Virginiann, great post this week! I enjoyed reading your analysis and I agree with you primary diagnosis choice of a meniscal tear. Meniscal tears can result from playing a sport or even just through normal activities of daily living, however, the athletic population is at the greatest risk for this injury (Takeda, 2018). Swelling, tenderness, pain, crepitus, and limited range of motion are all symptoms that accompany this type of diagnosis. With the patient having a positive McMurray test and being an athlete this diagnosis is the most likely but should be confirmed with a radiograph or MRI to determine the best course of treatment with being sure to factor in patient factors and the characteristics of the tear (Gupta, Mahara, & Lamichhane, 2016). The differential that I would feel most confident in ruling out is the anterior cruciate ligament (ACL) injury. ACL injuries are commonly seen in individuals younger than 18-years-old and are increasing in incidence compared to the past two decades (LaBella, Hennrikus, & Hewett, 2014). Patients with ACL injuries typically present with pain, a knee effusion, reduction in knee motion,
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- Summer '15
- Anterior Cruciate Ligament, patient factors, patient having