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FREE PRESITGE EDUCATION

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6 contributions to FREE PRESITGE EDUCATION
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 โ€ข 3d
@Dean Gouldsborough this is just my opinion. Perhaps itโ€™s not a case of the hamstring not working properly in the first place. I believe itโ€™s more likely that the load management was not appropriate. Especially as the patient had only started running 4 months ago and is already training for a marathon. The hamstrings are most likely not equipped or conditioned enough to deal with the recent spike in training load.
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
1 like โ€ข 10d
@Abdulla Omar I agree with you for the most part. However, I do believe that the long head of biceps tendon is more vulnerable anatomically than the supraspinatus due to the biomechanics of an overhand right punch. Also although the supraspinatus initiates abduction in the loading phase of the overhand right punch, I do believe that the proximal long head of biceps tendon is loaded significantly more during this particular punch.
0 likes โ€ข 10d
@Toby Sam Harris correct me if I'm wrong but from my experience in boxing, I've noticed mainly hyperextension elbow injuries from swing and miss of a jab or cross than injuries from an overhand right miss. Most of the injuries I've seen from an over hand right are from the punch landing (punch landing awkwardly or due to fatigue). I understand that this is just based on my experience and could be biased. However, I was curious to see what your experience regarding swing and miss injuries were? Did you notice something similar?
CASE STUDY ONE WINNER!
@Sree Mittapally is the winner of our most recent case study about medial knee pain! Well done Sree! The answer is pes anserine pathology. Itโ€™s actually a lot simpler than you think. The pes anserinus is a rotatory stabilizer of the knee. It is a bundle of connective tissue that inserts the following muscles into proximomedial tibia - A) Adductor - Gracilis B) External rotator & Hip flexor - Sartorius C) Semitendinosus - Medial hamstring The type of movement was a โ€œfree kickโ€ in soccer, primarily involves - A) Hip flexion B) External rotation C) Adduction Since the movement is mainly ADDUCTION in EXTERNAL ROTATION it would make sense that it is a pes anserine problem. If you confirm with palpation, it should be tender to touch and a dead give away. Well done @Sree Mittapally Next step will be CAUSE of the problem and MANAGEMENT ๐Ÿš€
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New comment 13d ago
2 likes โ€ข 15d
This was a great fun case study! Really made me think๐Ÿ™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
0 likes โ€ข 16d
@Mohammed Ali Jafary with all the info so far, Iโ€™m leaning towards pes anserinus too given the mechanism of injury and the location of pain.
1 like โ€ข 16d
@Rulan Albarouki @Mohammed Ali Jafary got it first! Pes anserinus
Clinical discussion
Last week someone asked to do a clinical poll. Business topic was a bit slow for traction so letโ€™s see what you guys want to discuss RE clinical assessment or diagnosis. Or even just a discussion topicโ€ฆ how about tackling knee pain and an associated cause?
Poll
5 members have voted
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New comment 29d ago
0 likes โ€ข 29d
Sorry completely forgot to post the poll, had a busy week. Thank you so much for following up and posting the poll!
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@sree-mittapally-9476

Active 8h ago
Joined Nov 14, 2024
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