Child Biomechanical Ax

Subjective: Patient presents today with a complaint of right knee pain following a fall during a football match two weeks ago. The patient reports the pain is worse with running and jumping. The patient has been icing the knee and taking over-the-counter pain medication with minimal relief. The patient reports that the pain is a 6/10 on the pain scale. Patient valued outcomes (PVOs): Patient wants to return to playing football without pain. Social Hx: Patient is a 14-year-old male who is active in sports. Posture: Increased lumbar lordosis noted. Mild genu valgum bilaterally. Gait: Antalgic gait noted on the right side. Decreased knee flexion during stance phase on the right. Run: Patient unable to run due to pain. Feet: Normal arches noted. Inv/Ev (Inversion/Eversion): No significant findings. Squat: Patient unable to perform a full squat due to pain. Unilateral Squat: Unable to perform on the right side due to pain. Jump: Unable to jump on the right leg. Hop: Unable to hop on the right leg. Up on Toes: Full range of motion bilaterally. Static Balance: Good balance bilaterally. Dynamic Balance: Reduced balance on the right leg. Flexibility: Hamstring tightness bilaterally. Strength: Quadriceps strength reduced on the right side. Hamstring strength reduced on the right side. Knees: Tenderness to palpation over the medial joint line of the right knee. Mild effusion noted. IMPRESSION: Suspected meniscal injury of the right knee. PLAN: Further assessment with MRI. Commence physiotherapy treatment to address pain and improve range of motion. TREATMENT: Patient education on activity modification. Ice and elevation. Gentle range of motion exercises. HEP (Home Exercise Programme): Quadriceps sets, hamstring stretches, and gentle range of motion exercises. ADVICE: Advised to avoid activities that aggravate symptoms. Follow up with MRI and return for further physiotherapy. NEXT DAY: Review MRI results and progress with physiotherapy treatment.