(BQ) Part 2 book “An orthopaedics guide fortoday’s GP” has contents: Knee disorders, foot and ankle disorders, bone and soft tissue tumours/lumps and bumps, preoperative finess and perioperative issues in msk patients, rheumatology for general practitioners, the role of physiotherapy for musculoskeletal disorders in primary care, musculoskeletal disorders – the gp perspective. | 7 Knee disorders SANJEEV ANAND and TIM GREEN Introduction Acute soft tissue knee injuries Why is the knee joint vulnerable to injuries? How do I identify patients needing referral to secondary service following an acute knee injury? History Examination Anterior cruciate ligament Acute patella dislocation Meniscus injury Is this painful swollen knee septic arthritis? Red flag conditions: Malignancy Chronic knee conditions Osteoarthritis When do I refer patients with osteoarthritis for surgical management? Obese patients 87 87 88 88 88 89 92 93 94 95 97 97 97 97 97 Introduction Problems affecting the knee joint are the second most common cause of musculoskeletal presentation to a general practice clinic. These problems can present in an acute setting or as chronic long-term conditions affecting quality of life and leading to disability. Acute soft tissue knee injuries Acute knee injuries leading to fractures around the knee joint are unlikely to present to a general practice clinic. Because of difficulty in weight bearing and catastrophic presentation, most patients present themselves to emergency departments and get Is there a role for arthroscopic surgery in knee osteoarthritis? Do I need to arrange an MRI scan for older patients with knee pain? What are the options for post-operative knee problems? Injection technique What drugs should I use for injection? What are the contraindications to injecting a knee joint? What precautions should I take while injecting a knee joint? What are the possible complications of injection therapy? How do I inject a knee joint? Summary References 97 97 97 98 98 98 98 98 98 100 100 diagnosed appropriately. Acute ‘soft tissue’ injuries of the knee are, however, frequently missed and patients may present to their general practitioner due to persistent concerns. Acute ‘soft tissue’ knee injuries are commonly associated with sports and young active people. It should not be forgotten that there are also significant injuries which .
