Related Experiment Videos
The skiers knee without swelling or instability, a difficult diagnosis: a case report
Mark E O'donnell1, Stephen A Badger, David Campbell
1Department of Surgery, Belfast City Hospital, Lisburn Road, Belfast BT9 7AB, Northern Ireland, UK. modonnell904@hotmail.com.
Journal of Medical Case Reports
|April 24, 2007
Summary
High-speed ski falls can cause knee injuries like valgus-external rotation. Even with normal initial exams, persistent pain warrants further investigation, as seen with bone marrow edema and tibial plateau microfractures.
Area of Science:
- Orthopedics
- Sports Medicine
- Radiology
Background:
- Recreational skiing has surged, leading to diverse sports injuries.
- Evolving ski equipment and techniques alter injury patterns.
- Valgus-external rotation knee injuries are a risk in high-speed skiing.
Purpose of the Study:
- To report a case of high-speed ski fall injury.
- To highlight the diagnostic challenges of subtle knee injuries.
- To emphasize the importance of clinical suspicion in persistent post-injury pain.
Main Methods:
- Case report of a high-speed ski fall.
- Clinical examination and Magnetic Resonance Imaging (MRI).
- Conservative management and follow-up.
Main Results:
- Initial assessment revealed no immediate signs of severe injury.
- Persistent lateral knee pain led to MRI.
- MRI showed bone marrow edema, articular cortex depression, and tibial plateau microfractures.
Conclusions:
- Subtle knee injuries from high-speed falls may not be apparent initially.
- Persistent pain necessitates further investigation despite normal initial findings.
- Conservative treatment is effective for such injuries with activity modification.
