The patient was a 17-year-old female who was referred to a physical therapist by her primary-care physician with a chief complaint of bilateral hip and groin pain. The patient was treated by the physical therapist for 8 weeks, but she was unable to successfully return to playing soccer. The patient was subsequently referred to an orthopaedic surgeon, who ordered a magnetic resonance arthrogram that did not reveal intra-articular pathology. To further evaluate bony morphology, computed tomography with 3-dimensional reconstructions was ordered, which demonstrated findings consistent with cam-type femoroacetabular impingement.

J Orthop Sports Phys Ther 2011;41(12):982. doi:10.2519/jospt.2011.0425

KEY WORDS: computed tomography, hip pain, groin pain, magnetic resonance imaging, radiography

The patient was an 18-year-old male collegiate pitcher who was referred to physical therapy for the treatment of chronic posterior right shoulder pain, which was most noticeable during the late cocking phase of throwing. Previous imaging was interpreted as normal. Despite a completed course of rehabilitation and diagnostic arthroscopy 3 months prior, the patient's shoulder pain did not improve. Additional radiographs and a magnetic resonance arthrogram were ordered, which revealed an exostosis along the posterior inferior glenoid rim. Following arthroscopic removal of the exostosis, the patient's symptoms resolved and he is now throwing without pain or limitations.

J Orthop Sports Phys Ther 2009;39(9):702. doi:10.2519/jospt.2009.0409

KEY WORDS: baseball, magnetic resonance imaging, radiographs, shoulder, Stryker view