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knee_pain

knee pain

differential diagnoses of knee pain

paediatric

  • referred pain from the hip - see hip pain
    • eg. slipped upper femoral epiphyses (aged 9-15yrs)
  • septic arthritis knee (uncommon)
  • knee trauma - fractures femur/patella/tibia/fibula, dislocation patella/knee, muscle strain/tears, etc
  • juvenile arthritis knee
  • Osgood-Schlatter's disease
  • patello-femoral pain syndromes - chondromalacia patellae

young adults - middle age

  • referred pain from the hip - see hip pain
  • referred pain from spine
  • bursitis
  • iliotibial band syndrome (ITBS)
    • pain on the lateral aspect knee esp. when knee flexed at 45deg
    • usually an overuse injury from either:
      • running downhill or on banked surfaces in particular, and higher risk are women with femoral anteversion or people with bowed legs
      • cyclists with incorrect toe-in posture
      • excessive squatting
  • Baker's cyst +/- rupture
  • knee trauma - fractures femur/patella/tibia/fibula, dislocation patella/knee, muscle strain/tears, etc
  • degenerative meniscal disease
    • NB. no evidence of any benefit from arthroscopic partial meniscectomy 1)
  • proximal myopathy:

elderly

1)
n engl j med 369;26 Dec 2013
knee_pain.txt · Last modified: 2016/12/04 04:26 by 127.0.0.1

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