Hi there i am 1st year out of university and struggling with a diagnosis of a pt.

A 17yr old soccer player was referred to me(physiotherapist) and complains of posterior and medial knee pain with swelling of the medial aspect of the knee. He has difficulty with full extention(causing post. kn. pain) and active knee flexion (causing hamstring pain) after active knee flexion was complete the ptexperiences ant. kn. pain distal to the patella whilst attemping active knee extension . He also compains of ankle pain (dorsum) and drease balance on that limb. On palpation : tender posterior to the knee with a small "lump"; tender medial aspect of the knee distal to the condyle and tight ITB. All stress tests and McMurrays' are negative. he has trigger points of his gluts below the ITB that refers to his ankle.

the pt's symptoms started 2 months ago and has not been plying soccer since last year. He is not doing anyother exercise programmes.

please help me with the diagnosis of this patient. thank you

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