Welcome. My name is Divine. This is episode 620 of the Divine Intervention Podcasts. In today's podcast, we're going to be addressing the knee, hip, and ankle. So this is a continuation of the series on USML MSK. These are things that are tested. Many times, if you just know what the USMLA is require you to know, you're typically going to be in good shape for the exams. So we've done elbow, we've done neck, we've done back. Again, if you missed that episode, I'll encourage you to listen to it, but today I'm going to hit knee, hip, and ankle. All right. So what are the classic knee pathologies, our friends at the

NBM's love to test? So say, for example, they give you a question about literally a woman.

And this woman is like in her 20s or 30s. The person is an athlete. the person is a, you know, person that's very physically

active.

And then you're told that this person has pain around their knee.

In fact, sometimes they can make these questions very nonspecific.

They tell you that this person has pain around their knee and that whenever they run,

it makes the pain worse or whenever they're going they run it makes the pain worse or whenever they're

going downstairs it makes the pain worse or after they've sat for a long time it makes the pain

worse when you see something like this what should you be thinking about i really hope you're

saying that divine this sounds a whole lot like betelofemoral pain syndrome okay

butelophomeral pain syndrome um it's something you want to make sure you can recognize for your exams

um typically we're going to find it in uh women on the usmlees um and then usually it's going to be

young women that are physically active usually they're going to be you know 20s 30s you know people that are very physically active. Usually they're going to be, you know, 20s, 30s, you know, people that are very physically active. When you see something like that, I want you to think of patellofemoral pain syndrome, okay? Again, they can make the knee pain very nonspecific. Basically, they just have pain around the patella. That's why it's called patellofemoral. So just, you know, sometimes you may even see the term on your exams that it's peripaterer pain, peripater. The word peripaterteller just means around the patella, okay, around the patella. Again, it's going to be in a person that is young. Typically, a person that is, you know, less than each 45 or thereabouts on your exams, right? And how do you

confirm the diagnosis? This is something you're going to be doing a clinical diagnosis for, right?

Just basically press against the patella. Press against the patella. If you can reproduce their pain

or you try to move the patella up and down, up and down, up and down, and you reproduce their pain,

they likely

have patelophemoral pain syndrome, okay? And the thing is, if they ask you, oh, what's your most

appropriate next step in management? Literally, all you need to do is full or a few conservative

measures, right? Like, the activities that worsen the pain, high impact running and all those

things, avoid those things, right?

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