Soft Tissue Knee Injury Differential Diagnoses

  • Author: David B Levy, DO, FACEP, FAAEM; Chief Editor: Rick Kulkarni, MD   more...
 
Updated: Jun 3, 2011
 
 

Differential Diagnoses

Proceed to Workup
 
 
Contributor Information and Disclosures
Author

David B Levy, DO, FACEP, FAAEM  Chairman, Department of Emergency Medicine, St Elizabeth Health Center; Associate Professor of Emergency Medicine, Northeastern Ohio Universities College of Medicine

David B Levy, DO, FACEP, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine, American Medical Informatics Association, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Coauthor(s)

Howard I Dickey-White, MD  Teaching Attending Physician, Department of Internal Medicine, St Elizabeth Hospital Medical Center

Howard I Dickey-White, MD is a member of the following medical societies: American Academy of Clinical Toxicology, American College of Emergency Physicians, American College of Physicians, American Institute of Ultrasound in Medicine, Sigma Xi, and Society of Critical Care Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Eric M Kardon, MD, FACEP  Attending Emergency Physician, Georgia Emergency Medicine Specialists; Physician, Division of Emergency Medicine, Athens Regional Medical Center

Eric M Kardon, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Tom Scaletta, MD  Chair, Department of Emergency Medicine, Edward Hospital; Past-President, American Academy of Emergency Medicine

Tom Scaletta, MD is a member of the following medical societies: American Academy of Emergency Medicine

Disclosure: Nothing to disclose.

John D Halamka, MD, MS  Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center

John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

Rick Kulkarni, MD 

Rick Kulkarni, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: WebMD Salary Employment

Acknowledgments

The authors and editors of eMedicine gratefully acknowledge the contributions of previous author, June E Sanson CNRP, MSN, to the development and writing of this article.

References

  1. Kapur S, Wissman RD, Robertson M, et al. Acute knee dislocation: review of an elusive entity. Curr Probl Diagn Radiol. Nov-Dec 2009;38(6):237-50. [Medline].

  2. Shah MK. Simultaneous bilateral rupture of quadriceps tendons: analysis of risk factors and associations. South Med J. Aug 2002;95(8):860-6. [Medline].

  3. [Guideline] Pavlov H, Saboeiro GR, Campbell SE, Dalinka MK, Daffner RH, DeSmet AA, El-Khoury GY, Kneeland JB, Manaster BJ, Morrison WB, Rubin DA, Schneider R, Steinbach LS, Weissman BN, Haralson RH III, Expert Panel on Musculoskeletal Imaging. Acute trauma to the knee. [online publication]. Reston (VA): American College of Radiology (ACR); 2005. [Full Text].

  4. Shaerf D, Banerjee A. Assessment and management of posttraumatic haemarthrosis of the knee. Br J Hosp Med (Lond). Aug 2008;69(8):459-60, 462-3. [Medline].

  5. Akseki D, Ozcan O, Boya H, Pinar H. A new weight-bearing meniscal test and a comparison with McMurray's test and joint line tenderness. Arthroscopy. Nov 2004;20(9):951-8. [Medline].

  6. Andersen RE, Crespo CJ, Ling SM, Bathon JM, Bartlett SJ. Prevalence of significant knee pain among older Americans: results from the Third National Health and Nutrition Examination Survey. J Am Geriatr Soc. Dec 1999;47(12):1435-8. [Medline].

  7. Arroll B, Goodyear-Smith F. Corticosteroid injections for osteoarthritis of the knee: meta-analysis. BMJ. Apr 10 2004;328(7444):869. [Medline].

  8. Bachmann LM, Haberzeth S, Steurer J, ter Riet G. The accuracy of the Ottawa knee rule to rule out knee fractures: a systematic review. Ann Intern Med. Jan 20 2004;140(2):121-4. [Medline].

  9. Bahk MS, Cosgarea AJ. Physical examination and imaging of the lateral collateral ligament and posterolateral corner of the knee. Sports Med Arthrosc. Mar 2006;14(1):12-9. [Medline].

  10. Berfeld J, Ireland ML, Wojtys EM. Pinpointing the cause of acute knee pain. Patient Care. 1997;31(18):100-117.

  11. Calmbach WL, Hutchens M. Evaluation of patients presenting with knee pain: Part I. History, physical examination, radiographs, and laboratory tests. Am Fam Physician. Sep 1 2003;68(5):907-12. [Medline].

