Document Detail

Physical therapist management of an adult with osteochondritis dissecans of the knee.
MedLine Citation:
PMID:  15982173     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND PURPOSE: Osteochondritis dissecans (OCD) primarily occurs between 10 and 20 years of age. Adult patients (>20 years) tend to respond poorly to nonsurgical management. This case report describes the physical therapist management of an adult with OCD at the tibiofemoral joint. CASE DESCRIPTION: A 24-year-old woman had insidious onset of right knee pain. Magnetic resonance imaging confirmed the diagnosis of OCD. Interventions included iontophoresis, strengthening exercises, and instruction in strategies to minimize loading across the knee. OUTCOME: The patient received 5 intervention sessions. At discharge and 9-month follow-up, she reported 95% function (Single Assessment Numeric Evaluation) and no pain while performing full work duties. DISCUSSION: This case illustrates the process, including the use of evidence, of making clinical decisions about the physical therapist management of an adult with OCD.
Michael P Johnson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Physical therapy     Volume:  85     ISSN:  0031-9023     ISO Abbreviation:  Phys Ther     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-06-28     Completed Date:  2005-08-16     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  665-75     Citation Subset:  AIM; IM    
Professional Development, Mercy Rehab Associates, 1503 Lansdowne Ave, Darby, PA 19023, USA.
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MeSH Terms
Magnetic Resonance Imaging
Osteochondritis Dissecans / diagnosis,  therapy*
Physical Therapy Modalities

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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