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Differential Diagnosis for Knee Locking

Single Most Likely Diagnosis

  • Meniscal Tear: This is the most common cause of knee locking, where a tear in the meniscus (cartilage) can cause it to become trapped between the bones, leading to locking or catching sensations in the knee.

Other Likely Diagnoses

  • Loose Body: A loose fragment of bone or cartilage within the knee joint can cause locking or catching sensations.
  • Osteochondritis Dissecans: A condition where a piece of cartilage and bone becomes detached from the surrounding bone, leading to locking or pain in the knee.
  • Ligamentous Injury: Injuries to the ligaments surrounding the knee, such as the anterior cruciate ligament (ACL), can cause instability and locking sensations.

Do Not Miss Diagnoses

  • Septic Arthritis: A bacterial infection within the knee joint, which can cause severe pain, swelling, and locking, and requires prompt medical attention to prevent long-term damage.
  • Tumor: A rare but potentially life-threatening cause of knee locking, where a tumor grows within the knee joint or surrounding bone.

Rare Diagnoses

  • Synovial Chondromatosis: A rare condition where cartilage grows within the synovial lining of the knee joint, leading to loose bodies and potential locking sensations.
  • Discoid Meniscus: A rare congenital condition where the meniscus is abnormally shaped, leading to increased risk of tearing and locking sensations.
  • Osteonecrosis: A rare condition where the bone within the knee joint dies due to lack of blood supply, leading to pain and potential locking sensations.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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