Intended for healthcare professionals

Endgames Spot Diagnosis

A painful swollen knee after a fall

BMJ 2017; 356 doi: https://doi.org/10.1136/bmj.i6772 (Published 12 January 2017) Cite this as: BMJ 2017;356:i6772
  1. Sheena Seewoonarain, orthopaedic registrar1,
  2. Chris Servant, consultant orthopaedic surgeon2
  1. 1Western Sussex Hospitals NHS Trust, Spitalfield Lane, Chichester, UK
  2. 2The Ipswich Hospital NHS Trust, Heath Road, Ipswich, Suffolk, UK

Correspondence to: sseewoonarain@gmail.com

A 27 year old man stumbled down a step and twisted his left knee. He felt immediate severe pain in the knee and was unable to weight bear. On examination he had a swollen knee with a limited, painful range of movement. There was no obvious neurovascular deficit. Plain radiographs of the left knee were taken (fig …

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