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Week 2 OFFICIAL CASE STUDY
Excellent job on last week's quiz everyone! The depth of clinical reasoning and discussion in that thread was impressive. Keep engaging guys, this is exactly how you make your clinical reasoning razor sharp! This week we are back to dissecting case studies in their entirety. Case study 2: 30-year-old male, started running 4 months ago, training for his first half marathon. During a sprint session, felt sudden pain in the back of the right thigh while taking off for a sprint. Pain is sharp and localized to posterior thigh. Pain gets worse with running, especially uphill or sprinting. Aggs: bending forward, resisted knee flexion. What would you do from here? What are some potential diagnosis to consider and how would you differentiate between them?
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New comment 3d ago
1 like β€’ 5d
@Rulan Albarouki yes definitely would add in those different hamstring ranges! Would not refer for imaging if confident in clinical findings. However, depending on the timing of the half-marathon and the individual’s goals (recreational, competitive)/progression in rehab, may consider imaging.
0 likes β€’ 4d
@Rulan Albarouki πŸ˜‚πŸ˜‚ good thing you referred man. Good insight though πŸ‘Œ
Case Study Corner Rapid Fire Round 1
Hey guys, Great to see everyone really enjoying the official case study last week. This week we are doing a rapid-fire round with short quizzes! Answer the question below to test your knowledge! Those of you not on level 2 yet, this is your chance to unlock amazing resources that took me hours to put together... all for FREE. Engage, engage, engage and learn! Question 1: 28-year-old boxer, boxing for 4 years. Threw an overhand right punch, next day felt pain around the front side of his shoulder. Aggs: Hand to head, pressing, hand behind back, struggles to drive at times What structures do you think are affected? Comment below WHY
Poll
11 members have voted
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New comment 9d ago
2 likes β€’ 10d
If choosing just ONE, I’d go proximal long head of biceps tendon based off: 1. Pain Location: Front of the shoulder, consistent with the bicipital groove. 2. Mechanism: Overhand punches place stress on the tendon via shoulder flexion 3. Aggravating Movements: β€’ Hand-to-Head (flex+abd): Engages the tendon in groove β€’ Hand-Behind-Back (internal rot + ext) Compresses the tendon against groove β€’ Pressing (sh flex): directly engages the tendon β€’ Driving: Isometric contraction stresses the tendon. Could go either way with supra though, further subj/obj needed to get better gauge
0 likes β€’ 10d
@Dean Gouldsborough @Rulan Albarouki Thank you! Breaking it down to its simplest form works πŸ‘Œ
WEEK 1 OFFICIAL CASE STUDY:
Welcome to the FIRST case study in Case study corner! This week, I have a case study that might just bring you to your KNEES! CASE STUDY: Tim is a 27-year-old semi-professional soccer player. One week ago, during soccer training, Tim felt pain in his left knee after kicking the ball. Tim was able to keep playing. He reports that the pain has been increasing in intensity over the last few days especially with activities that require full weightbearing and/ or full knee flexion. WHAT WOULD YOU DO NEXT?
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New comment 13d ago
1 like β€’ 15d
@Rulan Albarouki Medial Hamstrings (SemiTend) = resisted knee flexion in prone Adductors (Gracilis) = 0deg, 45deg, 90deg in supine Sartorius = could also test in supine - hip flexion / external rotation
0 likes β€’ 13d
@Rulan Albarouki reduced muscular strength in knee flexion, adduction, hip flexion/ER. Could have limited knee flexion or extension due to pain, functional deficits like ascending stairs, definitely pain on palpation on the medial knee inferior to the joint line
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@charbel-akl-8585
Physiotherapist

Active 2d ago
Joined Nov 27, 2024
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