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Summary Definition History and exam Key diagnostic factors history of knee trauma history of knee arthritis, instability, or malalignment knee swelling sensation of knee instability or buckling/catching knee pain tenderness at joint line and joint line crepitation Other diagnostic factors popliteal (Baker) cyst in chronic cases limited range of motion Risk factors acute trauma (pivoting or twisting injury) knee joint arthritis knee instability history of anterior cruciate ligament injury malalignment of the knee joint rough or uneven playing surface poor ground/weather conditions older age construction work and manual labor jobs discoid meniscus high BMI Diagnostic tests 1st tests to order clinical tests MRI scan x-ray Tests to consider arthroscopy CT arthrography ultrasound Treatment algorithm all patients Contributors Authors Hideki Takeda, MD Orthopedic Surgeon Department of Sports Orthopedics NTT Medical Center Tokyo Tokyo Japan Disclosures HT declares that he has no competing interests