  12. Chandrashekar N, Mansouri H, Slauterbeck J, Hashemi J. Sex-based differences in the tensile properties of the human anterior cruciate ligament. J Biomech. 2006;39(16):2943-50. [Medline].

  13. Christain EP. Extensor mechanism injuries of the knee. Top Emerg Med. 1995;17(2):25-35.

  14. Christian SR, Anderson MB, Workman R. Imaging of anterior knee pain. Clin Sports Med. Oct 2006;25(4):681-702. [Medline].

  15. Davids JR. Pediatric knee. Clinical assessment and common disorders. Pediatr Clin North Am. Oct 1996;43(5):1067-90. [Medline].

  16. Emparanza JI, Aginaga JR. Validation of the Ottawa Knee Rules. Ann Emerg Med. Oct 2001;38(4):364-8. [Medline].

  17. Gupta A, Bodin L, Holmstrom B, Berggren L. A systematic review of the peripheral analgesic effects of intraarticular morphine. Anesth Analg. Sep 2001;93(3):761-70. [Medline].

  18. Ireland ML. The female ACL: why is it more prone to injury?. Orthop Clin North Am. Oct 2002;33(4):637-51. [Medline].

  19. Jackson JL, O'Malley PG, Kroenke K. Evaluation of acute knee pain in primary care. Ann Intern Med. Oct 7 2003;139(7):575-88. [Medline].

  20. Jacobson KE, Chi FS. Evaluation and treatment of medial collateral ligament and medial-sided injuries of the knee. Sports Med Arthrosc. Jun 2006;14(2):58-66. [Medline].

  21. [Best Evidence] Karachalios T, Hantes M, Zibis AH. Diagnostic accuracy of a new clinical test (the Thessaly test) for early detection of meniscal tears. J Bone Joint Surg Am. May 2005;87(5):955-62. [Medline].

  22. Karistinos A, Paulos LE. "Ciprofloxacin-induced" bilateral rectus femoris tendon rupture. Clin J Sport Med. Sep 2007;17(5):406-7. [Medline].

  23. Munshi M, Davidson M, MacDonald PB, et al. The efficacy of magnetic resonance imaging in acute knee injuries. Clin J Sport Med. 2000;10(1):34-9. [Medline].

  24. O'Shea KJ, Murphy KP, Heekin RD, Herzwurm PJ. The diagnostic accuracy of history, physical examination, and radiographs in the evaluation of traumatic knee disorders. Am J Sports Med. Mar-Apr 1996;24(2):164-7. [Medline].

  25. Perryman JR, Hershman EB. The acute management of soft tissue injuries of the knee. Orthop Clin North Am. Jul 2002;33(3):575-85. [Medline].

  26. Richman PB, McCuskey CF, Nashed A, et al. Performance of two clinical decision rules for knee radiography. J Emerg Med. Jul-Aug 1997;15(4):459-63. [Medline].

  27. Robertson A, Nutton RW, Keating JF. Dislocation of the knee. J Bone Joint Surg Br. Jun 2006;88(6):706-11. [Medline].

  28. Simon LV, Matteucci MJ, Tanen DA. The Pittsburgh Decision Rule: triage nurse versus physician utilization in the emergency department. J Emerg Med. Oct 2006;31(3):247-50. [Medline].

  29. Solomon DH, Simel DL, Bates DW, et al. The rational clinical examination. Does this patient have a torn meniscus or ligament of the knee? Value of the physical examination. JAMA. Oct 3 2001;286(13):1610-20. [Medline].

  30. Stannard JP, Sheils TM, Lopez-Ben RR, McGwin G Jr, Robinson JT, Volgas DA. Vascular injuries in knee dislocations: the role of physical examination in determining the need for arteriography. J Bone Joint Surg Am. May 2004;86-A(5):910-5. [Medline].

  31. Twaddle BC, Bidwell TA, Chapman JR. Knee dislocations: where are the lesions? A prospective evaluation of surgical findings in 63 cases. J Orthop Trauma. Mar 2003;17(3):198-202. [Medline].

  32. [Best Evidence] Wang CY, Wang HK, Hsu CY, Shieh JY, Wang TG, Jiang CC. Role of sonographic examination in traumatic knee internal derangement. Arch Phys Med Rehabil. Aug 2007;88(8):984-7. [Medline].

 
Previous
Next
 
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2012 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.