Endgames
Spot Diagnosis
Acute knee pain
BMJ 2023; 382 doi: https://doi.org/10.1136/bmj-2023-075577 (Published 06 July 2023) Cite this as: BMJ 2023;382:e075577
- Tobenna J Oputa, specialist trainee year 8 trauma and orthopaedics1,
- Neil Jain, consultant trauma and orthopaedics surgeon2
- 1Lancashire Teaching Hospitals, Royal Preston Hospital, Preston, UK
- 2Northern Care Alliance, Fairfield General Hospital, Bury, UK
- Correspondence to: T J Oputa Tobi{at}doctors.org.uk
A teenage boy presented to the emergency department with an injury to his right knee sustained during a tackle while playing football earlier that day. His foot had been planted on the ground when he twisted, and a crack had been heard. He reported substantial pain, immediate swelling and difficulty mobilising and was unable to continue playing football. Although examination was limited because of the pain, a large palpable effusion of the knee was detected with medial and lateral joint line tenderness. Range of …
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