History
- Young to middle age
- Twisting injury
- Kneeling/squatting injury
- Joint line pain
- Difficutly walking
- True locking
Signs
- Limp
- Effusion
- Possible painful block to extension
![](https://apps.nhslothian.scot/files/sites/2/Knee-Medial-Joint-line-Palpation-1024x603.jpg)
Joint line tenderness
image copyright NHS Lothian.
![](https://apps.nhslothian.scot/files/sites/2/Knee-sqat-or-Duck-waddle.png)
Unable to kneel, squat or Duck waddle
image copyright NHS Lothian.
![](https://apps.nhslothian.scot/files/sites/2/Orthopeadics-McMurrays-test-scaled.jpg)
User dependent specific test as part of assessment eg McMurrays Test
image copyright NHS Lothian.
Secondary care referral
- Immediate if truly locked, patient unable to flex or extend knee
- Routine if primary care treatment exhausted
Primary care investigations
- None indicated
Primary care treatment
- Analgesia
- PRICE (Protection, Rest, Ice, Compression, Elevation)
- Physiotherapy