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| ID | 20649 | ||||||||||||
| Title | Knee pain in a 14-year-old male: Steps in making a correct diagnosis [case report] | ||||||||||||
| URL | http://jccponline.com/jccp_v10_n1.pdf | ||||||||||||
| Journal | J Clin Chiropr Pediatr. 2009 Jun;10(1):593-598 | ||||||||||||
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| Peer Review | Yes | ||||||||||||
| Publication Type | Case Report | ||||||||||||
| Abstract/Notes | Objective: To discuss the case of an adolescent patient who presented to the clinic with a history of right knee pain for two years. Using evidenced-based concepts enables clinicians to ask the right questions and use the proper diagnostic tools to make an accurate diagnosis. Clinical features: A 14-year-old male athlete presented to the clinic with right knee pain. The adolescent had been seen by his family physician and doctor of chiropractic during a two year time period. Neither practitioner had performed diagnostic procedures of the knee. Outcome: Radiographic studies revealed a large defect of the femur’s lateral condyle consistent with advanced osteochondrosis dissecans. The patient was referred to an orthopedist who recommended surgical intervention. Conclusion: Doctors are frequently reluctant to order X-ray or other diagnostic studies on children and adolescents, but when a pediatric patient presents with a persistent complaint and significant examination findings further diagnostic studies are warranted. This abstract is reproduced with the permission of the publisher. Click on the above link for free full text. |
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