Wednesday, April 3, 2019
Patient Case Study of Knee Injury
Patient Case Study of Knee Injury piddling case description 25 years old, female injured her effective knee during basketball game. She left playing, required little assistance to film her car. PCP evaluated her, gave her non-steroidal anti-inflammatory with P.T referral.Brief summary of patient history disfigurement occurred when she planted her right leg and rotated to the right to evade a defender. She denied hearing a pop, she reported immediate pang was 8 proscribed of 10 on a visual analog scale. Her current pain train is 5 out of 10. Patient came 2 days subsequently wounding, with knee swelling and locking. . Patient pain and mechanism of injury atomic number 18 unvarying with a meniscus injury.Examination Key Examination elementsICF kin assessingFindingPain remains twist take to the woods5/10 with non-steroidal medication EffusionBody structure sharePresent (first grade)active voice knee plication Body structure piece10-110Active knee extensionBody structur e function0-10 static knee plicationBody structure function10-120Passive knee extensionBody structure function0-5 manual(a) ponderousness test for knee inflexionBody structure function4/5Manual Muscle test for knee extensionBody structure function3+/5McMurrays testHealth conditionPositive with palpable clatterJoint line tenderness testBody structure functionPositive with reproduction of pain on medial tibiofemoral junctionApleys condensation testHealth conditionPositive with reproduction of pain consistent with medial meniscal injuryAmbulation practise limitationAssistive tool (single cane)Limping, antalgic tempo squattingActivity limitationQuite a bit operoseWalking a naut miActivity limitationExtreme encumbranceGoing up or down 10 stairsActivity limitationQuite a bit obstacleStanding i hourActivity limitationExtreme obstructionRunning everywhere even groundActivity limitationExtreme barrier efficiency to kook at home kitchenparticipation-involvementQuite a bit obs tacleAbility to flow social meetingsparticipation-involvementQuite a bit difficultyUsual sports activityparticipation-involvementExtreme difficultyAssessment/evaluation 25 Y/O female had right medial meniscus call on with positive special Tests, pain, effusion, weakness, limited knee range of movement of flexion and extension and limited activities of daily living with inability to participate in usual sports activities.Interventions physical therapy treatment includeModalities to reduce pain (whirlpool, voltaic stimulation, and cryotherapy).Modalities to reduce knee effusion (whirlpool, taping, pulsed ultra sound, and static quadriceps bore exercise).Intervention to restore range of motion deficits therapeutic exercise progression, joint mobilization/ manual therapy.Therapeutic exercise to restore muscular force-out and aerobic fitness.Functional strengthening exercise to return to previous level of function and participate in usual sports routine.Outcomes After 7 weeks of re filling patient get improved with following outcomesOutcomeICF categoryChanges at D/CPainBody structure function2/10 with strenuous activity EffusionBody structure functionAbsent Active knee flexionBody structure function0-140Active knee extensionBody structure function0Passive knee flexionBody structure function0-140Passive knee extensionBody structure function0Manual Muscle test for knee extension/ flexionBody structure function5/5McMurrays testHealth condition , disease, injurynegativeJoint line tenderness testBody structure functionnegativeApleys compression testHealth condition , disease, injurynegativeAmbulationActivity limitationNormal gait without canesquattingActivity limitationNo difficultyWalking a mileActivity limitationNo difficultyGoing up or down 10 stairsActivity limitationNo difficultyStanding one hourActivity limitationNo difficultyRunning over even groundActivity limitationNo difficultyUsual sports activityparticipation-involvementNo difficultyAbility to attend so cial meetingsparticipation-involvementParticipating with no difficultyAbility to kook at home kitchenparticipation-involvementParticipating with no difficultyLEFS SCALEactivityChanges at D/C 20 points improvement to be 76/80After 7 weeks of successful rehabilitation, patient was able to participate in routine sports activities and her daily living with no need to more medical examination or physical therapy assistance.
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