Meniscal Tear Ie

CASE ASSESSMENT 1
Name
P. Sujatha
Age
40 years
Gender
Female
Occupation
House wife
Address
Rapur
Chief complaints
Pain around right knee joint

Pain increases during night
Difficulty in walking and stair
climbing
Presence of Swelling around right
knee joint
History
Present History
Pain around right knee joint and

increases during night
Past History
She had a fall from height and got

direct injury to knee
Medical History
She has taken analgesics for pain

relief
Surgical History
No Surgical history
Personal History
No history of Hypertension and

Diabetes Mellitus
Pain Assessment
Site
Around knee joint
Side
Right Side
Duration
One Month
Character of pain
Not Radiating
Aggravating Factors
During movement and walking
Relieving Factors
At Rest
VAS Scale:
On Observation
Built
Moderate
Attitude of Limb
Slightly flexed
Skin Colour changes
No Changes Seen
External Appliances
No usage
Tenderness
Grade II
Muscle Spasm
Present
Warmth
Present
Swelling
Present
On Palpation
On Examination
Range of motion of knee joint.
Passive:
Movemen
t
Flexion
Right knee
Left knee
0-110 Degrees
0- 130 degrees
Extension
110- 0 Degrees
130- 0 Degrees
Movemen
t
Flexion
Right knee
Left knee
0-100 Degrees
0- 130 degrees
Extension
100- 0 Degrees
130- 0 Degrees
Active:
Manual muscle testing

Muscles
Right knee
Left knee
Flexors
Extensors
Deep Tendon Reflexes
Grade 4
Grade 3
Grade 5
Grade 5
Jerk
Knee
Right
+
Left
++
Ankle
Plantar
++
++
++
++
ADL
Activities like walking and stair

climbing is difficult
Special Test
Apleys grinding test Positive

Mcmurray test- Positive
Lachmans Test Negative
Anterior Drawer Test - Negative
Investigations
X- Ray
Bony abnormalities are seen
MRI
Meniscal tear
Provisional Diagnosis
Meniscal Injury
Pain
Ultra Sound, TENS, Cryotherapy
Swelling
Crep bandage, Elevation of limb
Joint Movement
Limb mobilization
Muscle strength
Isometrics to hamstrings,
Treatment
Isometrics to Quadriceps
Straight Leg Raises
Leg Extension exercises
Home Programme
Static and dynamic quadriceps exercises are taught
Stair climbing is advised to avoid.

Prognosis
Pain get decreased
Range of motion get increased
ADL activities like walking and stair climbing are improved.
CASE ASSESSMENT - 2
Name
K. Arjun
Age
35 Years
Gender
Male
Occupation
Sports Master
Address
Podalakur
Chief complaints
Pain around left knee during

walking
Weakness is felt
Difficulty in Walking
Difficulty in stair climbing
Decreased movement
History
Present History
Pain around left knee during

walking
Weakness is felt
Decreased movement
Past History
He had a slip during foot ball play

and under gone surgery before two
months
Medical History
Analgesics for pain relief
Surgical History
He had surgery before two months
Personal History
No History of hypertension and

Diabetes Mellitus
Pain Assessment
Site
Around Knee
Side
Left side
Duration
Two months
Character of pain
Not Radiating
Aggravating Factors
During movement and at work
Relieving Factors
At Rest
VAS Scale:
On Observation
Built
Moderate
Attitude of Limb
Slightly flexed
Skin Colour changes
Not Seen
External Appliances
No Usage
Tenderness
Grade II
Muscle Spasm
Positive
Warmth
Positive
Swelling
Positive
On Palpation
On Examination
Range of motion of knee joint.
Passive
Movemen
t
Flexion
Right knee
Left knee
0-130 Degrees
0-110 Degrees
Extension
130-0 Degree
110-0 Degrees
Movemen
t
Flexion
Right knee
Left knee
0-130 Degrees
0-100 Degrees
Extension
130-0 Degree
100-0 Degrees
Active
Manual muscle testing
Muscles
Flexors
Extensors
Deep Tendon Reflexes
Right knee
Grade 5
Grade 5
Left knee
Grade 3
Grade - 3
Jerk
Knee
Right
++
Left
+
Ankle
Plantar
++
++
++
++
ADL
Activities like walking, stair

climbing, jumping are difficult.
Investigations
Provisional Diagnosis
Post operative Knee pain
Pain
Ultra Sound, IFT, Cryotherapy
Swelling
Crep bandage, Elevation of limb
Treatment
Week 0-1 after surgery :
Static Quadriceps
Static hamstrings
Straight leg raises
Calf raises
Hip abduction
Hip Flexion
Half way squats

Lunges
Single Calf raises
Proprioceptive exercises
Full squats
Full lunges
Single leg squat
Full squats
Full lunges
Home Programme
Static and dynamic quadriceps exercises are taught
Stair climbing is advised to avoid.
Prognosis
Pain get decreased
Range of motion get increased
ADL activities like walking, stair climbing and jumping are improved

Meniscal Tear Ie

Caricato da

Informazioni sul documento

Copyright

Formati disponibili

Condividi questo documento

Condividi o incorpora il documento

Opzioni di condivisione

Hai trovato utile questo documento?

Questo contenuto è inappropriato?

Copyright:

Formati disponibili

Meniscal Tear Ie

Caricato da

Copyright:

Formati disponibili

CASE ASSESSMENT 1

Pain around right knee joint

Pain around right knee joint and

She had a fall from height and got

She has taken analgesics for pain

No history of Hypertension and

Around knee joint

During movement and walking

Skin Colour changes

Manual muscle testing

Activities like walking and stair

Apleys grinding test Positive

Bony abnormalities are seen

Ultra Sound, TENS, Cryotherapy

Crep bandage, Elevation of limb

Stair climbing is advised to avoid.

Pain around left knee during

Pain around left knee during

He had a slip during foot ball play

Analgesics for pain relief

He had surgery before two months

No History of hypertension and

During movement and at work

Skin Colour changes

Manual muscle testing

Activities like walking, stair

Post operative Knee pain

Ultra Sound, IFT, Cryotherapy

Crep bandage, Elevation of limb

Week 0-1 after surgery :

Week 1-2 after surgery :

Half way squats

Week 2-3 after surgery :

Potrebbero piacerti anche