history in joint injuries

Last reviewed 01/2018

In a joint injury, as with many acute injuries, the history is of prime importance, since the examination is often impossible due to pain.

The history ought to include:

  • mechanism and position of the limb: - twisting suggests subluxation or dislocation

  • timing of the swelling: - less than 2 hours - haemarthrosis implies fracture, capsular damage or ACL rupture - greater than 12 hours: post traumatic effusion, meniscal tear