question?- constant deep knee pain

[linbin]

hi sara
a bit more info is needed
24hr behaviour of pain
aggravating and relieving factors
examination findings in detail
whether while doing movement is it a through range pain or end range pain
end feel
response to isometrics of knee flexors,extensors,tibial rotators
medial joint paincauses i suspect from your discription)
medial meniscal tear
medial collateral lig injury
loose body in the knee
pes anserinous strain

anterior knee paincauses)
ACL injury
patellar lig inj
arthrogenic pain inhibition of quadriceps

[cute sara]

hi
Thank you for your participation and this file include information about the patient

[linbin]

hi
the assessment you attached is a good one.i would like to know whether there is any full ness and tenderness in the popleteal fossa?any lab studies and x ray taken to rule out patellofemoral arthritis,cppd ,popleteal cyst.

[cute sara]

Hi

Thank you for your reply

The patient have tendrness over medial TFJ line no thickening and also tenderness of all marigins of PFJ and on compression of PFJ.( what this indicate?????)

The X-ray of the right knee showed mild degenartive changes in right TFJ medially, mild loss of joint space medailly and minor osteophytic changes medially , right PFJ NAD.

[linbin]

hi
sorry for the delay in replying.
the joint spae reduction might be due to osteoarthritis.i hope 45 degree angles xray on the right angled knee is taken to rule out pfj disorder.
if pfj compression test is positive then articular cartilage destruction should be considered.how.s the patellar tracking? quadriceps isometrics at multiple angles?