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COMMON CAUSES OF ADOLESCENT KNEE PAIN This lecture was presented at the Scottish Rite for Children Pediatric Orthopedic Education Symposium by pediatric orthopedic surgeon Philip L. Wilson, M.D. Visit our website to download a summary of the lecture and to sign up for our e-blast to receive notifications of new lectures available. www.scottishriteforchildren.org/med Diagnosing common causes of adolescent knee pain can be confusing, but it can be simplified by looking at history and physical findings during the exam systematically. To narrow the list of common causes, symptoms are broken down in three ways: 1. Acute vs. Chronic presentation 2. Effusion vs. No Effusion 3. Primarily a Pain Problem vs. Primarily a Motion Abnormality Below is a list of common knee conditions: • Sprain • Contusion • Stress Fracture • Apophysitis • Patellofemoral Dislocation • ACL Tear • Tibial Spine Fracture • Meniscal Pathology • Osteochondritis Dissecans 0:00 Introduction 0:24 Common Conditions 2:21 Ligament Injury ("Sprain") Muscle Injury ("Pulled Muscle") 4:34 Knee Injury and Effusion 6:48 Knee Effusion-Patellar Dislocation Signs 8:24 Knee Effusion - Tibial Spine Fracture 8:58 Knee Effusion - ACL Tear 9:59 Knee Effusion-Tibial Spine Fracture 10:50 Knee Effusion - Meniscal Tear 11:27 Keys to Diagnosis 12:29 Activity-Related Knee Pain 12:45 Slipped Capital Femoral Epiphysis (SCFE) 13:20 Overuse Conditions - Stress Fracture 13:56 Overuse Conditions - Apophysitis 15:39 Patellofemoral Pain Syndrome 16:49 Osteochondritis Dissecans 18:04 Discoid Meniscus 19:26 Watch comprehensive knee exam