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Physical Examination and Magnetic Resonance Imaging of Stress-Related Bone Injuries in Tuber Ischiadicum
Umeå university.
Piteå hospital.
Swedish School of Sport and Health Sciences, GIH.ORCID iD: 0000-0003-4578-1122
2017 (English)In: Journal of Exercise, Sports & Orthopedics, ISSN 2374-6904, Vol. 4, no 1, 1-3 p.Article in journal (Refereed) Published
Abstract [en]

Introduction: Stress-Related Bone Injuries (SRBI) in the Tuber Ischiadicum (TI) is a possible preliminary diagnosis in adolescent athletes with pain in the pelvic region or in the back of the thigh. The condition requires an early diagnosis in order to heal properly. We describe five cases of young athletes seeking a physiotherapist for pelvic or back thigh pain.

Materials and methods: Five patients previously diagnosed with lower back pain, groin pain, pelvic or back thigh pain underwent a Physical Examination (PE) by a physiotherapist to identify the pathogenesis of the pain. The PE led to the preliminary diagnosis of SRBI in the TI, which was confirmed by an MRI. The patients were treated with rest and Personally Guided Rehabilitation (PGR).

Results : All cases had a positive eccentric hip extension test and pain provocation on palpation on the TI. MRI found different levels of stress reactions/fractures in the enthesis of the TI. After rest and rehabilitation, all subjects returned to their previous level of physical activity.

Conclusion: PE appeared to identify adolescent athlete patients with SRBI in the TI requiring an MRI. The correct diagnosis led to a quick return to the previous level of physical activity.

Clinical relevance: An early and correct diagnosis thru a thorough PE can lead to complete healing and a return to sports.

Place, publisher, year, edition, pages
2017. Vol. 4, no 1, 1-3 p.
Keyword [en]
Tuber ischiadicum, stress reaction, stress fracture, Physical Examination
National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-5073OAI: oai:DiVA.org:gih-5073DiVA: diva2:1158491
Available from: 2017-11-20 Created: 2017-11-20 Last updated: 2017-11-20

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CiteExportLink to record
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