Leg/Knee Case 11 History/Physical Exam

These injuries are typically either twisting or hyperextension injuries. Patients often report knee swelling, pain with weight bearing, and difficult knee extension. 

Exam will reveal a knee effusion and painful restricted range of motion, often held in slight flexion.  In the frequent setting of a simultaneous ACL tear, the patient will have associated findings such as abnormal Lachman, anterior drawer, or lever tests.  The exam should also include assessment of the other knee ligaments/menisci.