A 32-year-old policeman presented to the emergency department with acute right knee pain and swelling after a fall. The injury was sustained while playing kabbadi (an Indian game) as a result of a twisting injury to the knee. He was initially treated at a local hospital where they diagnosed it as a knee dislocation. However, he was referred to our institution after an unsuccessful attempt at closed reduction. On clinical evaluation, the patient was haemodynamically stable and all vital parameters were within normal limits. Clinical examination of the right knee revealed a painful and mildly swollen right knee with ‘puckering’ of the skin overlying the medial femoral condyle. It appeared as though the skin overlying the medial femoral condyle was trapped inside the knee joint.



Polls results
1

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change
BIG change
100% Article relates to my practice (3/3)
0% Article does not relate to my practice (0/3)
0% Undecided (0/3)
2

Will this article lead to more cost-effective healthcare?

100% Yes (3/3)
0% No (0/3)
0% Undecided (0/3)
3

Was this article biased? (commercial or personal)

0% Yes (0/3)
100% No (3/3)
0% Undecided (0/3)
4

What level of evidence do you think this article is?

0% Level 1 (0/3)
0% Level 2 (0/3)
0% Level 3 (0/3)
33% Level 4 (1/3)
66% Level 5 (2/3)