Return to Scenario ListShow Learning Points most relevant to Phase 1:

Knee injury

Clinical Discipline(s)/Organ System(s)
Musculoskeletal System, Orthopaedics
Progress Test Topic(s)
A 26 year old Cook Island male presents with pain and swelling of his right knee after a twisting injury sustained over the weekend whilst playing rugby league. He has noticed that the knee seems to 'give way' since the injury.
Progress Test-Type Questions:   Question 1 | Question 2 | Question 3
Applied Science for Medicine 
   - Anatomy of the bony, cartilaginous and ligamentous structures of the knee
   - Appreciate the common knee injury patterns
   - Anatomy of the neurovascular structures of the lower limb
Clinical and Communication Skills 
   - History from a patient with a swollen joint
   - Examination of the knee including tests of ligaments, menisci and neurovascular structures
   - Indications for joint aspiration
   - Interpretation of X-rays of the knee
   - Role of physiotherapy, orthopaedic specialist and orthotics
Personal and Professional Skills 
   - Patient information regarding return to sport/work
Hauora Māori 
   - High Māori involvement in sport contributing to overall higher injury rates in Māori
   - Barriers to access for Māori with musculoskeletal injuries and ACC evidence of reduced delivery of care
Population Health 
   - Epidemiology of sporting injuries
   - Increasing costs of sporting injuries in New Zealand
   - Strategies for preventing sporting injuries
Conditions to be considered relating to this scenario
anterior cruciate ligament (ACL) rupture, knee ligament sprains, meniscal tear, patella fracture, patella dislocation, osteochondral fracture
Less common but 'important not to miss'
posterior cruciate injury, popliteal artery injury, knee dislocation, tibial plateau fractures, septic arthritis, quadriceps tendon rupture
myositis ossificans, pathologic fracture, bleeding disorder