Knee Pain or Gonalgia

Knee Pain (Gonalgia): Test and Diagnosis

2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Inflammatory parameters – CRP (C-reactive protein). Uric acid Antibody tests for the detection of bacterial or viral infections. Macroscopic, microscopic and laboratory examination of knee joint punctate (serous, amber, bloody; urate crystals; … Knee Pain (Gonalgia): Test and Diagnosis

Knee Pain (Gonalgia): Drug Therapy

Therapy goals Reduction of pain and thus increase in mobility. Diagnosis finding Therapy recommendations Analgesia (pain relief) during diagnosis until definitive therapy according to WHO staging scheme: Non-opioid analgesic (paracetamol, first-line agent). Low-potency opioid analgesic (e.g., tramadol) + non-opioid analgesic. High-potency opioid analgesic (eg, morphine) + non-opioid analgesic. If necessary, administration of an anti-inflammatory drug … Knee Pain (Gonalgia): Drug Therapy

Knee Pain (Gonalgia): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Radiographs of the knee joint (aps: anterior/posterior/supination; beam path from anterior to posterior in a bent-back position) – standard examination for osteoarthritis assessment (possibly with a long plate- for … Knee Pain (Gonalgia): Diagnostic Tests

Knee Pain (Gonalgia): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate gonalgia (knee pain): Radiating pain in the upper/lower leg. Restriction of movement Gentle posture Tension / hardening of the muscles Note: pain in the knee, never forget the hip! Warning signs (red flags) Anamnestic information: Inflammatory rheumatic disease Recent trauma Laboratory: CRP elevation Localized tenderness Increasing, persistent pain … Knee Pain (Gonalgia): Symptoms, Complaints, Signs

Knee Pain (Gonalgia): Therapy

General measures Depending on the disease and stage of disease: Relief and immobilization Sports leave In case of joint effusion: Immobilization and rest with cooling and elevation of the joint are observed (PECH scheme: “P” rest, sparing, immobilization: “E” ice/cooling; “C” compression e.g. elastic bandage; “H” elevation above heart level). Later, careful mobilization can then … Knee Pain (Gonalgia): Therapy

Knee Pain (Gonalgia): Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Congenital knee dislocation (bes. common in neurologic disorders (e.g., arthrogrypnosis, myelodysplasia, Ehlers-Danlos syndrome) [infants/toddlers]. Congenital patellar luxation – slipping of the patella out of the femoral sliding bearing (usually laterally) [growth phase; infants/adolescents]. Disc meniscus (anatomical variant of the menisci of the knee joint) [infants/toddlers]. But, blood-forming organs … Knee Pain (Gonalgia): Or something else? Differential Diagnosis

Knee Pain (Gonalgia): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Gait pattern in terms of knee extension, Schonhinken, leg axes, etc. Body or joint posture (upright, bent, Schonhaltung). … Knee Pain (Gonalgia): Examination