Knee InjuryCase StudiesA 15-year-old gymnast has noted knee pain that has become progressively wors

Knee InjuryCase StudiesA 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable.StudiesResultsRoutine laboratory valuesWithin normal limits (WNL)Long bone (femur, fibula, and tibia) x-ray, p. 948No fractureArthrocentesis with synovial fluid analysis, p. 577 AppearanceBloody (normal: clear and straw-colored)Mucin clot, p. 578Good (normal: good)Fibrin clot, p. 216Small (normal: none)White blood cells (WBCs), p. 466<200 WBC/mm3 (normal: <200 WBC/mm3)Neutrophils, p. 333<25% (WNL)Glucose, p. 227100 mg/dL (normal: within 10 mg/dL of serum glucose level)Magnetic resonance imaging (MRI) of the knee, p. 1053Blood in the joint space. Tear in the posterior aspect of the medial meniscus. No cruciate or other ligament tearsArthroscopy, p. 523Tear in posterior aspect of medial meniscus Diagnostic AnalysisThe radiographic studies of the long bones eliminated any possibility of fracture. Arthrocentesis indicated a bloody effusion, which was probably a result of trauma. The fibrin clot was further evidence of bleeding within the joint. Arthrography indicated a tear of the medial meniscus of the knee, a common injury for gymnasts. Arthroscopy corroborated that finding. Transarthroscopic medial meniscectomy was performed. Her postoperative course was uneventful.Critical Thinking QuestionsOne of the potential complications of arthroscopy is infection. What signs and symptoms of joint infection would you emphasize in your patient teaching?Why is glucose evaluated in the synovial fluid analysis?Provide 2 Nursing Diagnosis for this scenario. Health Science Science Nursing NUR 104 Share QuestionEmailCopy link Comments (0)

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