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History in joint injuries

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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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

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