Utilization Of Dynamic Knee Kinesiography for Identification of Underlying Musculoskeletal Pathology in Military Service Member — ACSM 2023

Wentz G, Landry P, Yang K, Reilly N, Gonnella M, Wilson V, Goss D

Abstract submitted to American College of Sports Medicine Annual Meeting & World Congresses 2023

This clinical case involved a 38-year-old male soldier presented with lateral knee instability and pain, sustained 1.5 months previously during downhill trail running. Mechanism of injury was reported valgus knee collapse while planting out of a creek. Post-injury follow-up revealed unremarkable imaging for acute pathologies. Initial subjective measures collected included Single Assessment Numeric Evaluation (SANE) of 70% and resting Numeric Pain Rating Scale (NPRS) score of 2 out of 10. Patient demonstrated minimal effusion. Squat test highlighted pain from 30 to 60 degrees of knee flexion and moderate valgus with internal rotation collapse. Pain with end range knee flexion, painful knee extension (NPRS: 5 of 10) with manual muscle test. Tenderness of lateral joint line and lateral femoral condyle was observed. Patient exhibited positive signs during Thessaly test, varus stress test at 0 and 30 degrees, and Nobles and Rennes test.