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Basrul B Baseri

09DPY0008

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Case Study

Name: Muhammad Syafiq B Basri

Age:26

Race:Malay Relegion: Islam

MRN:613034

Date of Ref: 12.2.2011 Date of Diagnose: 10.2.2011

Doctors Diagnose: ACL Tear

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Subjective Assessment

Patients Complaint:

Pain at the Right knee while bending

Unable to walk properly

Feeling loose at the affected knee

o Current History

Patient feel pain while performing

movement on the right knee,Undergone ACL reconstruction a weeks

ago

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Past History

Patient fall during playing fulsal, then unable

to get up and walk, on the next day he cameto Jsh for treatment

o Other Medical History

No other Medical history

o Social History

Patient are non smoker

working as a technician at Tenaga Nasional

BerhadActive in sports

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Investigation

X-ray and MRI done on 10.2.2011 (MRI

indicates soft tissue tear)

Vital SignNBP: 120\80

H/R: 65Bpm

Temp: 37deg celcius/Normal

Resp/rate: 20Bpm

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Objective Assessment

General Observation

young adult Malay man walked into thephysio department with elbow crutches.

Self dependanto Local Observation

Redness present at the right knee.

swelling on the right kneeScar of surgery marked

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Palpation

No tenderness on the right knee

Slight increase in temperature on the left right

knee

o Special test

Anterior drawer test; +ve

Posterior drawer Test ; -ve

Valgus Test ;-ve

Varus Test; -ve

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Muscle Bulk

Muscle Bulk Right Left Differences

15cm upper 52.5 52.0 0.5

10cm upper 52.0 51.5 0.5

5cm upper 47.5 47.0 0.5

Middle Patella 42.0 40.0 2.0

5cm lower 40.0 36.0 4.0

10cm lower 44.5 40.5 4.0

15cm lower 43.5 42.5 1.0

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Interpretation

The differences on both knee and

increase in cm value on the right knee

indicates the swelling in the right knee

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Muscle Power

Knee Joint Right Left

Flexion 4/5 5/5

Extention 4/5 5/5

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Interpretation

Decreasing value of degree in right

knee indicates the limited range of

motion compared to the normal left knee

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Plan OfTreatment Short Term Goal

Reduce pain on the right knee 4/52

Increase muscle strength on the right knee,preventing muscle wasting

Increase range of motion on the right knee.o Long Term Goal

To gain back the full functionalities of the rightknee

To gain back the normal gait patternTo prevent further complication

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Intervention

Hot Pack

Patient supine lying, hot pack place on

the right knee for 20 minutes

o Strengthening exercise

static quad exercise, patient lying

supine and a curled towel placed under

knee. Patient has to lift up the foot bypressing the towel and hold for 10

second

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Straight leg rise

patient lying supine, the knee straight

and rise slowly and hold for 10 second,

repeat 20 times with 3 sets.

Prone knee bending

Patient lyiong prone and bend the knee

20 times with 3 sets

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Ultrasound

Given to the patient as to promote the

healing process.

o Home advise

Patient are asked to get the knee

support. Prescribing the home exercise

program and correct posture