Lantz Justin M, Shamim Ejaz, Elliott James M
University of Illinois Hospital, Chicago, IL.
J Orthop Sports Phys Ther. 2014 Oct;44(10):840. doi: 10.2519/jospt.2014.0412.
The patient was a 39-year-old man who was referred to a physical therapist by his primary care physician for a chief complaint of left posterior knee pain. Radiographs of the left knee, which had been previously ordered by the patient's primary care physician, were interpreted as normal. Given the patient's worsening symptoms, no history of trauma or injury, and lack of improvement with prior conservative measures, the patient was referred to an orthopaedic surgeon. Magnetic resonance imaging of the left knee was ordered, which revealed a septated ganglion cyst within the femoral notch that caused moderate displacement of the cruciate ligaments.
患者为一名39岁男性，因左膝后部疼痛为主诉，由其初级保健医生转诊至物理治疗师处。患者初级保健医生之前开具的左膝X线片显示正常。鉴于患者症状加重、无创伤或损伤史且先前的保守治疗未见改善，该患者被转诊至骨科医生处。医生安排了左膝的磁共振成像检查，结果显示股骨切迹内有一个分隔的腱鞘囊肿，导致交叉韧带中度移位。
