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A
77-year-old male from New Jersey presented the Clinic
with a complaint chiefly of right knee pain, stating
pain occurs almost continually. Pain described as “dull,
worse when walking,” and mostly located medially (inner
knee area ). Pain has persisted for 30 years since an
incident while patient walked downstairs at home when
knee ‘locked’ at 90-degree angle.
Prior to locking episode, patient was an avid sportsman
and runner, never experiencing pain in either
pursuit. At time that knee lock occurred, a physician
‘unlocked’ knee by injection of anesthetic and
application of traction to stretch joint. Following
treatment, patient relates knee began to deform and
became bowed. Arthroscopic surgery was undertaken at a
later time to alleviate constant pain.
Prior to this locking episode, he was avid sportsman and
a runner and never experienced pain. His knees were
straight. When his knees locked, he saw a local
physician who after injecting his knee with anesthetic
was able to unlock the knee by traction (medical lingo:
the pulling of or tension established in one body part
), he says ever since then his knee started to deform
and bowing. After wards he had arthroscopy in the right
knee which helped him with the pain.
His past medical history of Atrial Fibrillation and
takes Digoxin for it. Otherwise he is a good candidate
for a total knee replacement. He also takes
Celebrex which eases
his pain.
Locking of the knee is a common phenomenon, patients
typically describe the knee is stuck in a particular
position ,and not being able to move the knee. Most
common cause of it is usually a meniscus tear. Other
common causes are
ACL Damage, loose bodies and patellar
dislocation. Patients inability to fully
extend the knee produces excruciating pain.

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