Differential Diagnosis for Pain behind the Knee when Knee Flexes at End Range
Single Most Likely Diagnosis
- Baker's Cyst (Popliteal Cyst): This condition is characterized by a fluid-filled swelling that causes a bulge and a feeling of tightness behind the knee. It is often associated with knee flexion, especially at end range, due to the increased pressure on the cyst.
Other Likely Diagnoses
- Gastrocnemius or Hamstring Strain: Strains in the muscles at the back of the leg can cause pain, especially when the knee is flexed, as these muscles are stretched.
- Popliteus Tendinitis: Inflammation of the popliteus tendon, which is located at the back of the knee, can cause pain when the knee is flexed, particularly at the end range of motion.
- Meniscal Tears: Tears in the cartilage of the knee joint can cause pain, especially with deep knee flexion, as the torn meniscus can become pinched.
Do Not Miss Diagnoses
- Deep Vein Thrombosis (DVT): Although less common, DVT can cause pain behind the knee, especially if the clot is located in the popliteal vein. This condition is a medical emergency due to the risk of pulmonary embolism.
- Popliteal Artery Aneurysm: An aneurysm in the popliteal artery can cause pain behind the knee due to compression or thrombosis. It's a rare but potentially limb-threatening condition.
- Tumor (e.g., Soft Tissue Sarcoma): Although rare, tumors behind the knee can cause pain, especially with movement. Early diagnosis is crucial for effective treatment.
Rare Diagnoses
- Cystic Adventitial Disease: A rare condition where a cyst forms within the wall of an artery, leading to pain and potentially affecting blood flow.
- Intraosseous Ganglion Cyst of the Tibia or Femur: A benign cyst that forms within the bone, which can cause pain, especially with movement.
- Neurogenic Tumors (e.g., Neurofibroma, Schwannoma): Tumors arising from nerve tissue can cause pain and other neurological symptoms, depending on their location and size.