Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized posterolateral right knee pain, exacerbated by downhill running and deceleration activities. Reports insidious onset, no history of acute trauma. Pain is described as a dull ache, occasionally sharp with resisted knee flexion or internal rotation. No locking, catching, or instability noted.
Clinical Examination Findings
Right knee examination reveals localized tenderness over the popliteus tendon insertion at the lateral femoral condyle. Pain is reproduced with the Garrick test (resisted internal rotation of the tibia with the knee flexed at 90 degrees). No joint line tenderness, negative McMurrayโs, and stable ligamentous testing (Lachman, Varus/Valgus). No significant effusion or erythema.
Treatment Protocol
Initiate conservative management: activity modification (avoiding downhill running), eccentric strengthening of the popliteus, and physical therapy focusing on hip and core stability. Consider NSAIDs for inflammation, cryotherapy post-activity, and potential corticosteroid injection if refractory to conservative measures.