Knee Injury Case Studies

Patient reports left knee pain history of MVA in 2009 and injured left knee. Patient also reports tooth ache 4/10.

Mr. ___ [NAME] is a 49-year-old white male, a patient of Dr. ___ [NAME], with a history of right knee replacement x 4, secondary to a gunshot wound in ___ [DATE]. Left knee, he has had multiple surgeries, primarily on the ligaments and I understand the meniscus. Also has right hip pain. The hip is probably related to his difficulty with the right knee. He has chronic pain in the knees. He has a need for testosterone as his labs are very low. PTSD, (___) anxiety. Really here today to follow up on the testosterone. Lab was drawn; other results are not yet available. His non-fasting glucose today was 106 and the hemoglobin A1c that was done was 5.9. He does have some history of hyperglycemia, but I think there were primarily non-fasting, he may just have some glucose intolerance. Complains primarily of knee pain and right hip pain. He is having erectile dysfunction, was given Viagra, and when he saw the urologist he was told that he needed testosterone, as it was quite low at 1.8.

PHYSICAL EXAM: He is in discomfort. He cannot straighten his knee out completely. He has a large bulky dressing on his knee and a brace.

In a hospital I worked at recently, I was told in report that a patient I was taking was demented and didn’t know where she was or what her situation was. The patient admitted for a post knee replacement was 86 years of age, fragile, very hard of hearing and mute. The pain in her knee was excruciating and she often cried out asking for pain medication. Moving her in the bed also caused her pain, because she was said to have dementia no one explained to her what they were doing so, she fought the staff when they moved her or changed her brief. After I came on shift I assessed her, I attempted to take her knee immobilizer off to assess her knee and she cried out in pain and smacked my hand aside. I felt so bad for her, I decided to try to yell

This is a 51-year-old male with a 1/21/2014 date of injury. A specific mechanism of injury has not been described.

DOI: 12/13/2012. Patient is a 64-year-old male security officer who sustained a work-related injury to the right knee when he missed a step and fell down the stairs. As per Omni, the patient had a right knee meniscus tear. The patient had right knee replacement on 11/19/14. Per QME Dr. Murphy on 08/11/15, the patient has a 20% whole person impairment rating. Future medical care includes 4-6 visits per year for recurrent symptoms, narcotic/nonsteroidal anti-inflammatory drugs (NSAIDS) in addition to gastrointestinal stabilizing medications, pain management specialist monitoring, office visit with an orthopedic surgeon once a year with X-ray, revision surgery in the future and bone scan.

The patient is a 66-year -old retired black male. The purpose of the visit was to determine medication compliance, evaluate functional and mental status and perform a complete physical evaluation. His chief complaint is left knee and foot and calf soreness and ankle swelling without any injury for approximately seven days. He states that he has pain in his left knee, soreness to his calf increases with swelling and redness to his left ankle but no temperature changes to his left leg or foot. He states that his calf pain increases with dorsiflexion of his left foot. He describes the pain in his knee as pressure and rates the pain as 4/10. The pain does not radiate to anywhere other than his calf and knee.

UNDER the palm of one hand the child became aware of the scab of an old cut on his

DOI: 2/10/2016. Patient is a 51-year-old female housekeeper who sustained left knee injury when another employee from the hotel accidentally hit her knee with the housekeeping cart. As per OMNI, she was initially diagnosed with tear in left knee. He is status post left knee arthroscopy on 6/23/2016.

DOI: 8/17/2011. The patient is a 22-year old male supervisor who sustained a work-related injury to his left hip when he jumped down 8 to 12 feet from racks in retail store, landing on his feet hard. The patient was subsequently diagnosed with Avascular necrosis left hip lupus by history. Dr. Secor deemed the patient as Permanent and Stationary on 06/18/2014 with 16% permanent disability. Future medical care includes hip replacement. QME with Dr. Wakim on 01/20/2015 gave him 16% whole person impairment with future medical care to also include hip replacement. As per office notes dated 4/26/16, the patient reports pain, weakness, stiffness, numbness, tingling in his bilateral knees. Past medical history includes lupus, kidney disease, lupus

This is a 58-year-old male with a 10/13/2003 date of injury. Janitor injured right ankle and knee while attempting to push a cart of garbage weighing 750 + onto a tote.

The patient’s chief complaint is pain to the left anterior area of his right knee.

A. One of the more common misdiagnoses we see on a day to day basis is a patient with minimal back pain and knee pain, but whose knee pain is really being caused by a pinched nerve in the back. What? Is it possible that a patient with a pinched nerve in the back doesn’t have much back pain? Isn’t it the knee causing the back to be sore? Sometimes. The nerves in the low back go to the legs, so if I were to reach into your back right now and pinch a nerve, you’d feel it somewhere in your thigh, knee, leg, or foot and likely not much in your low back. Most doctors have been trained to diagnose pinched nerves in the back only when there’s numbness

He is status post left total knee arthroplasty on 04/12/2016. Physical examination of the left knee revealed tenderness to palpation along the medial joint line and subpatellar area. There is tenderness on the distal tibial condyle as well. The patient is subsequently diagnosed with recurrent rotator cuff tear with reverse total shoulder replacement, bicipital tendinitis of left shoulder, left shoulder pain, chronic left knee pain, status post Oxford unicompartmental replacement for arthrosis. As per office notes dated 5/23/16, the patient complains for left knee, shoulder and back pain. Pain level of his knee is 5 to 8; pain scale of 8 before taking medication, then goes down to 5 after the medication. The patient is using ice, rest, crutches but still has swelling. Some areas are noted to be warm and tender. The patient is also depressed due to his back pain and right knee pain. It was mentioned that the urine drug screen has been consistent. Currently, the patient describes the pain as aching, annoying, constant, and sore pain at the left knee, shoulder and back. Physical examination notes that the patient is in mild

Brief Description of patient: - Patient is a 27 year old male that presents with atraumatic knee pain in his left knee. Patient has difficulty performing squats, lunges, and other knee related activities while exercising, he also has limited range of motion both active and passive. When tested for ligamentous issues all tests results were negative.