Question

Case scenario

Mr. C, 50 years old, is an amateur soccer player who regularly plays with his friends over weekend. He has chronic anterior right hip pain and weakness over his groin region for 5 years.

One day, when he was playing soccer, he was injured by another player who crushed on him from lateral side of his left leg. Then, he fell down on the grassland after twisting his left knee and ankle due to the crush. He started to feel pain and weakness over his left leg from knee to ankle. He could not move his left leg to stand up. When he fell down, he fell on the leg of that player which caused pain, swelling, numbness and weakness over the posterior side of his own left leg. Then, he was send to the emergency room of a nearby hospital. The doctor of the emergency room of the hospital assessed his legs and arranged X-ray check for him.

Your supervisor asked you to identify all key anatomical structures in the initial assessment that are related to his hip, knee and ankle discomfort according to the above information. You need to provide clear rationale to support your answers when you report to your supervisor.

Please answer according to the following guidance:

(a) What artery (arteries) and vein (veins) are involved in his problems mentioned above? Please list out accordingly and support with corresponding reasons.

(b) What lower limb functional movements that can be affected according to his leg conditions? Why?

Answer 1

Ans There are different arteries of knee and hip these are

Popliteal artery is the main artery of knee which supply blood to different parts of knee and popliteal artery have other branches like descended vehicular artery lateral circum flex popliteal artery medial circum flex artery so when any artery damage and injury causes there is bluishness of artery if not treated then it change into blunt extremities trauma

Other than this muscle parts also damaged like muscle stiffness

Other then artery there are veins also which is also damaged like external iliac vein femoral vein great saphenous vein some injuries of knee are medial meniscus injury MCL injury

There is change in movement if knee and hip were damaged like when movement is restricted then muscle will stiff and which causes pain movement and other related problems