Chief Complaint And History Of Present Illness Cmv
This patient is a 16-year-old girl with complaints of left knee pain and swelling of several years duration. She stated that her knee problems date back to when she was in the fourth grade at the age of 9 years. She sustained an injury that precipitated her symptoms, which have gradually worsened over the years. Two years previously, she underwent microfracture of an isolated chondral lesion of the trochlea due to her relentless symptoms of anterolateral knee pain and activity-related swelling. Initially, her symptoms were reduced. However, because of worsening complaints of swelling and pain over the ensuing 2 years, she presented for additional treatment. She indicates that although she thoroughly enjoys participating in sports, she has not been able to do so for the past few years as a result of severe knee pain. Furthermore, walking more than just a few blocks causes her knee pain and swelling, requiring her to rest and elevate her left leg. She is unable to perform stair climbing other than with a non-reciprocal gait due to severe anterolateral knee pain. Several months of aggressive patellofemoral rehabilitation failed to alleviate her symptoms.
Post a comment