J Orthop Sports Phys Ther. 2020 Apr;50(4):214. doi: 10.2519/jospt.2020.9131.
A 48-year-old man reported right hip pain and low back pain and was referred to physical therapy by an orthopaedic surgeon after magnetic resonance imaging revealed an L1-2 symmetrical disc bulge. His chief complaint was worsening right groin pain. Following examination, the patient attended 3 treatment visits; however, each visit exacerbated the patient's groin pain, so the physical therapist recommended the patient return to his surgeon for hip imaging. Radiographs revealed a right proximal femur osseous lesion. Magnetic resonance imaging was subsequently performed, and a biopsy established the diagnosis of osteosarcoma..
一位 48 岁男性因右髋部疼痛和下腰痛就诊,其接受了骨科医生的治疗,并进行了磁共振成像检查,结果显示 L1-2 椎间盘对称膨出。主要症状是右腹股沟疼痛加重。检查后,患者接受了 3 次治疗,但每次治疗都加重了患者的腹股沟疼痛,因此物理治疗师建议他返回外科医生处进行髋关节影像学检查。放射检查显示右侧股骨近端骨病变。随后进行了磁共振成像检查和活检,确诊为骨肉瘤。