Diagnosis of trochanteric bursitis versus femoral neck stress fracture

Physical Therapy
D L Jones, R E Erhard

Abstract

This case report describes a 46-year-old male runner who reported the sudden onset of right hip pain. A diagnosis of trochanteric bursitis was established by a physiatrist, and the patient underwent two courses of physical therapy for moist heat, ultrasound, and exercise. Because minimal improvement was seen in the patient's pain level and gait limitations following physical therapy, a consultation was requested of a fellow staff member in the same physical therapy department, who is both a chiropractor and a physical therapist. The consultant felt that the absence of tenderness to deep palpation of the greater trochanter, the presence of a noncapsular pattern of restriction of the right hip, and the patient's nonresponsiveness to physical therapy warranted further investigation. A differential diagnosis of avascular necrosis, fracture, or a loose body was made by the consultant. Magnetic resonance imaging (MRI) testing ordered by the consultant indicated a nondisplaced, complete stress fracture of the femoral neck. The results of the consultation and the MRI testing were communicated to the referring physiatrist. The patient was referred to an orthopedic surgeon, who performed an open reduction and internal fixation of the rig...Continue Reading

Citations

Nov 28, 2012·International Orthopaedics·Tim ClassenMarcus Jäger
Aug 12, 2016·Journal of Physical Therapy Science·Jasmin NurkovicZana Dolicanin
Jul 14, 2001·The Journal of Orthopaedic and Sports Physical Therapy·W G Boissonnault, J S Boissonnault
Nov 8, 2005·Sports Medicine·Scott A Paluska
Apr 18, 2009·Anesthesia and Analgesia·Bryan S Williams, Steven P Cohen
Feb 24, 2006·The Journal of Orthopaedic and Sports Physical Therapy·Burke GurneyRon Andrews
Dec 17, 2005·The Journal of Orthopaedic and Sports Physical Therapy·David A Browder, Richard E Erhard
Dec 17, 2005·The Journal of Orthopaedic and Sports Physical Therapy·Matthew B Garber
Jan 28, 2012·The Journal of Orthopaedic and Sports Physical Therapy·William G Boissonnault, Michael D Ross
Dec 11, 2008·The Journal of Manual & Manipulative Therapy·Leah J BorgerdingWilliam G Boissonnault
Mar 31, 2021·Zeitschrift für Orthopädie und Unfallchirurgie·Luise WeinrichSerafeim Tsitsilonis
Aug 15, 2003·Magnetic Resonance Imaging Clinics of North America·Robert D Boutin, Joel S Newman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved