robin082006
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A 68-year-old retired firefighter comes to the clinic because of pain in his left knee. Despite being retired, he has remained very active playing tennis and golf 4 times a week. He has been unable to play tennis for the last month because of his knee pain. In fact, he says “sometimes when I'm walking, my knee just locks up and I can't move it at all!” His past medical history includes hypertension, gout, and a cholecystectomy 10 years ago. His medications include an antihypertensive and an occasional nonsteroidal antiinflammatory drug for gout flares in his ankle. Physical examination reveals full range of motion in the left knee and moderate pain along the medial aspect of the knee. There is a small effusion, but no erythema. Anterior and posterior drawer tests demonstrate stability of the knee. An x-ray of the left knee shows moderate degenerative changes with medial joint compartment narrowing, small osteophytes, and a small effusion. The most likely cause for this patient's symptoms is
A. an anterior cruciate ligament tear
B. gout
C. iliotibial band syndrome
D. a medial collateral ligament tear
E. a medial meniscus tear
Kap q
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| virgola82
Forum Guru
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E?
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| yasmeen
Forum Guru
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I THINK ITS MEDIAL MENISCUS TEAR...DEGENEARATING CHANGES,LOCKING
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| Justice
Forum Fanatic
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Could be E. a medial meniscus tear
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| tanmaynator
Forum Senior
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e
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| dermatology
Forum Elite
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D or E ????
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| paasu
Forum Newbie
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“sometimes when I'm walking, my knee just locks up and I can't move it at all!”
is a gimme for middle menisceal tear.
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| khorshid
Forum Guru
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E
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| tongsaa
Forum Junior
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E.
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| dr in trouble
Forum Guru
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E but i m concerned about pain in medial thigh.
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| cirus
Forum Guru
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Yes E
Lock knee--> Medial menscial tear
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