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Soft tissue injuries at the knee 

Soft tissue injuries at the knee
Chapter:
Soft tissue injuries at the knee
Author(s):

Steve McNally

DOI:
10.1093/med/9780199674107.003.0038
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date: 26 November 2020

Conditions affecting the bursae, tendons, and other soft tissues at the knee afflict all ages. While the pathology of the affected tissue may be easily confirmed, the underlying aetiology can be difficult to define as the same process may develop as a result of varied activities, disability, or medical interventions. The challenge facing the clinician exceeds identification of the correct anatomical and pathological diagnosis as treatment interventions depend on a tailored approach that addresses the patient’s functional requirements and expectations. By accurately localizing symptoms and evaluating contributing biomechanical factors, a holistic management plan can be implemented. Assessment of joints above and below the knee is essential in most cases, and rare diagnoses, anatomical variants, and associations with systemic disease must be borne in mind. Most conditions can be managed conservatively, although invasive procedures may be necessary; the evidence base for interventions appropriate to each condition is reviewed in outline.

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