69 year old man with knee pain, where do we start?


Welcome to the WLC Physio newsletter!

Hi Reader,

This weekly newsletter will be a re-cap of a clinical case study to give you food for thought and most importantly help improve your clinical reasoning, recognise serious pathology and consider your next steps in terms of patient management and rehabilitation.

For this weeks case study, we initially don't have much information to go by, this is where critical thinking and clinical knowledge from pattern recognition is essential to improve our clinical autonomy.

Clinical Case study

Your referral paperwork only gives you following information "69 year old with pain in the right knee ?Osteoarthritis." Now this may be a patient you're likely to see in the emergency department and is probably the main reason why I continue to enjoy being a physio for the sheer satisfaction that we now have to do some problem solving to aid the patient in front of us.

Here are the clinical images which are yet to be reported on;

I want you think about the following questions:

  • What is the most obvious injury that I observe on the X-RAY?
  • Do I need to ask any further questions to the patient who is sat in front of me to further clarify their symptoms?
  • What are my next steps in this situation to help the person in front of me?

Now I'll be back on Monday to give you and insight into my career journey over the past 15 years and every Wednesday we'll run through a new clinical case study like the one above, with a summary of the previous case.

The "5 steps to MSK X-RAY interpretation" will be going live in June and I hope you've found the above useful.

Enjoy your weekend!

@WLCPhysio on all social media platforms.

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WLC Physio

I'm a physiotherapist with a passion for educating those around me to improve standards of care for a wide range of patients. Subscribe to my newsletter where you can expect educational updates around MSK X-RAY interpretation. And stay up to date with my other passions which include entrepreneurship, content creation, and health & wellness.

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