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Complaints of locking sensation in the knee joint can be divided into true locking and pseudo locking. True locking happens when the intra-articular structure (e.g. ligaments) [1] is damaged, or a loose body is present inside the joint, or there is a meniscal tear. The knee can be unlocked by rotating the leg and full movement can be restored.
A tear of a meniscus is a rupturing of one or more of the fibrocartilage strips in the knee called menisci. When doctors and patients refer to "torn cartilage" in the knee, they actually may be referring to an injury to a meniscus at the top of one of the tibiae. Menisci can be torn during innocuous activities such as walking or squatting.
Physical examination of the knee begins by observing the person's gait to assess for any abnormalities seen while walking. Gait assessment can be used to differentiate genuine knee pain or pain which referred from hip, lower back or the foot. A person can be asked to perform a duckwalk. This requires the person to squat and walk in that position.
Localised tenderness over the medial knee is the most common finding of the condition. It is usually happening on one side, without a previous history of trauma. SONK should be considered together with differential diagnosis of osteoarthritis , tear of medial meniscus , and tibial plateau fracture .
Iliotibial band syndrome (ITBS) is the second most common knee injury, and is caused by inflammation located on the lateral aspect of the knee due to friction between the iliotibial band and the lateral epicondyle of the femur. [2] Pain is felt most commonly on the lateral aspect of the knee and is most intensive at 30 degrees of knee flexion. [2]
Patients with knee injuries suspected to involve the posterolateral corner should have their gait observed to look for a varus thrust gait, which is indicative of these types of injuries. As the foot makes contact with the ground, the compartments of the knee should remain tight and stabilize the joint through the impact and movements of walking.
Atlanta forward Jalen Johnson plans to have shoulder surgery and miss the remainder of the season, a major blow to the struggling Hawks ’ efforts to remain in the Eastern Conference playoff race.
They may also experience instability in the knee once they resume walking and other activities, as the ligament can no longer stabilize the knee joint and keep the tibia from sliding forward. [9] Reduced range of motion of the knee and tenderness along the joint line are also common signs of an acute ACL injury.
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