knee

onset

hours days weeks months years
sudden gradual

side

left right bilateral

new?

new issue known/chronic

symptoms

+ pain – + stiffness – + swelling – + erythema –
+ instability – + locking – + weakness –

intensity

mild mild-moderate moderate moderate-severe severe

frequency

single episode constant intermittent daily few times a week few times a month

status

improving unchanged resolved gradually worsening significant worsening

location

anterior lateral medial patella patellar tendon suprapatellar tibial tuberosity
posterior popliteal fossa upper calf hamstring

worse with

weight bearing walking flexion extension all movements

improves with

rest tylenol NSAIDs ice activity

context

+ trauma – + repetitive movement –

HPI

side

left right bilateral

inspection

normal
normal gait antalgic gait

palpation

A temperature N + effusion –
tenderness
none medial lateral MCL LCL + joint line tenderness –
patella patellar tendon pes anserine popliteal fossa quad tendon

ROM

normal limited flexion limited extension

muscle testing

normal
A quadriceps N A hamstring N

special tests

exam

Assessment

osteoarthritis Soft tissue injury IT band syndrome PFPS
LCL injury MCL injury ACL injury PCL injury Meniscal injury
Patellar bursitis Pes anserine bursitis Patellar tendonitis Osgood-Schlatter Baker's cyst

red flags

none

Plan

RICE

medication

tylenol topical NSAIDs PO NSAIDs opioids

physiotherapy

self referral MFP physio

- private coverage

yes no

other therapy

orthotics

off work

yes (1-2 weeks) no

imaging

not indicated x-ray MRI

referral

orthopedics sports med

follow-up

2-4 weeks PRN only

RTC

instructions given

Knee complaint

S/

O/

A/

P/