USMLE Forum Archives - USMLE Step 2 CK - knee joint
knee joint
bingousmle - 05-20-10 07:30
13-year-old white male complains of a 2-month history of pain in the anterior aspect of the right knee and mild intermittent swelling of the knee. Although he plays soccer and runs track, he cannot recall any singular traumatic event. He has noticed that the pain is worse after running or going up or down stairs. He has not noticed any locking, clicking, or giving way. Physical examination shows mild thickening of the patellar tendon and tenderness at the insertion of the patellar tendon. There is no effusion or instability. Which one of the following is true regarding this patient's condition?
a. Radiographic findings of a fragmented epiphysis are characteristic
b. A CBC and sedimentation rate should be obtained to rule out inflammatory disorders
c. The problem is usually self-limited and generally responds to a brief period of activity
restriction
d. The problem is caused by avascular necrosis of the tibial tubercle
e. A bone scan is indicated at this point to confirm the diagnosis and rule out inflammatory and
neoplastic conditions
bingousmle - 05-20-10 07:30
13-year-old white male complains of a 2-month history of pain in the anterior aspect of the right knee and mild intermittent swelling of the knee. Although he plays soccer and runs track, he cannot recall any singular traumatic event. He has noticed that the pain is worse after running or going up or down stairs. He has not noticed any locking, clicking, or giving way. Physical examination shows mild thickening of the patellar tendon and tenderness at the insertion of the patellar tendon. There is no effusion or instability. Which one of the following is true regarding this patient's condition?
a. Radiographic findings of a fragmented epiphysis are characteristic
b. A CBC and sedimentation rate should be obtained to rule out inflammatory disorders
c. The problem is usually self-limited and generally responds to a brief period of activity
restriction
d. The problem is caused by avascular necrosis of the tibial tubercle
e. A bone scan is indicated at this point to confirm the diagnosis and rule out inflammatory and
neoplastic conditions
The correct answer and explanation will be available after you answer.
Page 1
#1
Re: knee joint babbu5508 - 05-20-10 14:20 My answer is: c.
The diagnosis of patellar tendinosis isn’t difficult. Very often the proximal patellar tendon is tender and there may even be some thickening in chronic cases...needs no active intervention
#2
Re: knee joint
bingousmle - 05-20-10 14:24 My answer is: c.
its one of the conditions common in teenagers..The problem is usually self-limited and generally responds to a brief period of activity restriction.... due to a constant strain on the tibial tubercle....
#4
Re: knee joint mtniharika - 05-25-10 04:26 My answer is: c.
t begins as inflammation in the patellar tendon where it attaches to the patella and may progress by tearing or degenerating the tendon. Patients present with an ache over the patella tendon. Most patients are between 10 and 16 years old. Magnetic resonance imaging can reveal edema (increased T2 signal intensity) in the proximal aspect of the patellar tendon.
#8
Re: knee joint babbu5508 - 06-30-11 19:18 Early stages may be treated conservatively using the R.I.C.E methods.
Rest
Ice
Compression
Elevation
A physical therapist may also recommend specific exercises and stretches to strengthen the muscles and tendons.
Page 1