Abstract:
:A 50-yr-old man arrived at our department for a rehabilitation prescription after a right knee medial collateral ligament sprain. Magnetic resonance imaging showed medial collateral ligament partial rupture and medial femoral condyle increased signal intensity indicating bone edema. After treatment, the patient still complained of weight-bearing knee medial compartment pain. A lateral wedged insole was prescribed to decrease medial compartment compression forces. Initial response to insole use was good, but soon after, the patient complained of severe worsening knee pain. On examination, the lateral joint line and condyle palpation were tender. Insole use discontinuation was recommended, and another magnetic resonance imaging scan was performed. It showed an high T2-weighted signal intensity, representing bone marrow edema comprising a volume of 5 x 5 x 4.5 cm of lateral femoral condyle. Discontinuation of orthosis use relieved the pain, and the edema disappeared. To our knowledge, lateral femoral condyle painful bone marrow edema after lateral wedged insole use has not been previously described. The findings of this case report indicate that lateral wedged insole prescription should be carefully evaluated.
journal_name
Am J Phys Med Rehabiljournal_title
American journal of physical medicine & rehabilitationauthors
Chaler J,Torra M,Dolz JL,Müller B,Garreta Rdoi
10.1097/PHM.0b013e3181d8d2aesubject
Has Abstractpub_date
2010-05-01 00:00:00pages
429-33issue
5eissn
0894-9115issn
1537-7385pii
00002060-201005000-00012journal_volume
89pub_type
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
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journal_title:American journal of physical medicine & rehabilitation
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doi:10.1097/00002060-200210000-00013
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pub_type: 杂志文章,随机对照试验
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journal_title:American journal of physical medicine & rehabilitation
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章
doi:10.1097/00002060-199407000-00009
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journal_title:American journal of physical medicine & rehabilitation
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journal_title:American journal of physical medicine & rehabilitation
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pub_type: 杂志文章,随机对照试验
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:American journal of physical medicine & rehabilitation
pub_type: 杂志文章,meta分析
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journal_title:American journal of physical medicine & rehabilitation
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journal_title:American journal of physical medicine & rehabilitation
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journal_title:American journal of physical medicine & rehabilitation
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