warranted - ⑤ ⑦ ① Key References: References: Key patient have a torn meniscuspatienthave a or the ? of the physicalValue of examination. 4) Madden Madden CC. 4) 601 3)Malleson PN, Beauchamp RD. : 16. Diagnosing musculoskeletal Diagnosing Rheumatology: 16. PN, pain Beauchamp 3)Malleson RD. in children.601 2)TauntonJE, Wilkinson M. Rheumatology:Diagnosis Management 14. andanterior of knee pain. Keegan DA JK Kendal Karram JJ General Management General Management Principles Foot Pain Knee Pain Pain Canadian Family Medicine Clinical Card /NSAIDsindicated) (if Aspirate & assess assess & fluid Aspirate Rest assessment nor clinical judgment. They are meant to highlight key considerations in particular considerations key to highlight meant are They judgment. clinical nor assessment Hx Clues Physical Exam Top Top DDx Exam Physical Hx Clues Medicine Clinical Cards is correct – it it is possible errorsthatmay exist. thesourceAccordingly, Medicine Clinical Cards is – correct Hx Clues Physical Exam Top Top DDx Exam Physical Hx Clues Hx Clues Physical Exam Top Top DDx Exam Physical Hx Clues clinicalscenarios, informed largely byguidelines relevant in at thetimeeffect of publication. ♂ <6y Children onset Insidious 4-8y; Children with flexion/sitting & hippain. Worse Activity related on side. whenpain, esp. lying hip Lateral sided Medial pain; runner/cyclist Lateralpain; knee onset Hx instability; gradual long distance runners ++kneeling trauma; Acute/cumulative after activity; Adolescence; worse activity (e.g.jumping) Pain after right away; swellingrotation, pop, Valgus, external ↑ runner; pain with Teens/young adults; patient Degen.: Older mechanism of twistAcute: plant & individuals; moresevere in morning Heel pain in physically active often recent standing; severe inmorning; more Inferior heel withpain; activity lots of The authors and reviewers have made every atte made have every and The authors reviewers references or other authorities should be cons be should authorities other or references sitting The authors cannot assume any liability for patient outcomes when these cards are used. are cards these outcomes when patient liability for any assume cannot authors The > management plan of of plan patients. ar The Cards management ♀ ② ; 10-17y, 10-17y, ; Ice Netter'sMedicine. Sports 1) Solomon DH, Simel DL, Bates DW, Katz JN, Schaffer ♀ especially in child with limp with child in especially ③  Joint Pain 3: Lower Limb > ♀ Activity modification ♂ ♀ ∆ during > inactivity/footwear ♂ > ♂ ↑ ♂ M Limp;limitedROM; BMI > ♀ ; ; when suspicious for septic joint/bursa joint/bursa septic for suspicious when ± Limp aBduction & IR 1 ± Decreased ROM Flexion/adduction/IRpain = trochanter greaterPain onpalpation of band iliotibial over Tendernesspalpation to discrepancy; observed maltracking Possible tendon insertion site tendernessSevere point at anserine pain onpassive( ROM No Swellingextensor over aspect tuberosity; often bilateral tendernesstibial Prominence & of (patellar) tender pole patella Inferior Superior patellar pole tender (quad) of MCL or meniscal involvement suggestive findings be also may swollen; (+) Lachman > (+) Anterior drawer; Patellofemoral test; friction patellar patella;(+) Tender test Thessaly (+) ± Joint line tenderness; Philadelphia: Saunders/Elsevier;Philadelphia: 2010. mild limp; ROM - restricted restricted ROM - limp; mild knee pain locking &clicking (+)McMurray’stest; ± refusal to weight bear ⑥ ↑ ④ Steroid injection (if refractory & indicated) Q-Angle or leg length length leg or Q-Angle PT/Strength building/Stretching ⑨ ulted to aid in determining the assessment and the to aidin determining ulted st e not meant to replace customized patient to meantnot replace e side of heel) side of medial insertion (bottom Tender along swellingat tendonsite Pain, tenderness and ugr depends on situation Surgery - mpt to the informationensure in the Family affected ± weight bear; JL.The rational clinical examination. Does this ± ± effusion; full flexion) JAMA Femoral Epiphysis Femoral Slipped Capital Transient Legg-Calve-Perthes impingement Femoroacetabular Trochanteric 2001; 286(13):1610-20 286(13):1610-20 2001; www.cfpc.ca/sharcfm 2015 A22 ⑧ CMAJ X-ray may be be may X-ray CMAJ bursitis Prepatellar Syndrome IT Band maltracking Patellar bursitis anserine Pes Schlatter’s Osgood- tendonitis Patellar/quad ACL tear syndrome Meniscal Tear Degenerative Acute/ 2001; 164(11):1595- 2001; 2001; 165(2):183-8 165(2):183-8 2001; Plantar tendonitis Achilles