The Journal of orthopaedic and sports physical therapy
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J Orthop Sports Phys Ther · Mar 2017
Case ReportsAtypical Clinical Presentation of Rapidly Progressing Femoral Head Avascular Necrosis.
A 51-year-old man presented to an urgent care facility 2 weeks after onset of left lateral hip and buttock pain. Radiographs were noncontributory. ⋯ He was diagnosed with femoral head avascular necrosis. J Orthop Sports Phys Ther 2017;47(3):217. doi:10.2519/jospt.2017.6483.
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J Orthop Sports Phys Ther · Mar 2017
Case ReportsHemangioma in the Anterior Thigh With Corresponding Periosteal Bone Reaction.
A 24-year-old female runner presented to physical therapy via direct access with an 8-month history of mid-thigh pain. At the onset of her symptoms, radiographs were negative; following physical therapy evaluation, additional imaging was requested. ⋯ Magnetic resonance imaging revealed an enhancing mass adjacent to the anterolateral surface of the mid shaft of the femur, with associated cortical hypertrophy, consistent with a deep intramuscular hemangioma. J Orthop Sports Phys Ther 2017;47(3):218. doi:10.2519/jospt.2017.6302.
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J Orthop Sports Phys Ther · Feb 2017
Case ReportsBenign Peripheral Nerve Sheath Tumor in a Distance Runner.
A 31-year-old female runner presented to physical therapy via direct access with an 8-month history of atraumatic left lateral calf pain. Following 1 month of physical therapy, the patient was referred to an orthopaedic sports medicine physician. ⋯ Magnetic resonance imaging findings were consistent with a nerve sheath tumor, and ultrasound-guided tissue biopsy determined the mass to be a benign peripheral nerve sheath tumor. J Orthop Sports Phys Ther 2017;47(2):125. doi:10.2519/jospt.2017.6780.
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J Orthop Sports Phys Ther · Feb 2017
Multicenter Study Pragmatic Clinical TrialIncreasing Recreational Physical Activity in Patients With Chronic Low Back Pain: A Pragmatic Controlled Clinical Trial.
Study Design Prospective, pragmatic, nonrandomized controlled clinical trial. Background Clinical guidelines recommend physical activity for the treatment of chronic low back pain. But engaging patients in physical activity has proven difficult. ⋯ Level of Evidence Therapy, level 2b. Registered June 7, 2012 at ClinicalTrials.gov (NCT01631344). J Orthop Sports Phys Ther 2017;47(2):57-66. doi:10.2519/jospt.2017.7057.
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Synopsis Although osteoarthritis (OA) has traditionally been considered a disease of older age, hip and knee OA can and does affect younger adults, with a profound impact on psychosocial well-being and work capacity. Obesity and a history of traumatic knee injury (eg, anterior cruciate ligament rupture and/or meniscal tear) are key risk factors for the accelerated development of knee OA, while structural hip deformities (including those contributing to femoroacetabular impingement syndrome) are strong predictors of early-onset hip OA. In view of these associations, rising rates of obesity and sports injuries are concerning, and may signal a future surge in OA incidence among younger people. ⋯ High-quality evidence has shown no benefit of arthroscopy for knee OA, and there are no published clinical trials to support the use of hip arthroscopy for OA. Referral for joint-conserving or joint replacement surgery should be considered when nonpharmacological and pharmacological management strategies are no longer effective. J Orthop Sports Phys Ther 2017;47(2):67-79. doi:10.2519/jospt.2017.7286.