Dear Henry,
You also may want to rule out a developing RSD.
Sarah Fern Striffler, PT
----- Original Message -----
From: Bruce- Australia <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 20, 2001 10:14 AM
Subject: Re: strange swelling in the knee
> Hi again Henry
>
> Sorry, missed the bit about the pt being 20yo.
> After re-reading the problem, it seems more rheumatoid, or maybe the
> flairing of an old ankle injury. I have seen young patients who sprain the
> deltoid or atfl, and have irregular recurrent ankle swelling for years
> afterwards.
>
> Re rheumatoid conditions, although rare in a 20yo, gout commonly attacks
one
> joint at a time (monoarticular arthritis), though when severe can spill
over
> into nearby jts. And sometimes the swelling is worse than the pain. You
> might question him about his drinking habits i.e. a heavy binge combined
> with getting dehydrated and missing sleep can unmask at this age, a
genetic
> predisposition to gout.
>
> Cheers
> Bruce
>
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