Problem
A 30-year-old male rugby player presents with pain in the anterior thigh of the right leg. He has noticeable swelling and ecchymosis present over the muscle belly of the quadricep-located at mid thigh region. He came into the clinic walking with a limp and reports having trouble flexing his knee all the way back. Upon examination, he is very point tender over that mid-thigh region. You measure his range of motion, with a goniometer, for flexion and get 120 degrees actively. Therefore, he lacks approximately 15 degrees of flexion in the affected leg. He does have full extension of the knee during the evaluation process. He has no radiating pain as the pain is localized to one area.
What other information would you want to know by asking questions, assessing and examing the patient? Important content has been left out of this scenario in hopes that you will come up with further questions and assessments to investigate.
A. Submit two pertinent subjective history questions that need to be asked of the patient. (These questions should help narrow down the probable diagnosis)
B. Submit two observational assessment questions or other acquired information pertinent about the patient. (These questions should help narrow down the probable diagnosis)
C. Submit two orthopedic tests (could include strength tests, neurological tests, or special tests)
D. Based on the above information and the given athlete scenario for the group, each student will list two injuries/conditions that are on your initial working diagnosis list and explain why?