 |
 |
 |
ADVERTISEMENT
ADVERTISEMENT
|
|
|
DOI: 10.2519/jospt.2011.0402
The patient was a 53-year-old man referred to a physical therapist with a chief complaint of worsening right medial knee pain of 3 months' duration. He had a history of anterior cruciate ligament reconstruction 7 years prior, and recent diagnostic imaging studies had not been performed. Physical examination of the right knee was unremarkable, without reproduction of his chief complaint of medial knee pain. During examination of the right hip, however, combined movements of hip flexion, internal rotation, and adduction, as well as hip distraction and compression, reproduced the patient's knee pain. While radiographs of the right knee were unremarkable, radiographs of the right hip revealed acetabular undercoverage, superolateral joint space narrowing, and subchondral sclerosis. Magnetic resonance imaging of the hip, with and without intra-articular gadolinium, identified developmental dysplasia with marked acetabular undercoverage and moderately advanced degenerative joint disease. The patient did not respond to conservative management and subsequently underwent total hip arthroplasty 9 months after first being seen by the physical therapist, which resulted in complete resolution of his medial knee pain.
J Orthop Sports Phys Ther 2011;41(1):33. doi:10.2519/jospt.2011.0402
KEY WORDS: magnetic resonance imaging, radiography
The patient was a 53-year-old man referred to a physical therapist with a chief complaint of worsening right medial knee pain of 3 months' duration.
(Right click the link below and select Save Target As...)
| January2011-Imaging-Poppert.ppt |
