Desmoid fibromatosis presenting as lateral hip pain in an outpatient physical therapy clinic: A case report
| Autor: | John J Mischke, Audrey R.C. Elias, Kelli Wrolstad |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty medicine.diagnostic_test Referral business.industry Pain Physical Therapy Sports Therapy and Rehabilitation Magnetic resonance imaging Physical examination Irritability Arthralgia Young Adult Fibromatosis Aggressive Outpatients Medical imaging medicine Physical therapy Humans Female medicine.symptom Presentation (obstetrics) Differential diagnosis Range of motion business Physical Therapy Modalities |
| Zdroj: | Physiotherapy theory and practice. 39(1) |
| ISSN: | 1532-5040 |
| Popis: | Case description A 21-year-old healthy female presented with severe left lateral hip pain beginning suddenly two weeks prior. Physical examination revealed zero degrees of left hip external rotation passive range of motion with a firm end feel and pain severity and irritability out of proportion to an expected musculoskeletal presentation. She was referred to her physician with a recommendation for imaging to determine the source of pain and appropriateness of physical therapy. Outcome Magnetic resonance imaging revealed a foreign mass in her left gluteus medius muscle which biopsy revealed to be a desmoid fibromatosis. Conclusion This case demonstrates a thorough differential diagnostic process leading to medical imaging referral in a patient with a non-musculoskeletal source of pain. Physical therapists must be diligent in their differential diagnostic process to ensure appropriateness of their treatments or the need for referral. |
| Databáze: | OpenAIRE |
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