The skiers knee without swelling or instability, a difficult diagnosis: a case report
<p>Abstract</p> <p>Skiing as a recreational activity has increased exponentially in the last twenty-years. Similar to any sporting activity, participants can sustain various types of injury, which provides the emergency departments with a continuous supply of patients. The injury p...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2007-04-01
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| Series: | Journal of Medical Case Reports |
| Online Access: | http://www.jmedicalcasereports.com/content/1/1/11 |
| _version_ | 1811265943049863168 |
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| author | O'Donnell Mark E Badger Stephen A Campbell David Loan Willie Sinnott Brendan |
| author_facet | O'Donnell Mark E Badger Stephen A Campbell David Loan Willie Sinnott Brendan |
| author_sort | O'Donnell Mark E |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Skiing as a recreational activity has increased exponentially in the last twenty-years. Similar to any sporting activity, participants can sustain various types of injury, which provides the emergency departments with a continuous supply of patients. The injury pattern from the slopes has also changed over this time period, due to alterations and improvements in ski equipment. An increased diversity in alpine skiing techniques, as well as snowboarding and cross-terrain disciplines has also influenced this change.</p> <p>We present a multi-media experience of a high-speed ski fall that caused a valgus-external rotation injury to the right knee that precluded the patient from further ski activity. There was no bruising, swelling or instability demonstrated and the patient returned to ski activities 24-hours post-injury. Although this injury appeared clinically benign initially, the patient complained of persistent pain around the right knee which was causing occupational difficulties. Following normal clinical assessment, the patient returned to work but continued to complain of persistent pain at the lateral aspect of the right knee. Magnetic Resonance Imaging (MRI) demonstrated extensive bone marrow oedema (BMO), a mild depression of the articular cortex compression with a small focus of articular cartilage disruption and microfractures of the lateral tibial plateau. The patient was treated conservatively and remains well with avoidance of impact exercises 14-months post-injury.</p> <p>In the presence of any high speed injury, we would stress that regardless of initial normal investigations, clinical suspicion should remain paramount and not deter the physician from further investigation in the presence of continuing symptomatology.</p> |
| first_indexed | 2024-04-12T20:33:03Z |
| format | Article |
| id | doaj.art-9b4177be345f4b9eb53ad75ab25d292f |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-12T20:33:03Z |
| publishDate | 2007-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-9b4177be345f4b9eb53ad75ab25d292f2022-12-22T03:17:40ZengBMCJournal of Medical Case Reports1752-19472007-04-01111110.1186/1752-1947-1-11The skiers knee without swelling or instability, a difficult diagnosis: a case reportO'Donnell Mark EBadger Stephen ACampbell DavidLoan WillieSinnott Brendan<p>Abstract</p> <p>Skiing as a recreational activity has increased exponentially in the last twenty-years. Similar to any sporting activity, participants can sustain various types of injury, which provides the emergency departments with a continuous supply of patients. The injury pattern from the slopes has also changed over this time period, due to alterations and improvements in ski equipment. An increased diversity in alpine skiing techniques, as well as snowboarding and cross-terrain disciplines has also influenced this change.</p> <p>We present a multi-media experience of a high-speed ski fall that caused a valgus-external rotation injury to the right knee that precluded the patient from further ski activity. There was no bruising, swelling or instability demonstrated and the patient returned to ski activities 24-hours post-injury. Although this injury appeared clinically benign initially, the patient complained of persistent pain around the right knee which was causing occupational difficulties. Following normal clinical assessment, the patient returned to work but continued to complain of persistent pain at the lateral aspect of the right knee. Magnetic Resonance Imaging (MRI) demonstrated extensive bone marrow oedema (BMO), a mild depression of the articular cortex compression with a small focus of articular cartilage disruption and microfractures of the lateral tibial plateau. The patient was treated conservatively and remains well with avoidance of impact exercises 14-months post-injury.</p> <p>In the presence of any high speed injury, we would stress that regardless of initial normal investigations, clinical suspicion should remain paramount and not deter the physician from further investigation in the presence of continuing symptomatology.</p>http://www.jmedicalcasereports.com/content/1/1/11 |
| spellingShingle | O'Donnell Mark E Badger Stephen A Campbell David Loan Willie Sinnott Brendan The skiers knee without swelling or instability, a difficult diagnosis: a case report Journal of Medical Case Reports |
| title | The skiers knee without swelling or instability, a difficult diagnosis: a case report |
| title_full | The skiers knee without swelling or instability, a difficult diagnosis: a case report |
| title_fullStr | The skiers knee without swelling or instability, a difficult diagnosis: a case report |
| title_full_unstemmed | The skiers knee without swelling or instability, a difficult diagnosis: a case report |
| title_short | The skiers knee without swelling or instability, a difficult diagnosis: a case report |
| title_sort | skiers knee without swelling or instability a difficult diagnosis a case report |
| url | http://www.jmedicalcasereports.com/content/1/1/11 |
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