1/33. Anterior hip pain.Anterior hip pain is a common complaint with many possible causes. Apophyseal avulsion and slipped capital femoral epiphysis should not be overlooked in adolescents. Muscle and tendon strains are common in adults. Subsequent to accurate diagnosis, strains should improve with rest and directed conservative treatment. osteoarthritis, which is diagnosed radiographically, generally occurs in middle-aged and older adults. Arthritis in younger adults should prompt consideration of an inflammatory cause. A possible femoral neck stress fracture should be evaluated urgently to prevent the potentially significant complications associated with displacement. patients with osteitis pubis should be educated about the natural history of the condition and should undergo physical therapy to correct abnormal pelvic mechanics. "sports hernias," nerve entrapments and labral pathologic conditions should be considered in athletic adults with characteristic presentations and chronic symptoms. Surgical intervention may allow resumption of pain-free athletic activity.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/33. Arthroscopic diagnosis and management of ochronotic arthropathy of the knee.Ochronotic arthropathy is a progressive joint disorder resulting from the deposition of a derivative of homogentisic acid into connective tissues, especially meniscal and articular cartilage. patients may present with symptoms, physical examination results, and radiographic changes consistent with degenerative joint disease. We present a case in which an operative arthroscopy of the knee was highly suggestive of ochronotic arthropathy. The definitive diagnosis of ochronosis was subsequently confirmed by laboratory and pathologic evaluation.- - - - - - - - - - ranking = 6.1618544806224keywords = physical examination, physical (Clic here for more details about this article) |
3/33. Treatment of post-traumatic ankle arthrosis with bipolar tibiotalar osteochondral shell allografts.We report on tibiotalar osteochondral shell allografts for post-traumatic ankle arthropathy in seven patients. Average follow-up was 148 months (range, 85 to 198). patients were evaluated by a questionnaire, SF-12 survey, ankle score, physical exam and radiographs. The ankle score increased from 25 preoperatively to 43 at latest follow-up (maximum score 100). SF-12 scores increased from 30 to 38 (Physical Component) and 46 to 53 (Mental Component). The failure rate was 42%. Four of seven patients reported good or excellent results. Five patients stated they would undergo a similar procedure again. Complications included graft fragmentation, poor graft fit, graft subluxation, and non-union. Follow-up radiographs demonstrated joint space narrowing, osteophytes, and sclerosis, even in cases with excellent clinical status. Fresh osteochondral shell allografting may provide a viable alternative for the treatment of post-traumatic ankle arthrosis in selected individuals.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/33. Snapping knee caused by intra-articular tumors.Locking of the knee can present with no history of antecedent injury. We identified impingement of intra-articular tumors in 2 cases. Intra-articular tumors are relatively rare. Mechanical symptoms were present in both cases. On physical examination, there was a palpable mass at the medial region of the patellofemoral joint. The interior had been replaced mainly by amorphous necrotic tissue. The definite diagnosis of a soft-tissue mass of the knee could not be made on histologic examination.- - - - - - - - - - ranking = 6.1618544806224keywords = physical examination, physical (Clic here for more details about this article) |
5/33. Acne arthralgia.A syndrome of arthralgia associated with one form of acne is described. Orthopaedic surgeons should be alert to the association of profound arthralgia and myalgia with this particular variant of acne vulgaris. Thirteen patients are described, all of whom are adolescent boys with a chronic moderately active acne which suddenly became extremely aggressive and toxic. The symptoms and signs included proximal arthralgia and myalgia, fever, elevated sedimentation rate, and altered immunoglobulins. Control of acne and conservative physical therapy resulted in complete resolution of the musculoskeletal complaints.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
6/33. Costovertebral joint dysfunction: another misdiagnosed cause of atypical chest pain.The diagnostic work-up of atypical chest pain frequently leads to invasive procedures. However, this painful symptomatology can sometimes be of benign origin and respond to simple therapeutic manoeuvres. A number of musculoskeletal conditions such as costovertebral joint dysfunctions should be carefully considered. We report five cases in which patient discomfort and high costs could have been avoided if awareness of these conditions had led to a correct diagnosis upon initial physical examination.- - - - - - - - - - ranking = 6.1618544806224keywords = physical examination, physical (Clic here for more details about this article) |
7/33. The complete type of suprapatellar plica in a professional baseball pitcher: consideration of a cause of anterior knee pain.Abstract We report the case of a professional baseball pitcher who achieved complete relief of an anterior knee pain after resection of a complete type of suprapatellar plica under arthroscopy. The 27-year-old male professional baseball pitcher had complained of right anterior knee pain while pitching for more than 2 years. On physical examination, the mobility of his patella was limited and he complained of tenderness along the joint line of his lateral patellofemoral joint. The preoperative patellofemoral axial radiograph showed osteophyte formation on the lateral edge of the patella. On preoperative magnetic resonance imaging, a septum dividing the suprapatellar pouch was found. arthroscopy revealed obvious cartilaginous damage on the lateral facet of the patella and facing trochlea of the femoral condyle. There was a complete type of suprapatellar plica. The suprapatellar plica seemed to be anchoring the patella, which reduced the mobility of the patella. After resecting the complete type of suprapatellar plica under arthroscopy, the mobility of the patella was improved. Because his anterior knee pain while pitching reduced rapidly postoperatively, he could return to regular baseball. We consider that the main cause of his anterior knee pain was cartilaginous damage on the patella and the trochlea, which might be accelerated by the existence of the suprapatellar plica that reduced the mobility of the patella.- - - - - - - - - - ranking = 6.1618544806224keywords = physical examination, physical (Clic here for more details about this article) |
8/33. Differential diagnosis and treatment in a patient with posterior upper thoracic pain.BACKGROUND AND PURPOSE: Determining the source of a patient's pain in the upper thoracic region can be difficult. Costovertebral (CV) and costotransverse (CT) joint hypomobility and active trigger points (TrPs) are possible sources of upper thoracic pain. This case report describes the clinical decision-making process for a patient with posterior upper thoracic pain. CASE DESCRIPTION: The patient had a 4-month history of pain; limited cervical, trunk, and shoulder active range of motion; limited and painful mobility of the right CV/CT joints of ribs 3 through 6; and periscapular TrPs. Interventions included CV/CT joint mobilizations, TrP release, and flexibility and postural exercises. OUTCOMES: The patient reported intermittent mild discomfort after 7 physical therapy sessions. Examination findings were normal, and he was able to resume all preinjury activities. DISCUSSION: This case suggests that CV/CT mobilizations and active TrP release may have been beneficial in reducing pain and restoring function in this patient.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
9/33. The triggering role of physical injury in the onset of peripheral arthritis in seronegative spondyloarthropathy.Three more cases of B27-positive patients who developed peripheral arthritis immediately after trauma are reported. The first had an exacerbation of arthritis in the right hip after falling from her motor-bike. The second had arthritis of the distal interphalangeal (DIP) joint of the right forefinger after shutting his finger in the door of his car. The third had arthritis of the right sternoclavicular joint after a road-accident while fastening her safety belt.- - - - - - - - - - ranking = 4keywords = physical (Clic here for more details about this article) |
10/33. A model of orthopaedic dysfunction for clinical decision making in physical therapy practice.This model serves as a framework for the critical analysis of current practice concepts. The analysis obtained from using this model should be integrated with other physiological systems of the body during examination and treatment processes. Currently used as a basis for graduate study in orthopaedic physical therapy, the model helps students identify fundamental research questions, compare various examination and treatment philosophies, and comprehend generic treatment goals and strategies.- - - - - - - - - - ranking = 5keywords = physical (Clic here for more details about this article) |
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