II. History: Mechanism of injury

  1. Type of activity
  2. Type of trauma (Contact?)
  3. Playing surface (Concrete?)

III. History: Direction of injury force

  1. Hyperextension Injury
    1. Anterior Cruciate Ligament Tear
    2. Patella Dislocation
  2. Direct blow to lateral side of knee (Valgus Stress)
    1. Medial Collateral Ligament Injury
    2. Knee Dislocation (Tibial Femoral Dislocation) or Knee Subluxation
    3. Tibial Plateau Fracture
  3. Direct blow to medial side of knee (Varus Stress)
    1. Lateral Collateral Ligament Injury
    2. Knee Dislocation (Tibial Femoral Dislocation) or Knee Subluxation
    3. Tibial Plateau Fracture
  4. Direct blow to anterior knee (e.g. knee hits dashboard)
    1. Posterior Cruciate Ligament injury
    2. Knee Dislocation (Tibial Femoral Dislocation) or Knee Subluxation
    3. Patella Fracture
  5. Twisting Injury
    1. Anterior Cruciate Ligament Tear
    2. Meniscus Injury
    3. Patella subluxation or Patella dislocation
  6. Quick stop or sharp cut
    1. Anterior Cruciate Ligament Tear

IV. History: Concurrent sensations

  1. "Snap" or "pop" at time of injury
    1. Anterior Cruciate Ligament Tear
  2. Locking, clicking or catching sensation
    1. Meniscus Injury
    2. Knee Joint loose bodies
  3. Knee locks in flexed position
    1. Bucket-handle tear (anterior to MCL)
  4. Giving-way or buckling sensation
    1. Anterior Cruciate Ligament Tear
    2. Meniscus Injury
    3. Patella subluxation
    4. Knee Joint loose bodies

V. History: Immediate knee swelling and difficult walking (or unable to ambulate)?

VI. History: Athlete continued participating in activity after Injury

  1. Meniscus Injury
  2. Patella subluxation
  3. Mild collateral ligament injury

VII. History: Morning stiffness lasts >30 minutes (esp. polyarticular)

  1. Age <50 years
    1. Rheumatoid Arthritis
    2. Reactive arthropathy
    3. Systemic Lupus Erythematosus
  2. Age >50 years
    1. Knee Osteoarthritis

VIII. History: Other relevant history

  1. See Acute Knee Pain
  2. Knee Pain history
    1. Knee Pain location ("point with one finger")
    2. Knee Pain duration
  3. Knee Injury history
    1. History of prior Knee Injury
    2. History of change in recent activities
  4. Past medical history
    1. Prior knee injuries or surgeries
    2. Concurrent rheumatic conditions
      1. Acute Gouty Arthritis
      2. Pseudogout
      3. Rheumatoid Arthritis
      4. Knee Osteoarthritis

Images: Related links to external sites (from Google)

Ontology: Knee Injuries (C0022744)

Definition (MSH) Injuries to the knee or the knee joint.
Concepts Injury or Poisoning (T037)
MSH D007718
SnomedCT 125601008
English KNEE INJURY, Injuries, Knee, Knee Injuries, Injury, Knee, KNEE INJ, INJ KNEE, knee trauma, injury of knee, injury of knee (diagnosis), knee injury, Knee Injuries [Disease/Finding], Injury;knee, injuries knees, injury knees, injuries knee, injury knee, knee injuries, Knee injury, Injury of knee (disorder), Injury of knee, injury; knee, knee; injury, Knee Injury
Dutch knieletsel, knie; letsel, letsel; knie, Knieletsel, Knieletsels, Letsel, knie-, Letsels, knie-
French Lésion du genou, Blessures du genou, Lésions traumatiques du genou, Traumatismes des genoux, Traumatismes du genou
German Knieverletzung, Knieverletzungen
Italian Traumatismo del ginocchio, Lesioni del ginocchio
Portuguese Lesão traumática do joelho, Lesões do Joelho, Traumatismos do Joelho
Spanish Lesión de rodilla, injuria de la rodilla, lesión traumática de la rodilla (trastorno), lesión traumática de la rodilla, Lesiones de la Rodilla, Traumatismos de la Rodilla
Swedish Knäskador
Japanese シツソンショウ, ヒザソンショウ, 膝外傷, 外傷-膝, 膝損傷
Czech koleno - poranění, Poranění kolene
Finnish Polvivammat
Russian KOLENA TRAVMY, КОЛЕНА ТРАВМЫ
Croatian KOLJENO, OZLJEDE
Polish Urazy kolana
Hungarian Térdsérülés