Assignment: Petellofamoral Pain Syndrome.
Assignment: Petellofamoral Pain Syndrome.
The most probable diagnosis for Alex is Petellofamoral pain syndrome. This syndrome is pain that is caused by overuse of the knee caps (American Academy of Orthopedic Surgeons, 2015). It is prevalent in those who play sports, especially those that involve jumping and running (Mayo Clinic, 2018). This syndrome causes pain around the knee cap, stiffness, and may also cause the popping and clicking sound that Alex describes and that is present upon evaluation (American Academy of Orthopedic Surgeons, 2015). This condition is sometimes called runner or jumper’s knee (American Academy of Orthopedic Surgeons, 2015). Alex plays multiple sports that have high impact on the knees. It is common in women and in adolescents (American Academy of Orthopedic Surgeons, 2015). Alex has the signs and symptoms of this condition, including pain upon examination. This condition would explain the pain that Alex’s is reporting in both versus an injury that would be more likely to shoe in just one knee. Another possible diagnosis for Alex is bilateral torn meniscuses. A meniscus tear is when there a tear takes place to the cartilage that is located behind the knee cap (American Academy of Orthopedic Surgeons, 2014). It is one of the most common knee injuries, especially in those that play sports (American Academy of Orthopedic Surgeons, 2014). The signs and symptoms of this condition are swelling, stiffness, clicking or popping sound, not being able to extend the knee fully, and a feeling that your knee is going to “give out” (American Academy of Orthopedic Surgeons, 2014). Alex is very active in many different sports and shows all signs and symptoms of this condition except for negative McMurray sign. McMurray test is a manipulative test is that performed to detect a tear in the meniscus (Ball et al, 2019). A palpable or audible click with this maneuver means that there is tear present in either the lateral or medial meniscus (Ball et al, 2019). It is very unlikely that Alex would have a torn meniscus in both knees at the same time Osgood Schlatter Diease is yet another possible diagnosis for Alex. This condition is a swelling and irritation of the growth plate in the legs near the shine bone (Kids Health Nemours, 2019).This condition usually takes place in children who are still growing and that have active lifestyles (Kids Health Nemours, 2019). This condition is common in those who play sports that involving running and jumping (American Academy of Orthopedic Surgeons, 2015). Alex is the correct age for the condition and is very active in the sports that cause this condition. This condition would explain the pain Alex is experiencing but not necessarily the clicking or popping sound. Although Osteogenic Sarcoma is a less likely diagnosis for Alex it may still be a possible diagnosis. Osteogenic Sarcoma is a type of cancer that forms at the ends of bones as they grow (Johns Hopkins Medicine, n.d). It affects those younger in age still growing (Johns Hopkins Medicine
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