The Physician and Sportsmedicine
Menubar About Us Advertiser Services CME Resource Center Personal Health Journal Home
Clinical Quiz Question

Knee Pain, Swelling, and Instability

Michael A. Shea, MD
Gregory W. Coppola, DO

THE PHYSICIAN AND SPORTSMEDICINE - VOL 31 - NO. 9 - SEPTEMBER 2003


A 20-year-old man who was playing recreational football caught a pass and turned to his left with his left foot planted, just as he was tackled from the right side. He heard a popping sound and felt immediate pain in his left knee. The patient developed swelling within 2 hours and was unable to walk because of pain, instability, and stiffness in his left knee. He reported to the emergency department, where routine x-rays were obtained (figure 1).

What is your diagnosis? What studies could offer additional diagnostic information about this injury?

Answers


Dr Shea is a primary care sports medicine physician in the department of orthopedics at Kaiser Permanente in Sacramento, California. Dr Coppola is lead provider and a faculty member of the sports medicine fellowship program at Saint Vincent Sports Medicine Center in Erie, Pennsylvania, and a clinical professor at Michigan State University College of Osteopathic Medicine in East Lansing, Michigan. Address correspondence to Michael A. Shea, MD, via e-mail at [email protected].

Disclosure information: Drs Shea and Coppola disclose no significant relationship with any manufacturer of any commercial product mentioned in this article. No drug is mentioned in this article for an unlabeled use.


RETURN TO SEPTEMBER 2003 TABLE OF CONTENTS

HOME  |   JOURNAL  |   PERSONAL HEALTH  |   RESOURCE CENTER  |   CME  |   ADVERTISER SERVICES  |   ABOUT US  |   SEARCH