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In case two was there has there ever been an effussion? Dif Diagnosis Meniscal/ Coronary ligt, Fat Pad Impingemnet -Hoffas. David Newman MCSP SRP Chartered Physiotherapist HANTSCARE -----Original Message----- From: - for physiotherapists in education and practice [mailto:[log in to unmask]] On Behalf Of Douglas M. White Sent: 22 September 2004 14:37 To: [log in to unmask] Subject: Re: Two cases! Case #1 Diff Dx hamstring tendonitis v stress/avulsion fx of ishial tuberosity Case #2 Diff Dx meniscal tear ******************************************************* Dr. Douglas M. White -----Original Message----- From: - for physiotherapists in education and practice [mailto:[log in to unmask]] On Behalf Of nabil keshavjee Sent: Monday, September 20, 2004 10:00 PM To: [log in to unmask] Subject: [PHYSIO] Two cases! Hi! I'm really greatful there is someplace where I can seek informed opinions regarding injuries I see and have difficulty in treating. Here are two that I have come across in recent weeks. 1. 42yo female, with left buttock pain. Intermittent and sharp in nature, brought on when kicking during high kicks in kickboxing, or in touching toes during yoga. The pain does not occur on any normal daily activities. Over the last 4 months this pain has not changed. Pain does not radiate. No pins and needles and no numbness. On objective examination, lumbar flexion in standing reproduces the pain, but repeated has makes no worse. No effect from lumbar flexion. Squats do not reproduce pain. Hip movements are normal. Pain is reproduced at 95 degrees SLR. Resisted knee flexion in sitting does not reproduce pain. Resisted knee flexion in 95 degree SLR produces pain. Pain on palpation of ischial tuberosity. Any thoughts on possible treatment, or what else to look at? 2. 30 yo female, with right medial knee pain. Pain located around medial menisci. Pain produced most on downhill runs, or walks. She is an avid runner, who continues to try running but avoids running downills. She has also found the walking in golf to also cause alot of pain. On postural observation, I have noticed pes cavus bilaterally, but otherwise normal looking. I have been unable to notice any oddities during her running stride on treadmill. Active, passive, and resisted movements do not reproduce pain. Apprehensive during the mensical tests but no pain or locking. Negative on all other special tests. Pain on palpation of right medial knee joint line (just medial of patella). My conclusion is meniscal tear, but is there something else I should be looking at? All your help would be greatly appreciated. Nabil K. ______________________________________________________________________ Post your free ad now! http://personals.yahoo.ca