation or debridement will be considered.