The Journal of orthopaedic and sports physical therapy
-
J Orthop Sports Phys Ther · Dec 2018
Case ReportsLarge Partial-Thickness Tear of the Subscapularis Tendon.
A 27-year-old active-duty male sailor directly accessed physical therapy for deep left anterior shoulder pain. The patient sustained his injury the previous day, when he threw a left hook into the body of his sparring partner, creating a sudden high-energy external rotation force. ⋯ The images revealed a large partial tear, with retraction of the subscapularis tendon at the lesser tuberosity, a labral tear, and an intratendon biceps tendon tear with subluxation. J Orthop Sports Phys Ther 2018;48(12):983. doi:10.2519/jospt.2018.8221.
-
J Orthop Sports Phys Ther · Dec 2018
Case ReportsPectoralis Major Tear and Extensive Capsulolabral Injury After Military Combatives Class.
A 26-year-old man presented to a direct-access physical therapy clinic with right shoulder pain that began 1 week prior, after forceful abduction and external rotation during combatives training. Radiographs were noncontributory. ⋯ The magnetic resonance images confirmed complete pectoralis major tendon detachment from the humerus, and the magnetic resonance arthrogram confirmed an extensive, near-circumferential labral tear with a reverse Bankart fracture. J Orthop Sports Phys Ther 2018;48(12):982. doi:10.2519/jospt.2018.7808.
-
J Orthop Sports Phys Ther · Nov 2018
Case ReportsBrachymetatarsia as a Source of Pain in a US Military Trainee.
A 19-year-old female US Army trainee presented to a direct-access physical therapy clinic reporting 1 week of bilateral dorsal foot pain that was worse on the right than the left side. Due to swelling, focal tenderness, and pain, the physical therapist ordered radiographs to evaluate for a potential stress fracture. The radiographs revealed that the fourth metatarsals were notably shorter than the others, but were negative for other pathology. J Orthop Sports Phys Ther 2018;48(11):904. doi:10.2519/jospt.2018.7522.
-
J Orthop Sports Phys Ther · Nov 2018
Case ReportsMusculoskeletal Ultrasonography to Detect a Displaced Fracture of the Fifth Metatarsal.
A 27-year-old man presented to an outpatient physical therapy clinic with left lateral foot pain after playing lacrosse 1 day prior. Ultrasound imaging was performed immediately by the physical therapist, focusing on the fifth metatarsal distal shaft. ⋯ The patient's primary care physician subsequently ordered radiographs, which demonstrated an obliquely oriented fracture through the shaft of the fifth metatarsal. J Orthop Sports Phys Ther 2018;48(11):903. doi:10.2519/jospt.2018.7884.
-
A 69-year-old man was referred to physical therapy by his primary care physician for an insidious onset of right medial knee pain that had been present for over 4 weeks. Due to the disproportionate response following initial management, he was referred to an orthopaedist for imaging. Magnetic resonance imaging revealed medial femoral condyle osteopenia, bone marrow edema, and subchondral bone collapse, and subsequently the patient was diagnosed with spontaneous osteonecrosis of the knee. J Orthop Sports Phys Ther 2018;48(10):824. doi:10.2519/jospt.2018.7923.