Intro
Reviews of This Book
Acknowledgments
Contents
Introduction
1: General Considerations
1.1 The History
1.2 The Physical Examination
1.3 Treatment Considerations
1.3.1 Early Care (First Visit)
1.3.2 Second Visit
2: Acute Patella Injury
2.1 Introduction
2.2 Acute Patella Dislocation
2.2.1 History
2.2.1.1 How Did You Hurt Your Knee?
2.2.1.2 Was It a Fall?
2.2.1.3 Did You Twist Your Knee?
2.2.1.4 Did You Hear a Pop or a Snap?
2.2.1.5 Did Your Kneecap Feel Like It Popped Out of Place?

2.2.1.6 Were You Able to Continue Your Activity?
2.2.1.7 When Did the Knee Swell?
2.2.1.8 Did This Ever Happen to You Before?
2.2.1.9 Did Your Other Knee Ever Pop Out of Socket?
2.2.1.10 Did Anyone Else in Your Family Ever Dislocate Their Patellae?
2.2.2 Physical Examination
2.2.2.1 Examine the Unaffected Knee (See Video 1.3, Chap. 1 and Table 2.1)
2.2.2.2 Examine the Injured Knee
Observation
Palpation
The Apprehension Test (Video 2.1)
2.2.3 Treatment Plan
2.2.3.1 Early Care
2.2.3.2 Second Visit
2.2.4 Factors Influencing Your Decision-Making

2.2.4.1 Predisposing Factors
Age
Activity Level
Occupation
Family History/Bilateral
Associated Injury
Rehability
2.2.5 Differential Diagnosis of an Acute Patella Dislocation
2.2.6 Treatment Recommendation
2.3 Acute Patella Subluxation
2.3.1 History
2.3.2 Physical Examination (See Table 2.2)
2.3.3 Treatment Plan
2.3.3.1 Early Care
2.3.3.2 Second Visit and Treatment Recommendation
3: Medial Collateral Ligament (MCL) Injury
3.1 Introduction
3.2 The History
3.2.1 How Did You Get Hurt?
3.2.2 Did You Hear a Pop?

3.2.3 Were You Able to Continue Your Sport or Activity?
3.2.4 When Did the Knee Swell?
3.2.5 Were You Treated for the Injury?
3.2.6 Did You Ever Hurt This Knee Before?
3.3 Physical Examination
3.3.1 Observation
3.3.2 Palpation
3.3.3 Valgus Stress Testing (Video 3.1)
3.4 Differential Diagnosis
3.5 Treatment
3.5.1 Early Care
3.5.2 Second Visit and Treatment Plan
4: Anterior Cruciate Ligament Injury
4.1 Introduction
4.2 The History

4.2.1 How Did You Hurt Your Knee? Was It a Twist or Direct Fall? Did You Hear a Pop? Could You Continue Your Activity? Did You Need Help Tin Getting Up? Were You Able to Walk On It? If Yes, How Did It Feel? Wobbly?
4.2.2 Did your Knee Swell? When?
4.2.3 Have You Ever Hurt Your Knee Before?
4.2.4 Are You Active in Sports? What Do You Play? How Often?
4.2.5 What Type of Work Do You Do?
4.2.6 Have You Hurt Your Other Knee? Anyone Else in Your Family Hurt Their Knee?
4.2.7 What Level of School Are You In?
4.3 Physical Exam
4.3.1 Observation